Physician
Wake Forest Health Network LLC
Wake Forest Health Network LLC was paid $5.44M by Medicaid between Jan 2018 and Dec 2024, across 46 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 30% of everything it billed.
33Billing provider infoWAKE FOREST HEALTH NETWORK LLC
HIGH POINT, NC 27265
HIGH POINT, NC 27265
33aNPI1346516895assigned 03/29/2012
33bProvider typePediatrics Physician
28Total paid$5.44M
24GClaims300,378
24DCodes billed46
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in North Carolina
Rank by total paid#72 of 433
Median peer was paid$942K
This provider vs. median5.8×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official GREVEN, CRAIG controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 15,145 | $480K | |
| 2019 | 17,165 | $573K | |
| 2020 | 11,981 | $346K | |
| 2021 | 35,574 | $626K | |
| 2022 | 76,839 | $1.16M | |
| 2023 | 78,282 | $1.21M | |
| 2024incomplete | 65,392 | $1.05M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 30% | 29,092 | 24,911 | $1.65M |
| 99199 | Unlisted special service, procedure or report | 22% | 166,225 | 85,835 | $1.22M |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 18% | 11,100 | 9,518 | $955K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.7% | 3,573 | 3,176 | $309K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 4.7% | 14,230 | 12,152 | $256K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.1% | 2,795 | 2,399 | $224K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 3.9% | 6,642 | 5,716 | $213K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.0% | 8,509 | 7,675 | $108K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.9% | 12,726 | 10,892 | $102K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.7% | 1,130 | 946 | $95K |
| 96127 | 1.4% | 20,135 | 17,125 | $76K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.4% | 4,762 | 2,651 | $76K |
34 more codes
| 99051 | <1% | 1,939 | $47K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 741 | $23K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 616 | $21K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 204 | $19K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 176 | $17K |
| D1206 | Topical application of fluoride varnish | <1% | 742 | $10K |
| 90474 | <1% | 347 | $6K | |
| 87807 | <1% | 238 | $3K | |
| 90686 | <1% | 4,269 | $3K | |
| 99383 | <1% | 18 | $2K | |
| 99443 | <1% | 16 | $1K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 30 | $1K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 66 | $1K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 26 | $1K |
| 0071A | <1% | 21 | $970.60 | |
| 0072A | <1% | 16 | $970.31 | |
| 92551 | <1% | 3,046 | $513.43 | |
| 96160 | <1% | 129 | $441.32 | |
| 99173 | <1% | 3,183 | $253.51 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 27 | $244.32 |
| 96161 | <1% | 54 | $194.48 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 67 | $169.55 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 17 | $162.86 |
| 85018 | <1% | 107 | $17.67 | |
| 94760 | <1% | 42 | $4.14 | |
| 90670 | 0% | 1,116 | $0.00 | |
| 90633 | 0% | 120 | $0.00 | |
| 90707 | 0% | 13 | $0.00 | |
| 90734 | 0% | 23 | $0.00 | |
| 90647 | 0% | 325 | $0.00 | |
| 90677 | 0% | 370 | $0.00 | |
| 90723 | 0% | 545 | $0.00 | |
| 90656 | 0% | 481 | $0.00 | |
| 90680 | 0% | 329 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialGREVEN, CRAIG (SR VP CLINICAL OPERATIONS)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.