Wakemed Specialists Group LLC
Wakemed Specialists Group LLC was paid $900K by Medicaid between Sep 2019 and Dec 2024, across 12 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 29% of everything it billed.
CARY, NC 27518
Next to other Urgent Care Clinic/Center providers in North Carolina
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 14 | $817.09 | |
| 2020 | 68 | $2K | |
| 2021 | 543 | $32K | |
| 2022 | 3,636 | $208K | |
| 2023 | 4,900 | $264K | |
| 2024incomplete | 7,397 | $393K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 29% | 3,748 | 3,158 | $258K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 26% | 4,914 | 4,375 | $232K |
| 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 | 19% | 2,526 | 2,198 | $170K |
| 87428 | 17% | 2,907 | 2,547 | $152K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 5.4% | 443 | 381 | $49K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 1.8% | 299 | 218 | $16K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.5% | 1,139 | 982 | $13K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 176 | 143 | $6K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 224 | 97 | $3K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 79 | 75 | $2K |
| 99199 | Unlisted special service, procedure or report | <1% | 72 | 72 | $360.00 |
| 81003 | <1% | 31 | 29 | $71.50 |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Wakemed Specialists Group LLC | Raleigh, NC | $476K |
| Wake Specialty Physicians LLC | Cary, NC | $423K |
| Wakemed Specialists Group, LLC | Cary, NC | $16K |
| Wake Specialty Physicians, LLC | Zebulon, NC | $3K |
| Wake Specialty Physicians LLC | Raleigh, NC | $3K |
| Wake Specialty Physicians LLC | Raleigh, NC | $3K |
| Wake Specialty Physicians LLC | Clayton, NC | $2K |
| Wake Specialty Phisicians, LLC | Raleigh, NC | $968.94 |
| Wake Specialty Physicians LLC | Raleigh, NC | $886.04 |
| Wake Specialty Physicians | Wake Forest, NC | $470.89 |
| Wake Specialty Physicians LLC | Durham, NC | $448.59 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.