Physician
Unc Physicians Network, LLC
Unc Physicians Network, LLC was paid $415K by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is 99199, Unlisted special service, procedure or report — 43% of everything it billed.
33Billing provider infoUNC PHYSICIANS NETWORK, LLC
RALEIGH, NC 27614
RALEIGH, NC 27614
33aNPI1376841874assigned 03/08/2011
33bProvider typeFamily Medicine Physician
28Total paid$415K
24GClaims41,754
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in North Carolina
Rank by total paid#301 of 960
Median peer was paid$135K
This provider vs. median3.1×
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 FISCUS, LYNNE 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 | 641 | $28K | |
| 2019 | 1,755 | $67K | |
| 2020 | 228 | $12K | |
| 2021 | 2,870 | $38K | |
| 2022 | 8,465 | $54K | |
| 2023 | 10,289 | $67K | |
| 2024incomplete | 17,506 | $150K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99199 | Unlisted special service, procedure or report | 43% | 35,827 | 25,658 | $177K |
| 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 | 40% | 2,893 | 2,500 | $165K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 10% | 838 | 717 | $42K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.5% | 284 | 242 | $10K |
| 0001A | 1.3% | 117 | 112 | $5K | |
| 0002A | 1.2% | 85 | 83 | $5K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 20 | 13 | $1K |
| 96127 | <1% | 298 | 202 | $1K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 15 | 13 | $1K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 32 | 31 | $904.32 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 45 | 43 | $858.90 |
| 99443 | <1% | 21 | 20 | $798.80 |
11 more codes
| 99203 | Doctor's office visit, new patient (routine) | <1% | 12 | $767.04 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 13 | $572.60 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 67 | $538.22 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 278 | $461.81 |
| 90686 | <1% | 199 | $430.30 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 25 | $339.12 |
| 90688 | <1% | 30 | $46.41 | |
| 92551 | <1% | 155 | $27.00 | |
| 99173 | <1% | 170 | $26.00 | |
| 91301 | 0% | 15 | $0.00 | |
| 91300 | 0% | 315 | $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 officialFISCUS, LYNNE (CMO)
| Provider | Location | Paid |
|---|---|---|
| Unc Physicians Network LLC | Morrisville, NC | $46.82M |
| Unc Physicians Network, LLC | Morrisville, NC | $3.22M |
| Unc Physicians Network LLC | Chapel Hill, NC | $2.78M |
| Unc Physicians Network LLC | Morrisville, NC | $2.40M |
| Unc Physicians Network LLC | Durham, NC | $2.05M |
| Unc Physicians Network LLC | Siler City, NC | $1.37M |
| Unc Physicians Network, LLC | Cary, NC | $863K |
| Unc Physicians Network, LLC | Mebane, NC | $832K |
| Unc Physicians Network, LLC | Holly Springs, NC | $818K |
| Unc Physicians Network LLC | Chapel Hill, NC | $697K |
| Unc Physicians Network, LLC | Knightdale, NC | $613K |
| Unc Physicians Network LLC | Pittsboro, NC | $454K |
| Unc Physicians Network LLC | Durham, NC | $451K |
| Unc Physicians Network LLC | Hillsborough, NC | $386K |
| Unc Physicians Network LLC | Sanford, NC | $331K |
| Unc Physicians Network, LLC | Chapel Hill, NC | $298K |
| Unc Physicians Network, LLC | Cary, NC | $91K |
| Unc Physicians Network LLC | Chapel Hill, NC | $77K |
| Unc Physicians Network Group Practices, LLC | Garner, NC | $61K |
| Unc Physicians Network, LLC | Chapel Hill, NC | $38K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.