Wakemed Specialists Group, LLC
Wakemed Specialists Group, LLC was paid $230K by Medicaid between Jan 2020 and Nov 2024, across 9 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 81% of everything it billed.
CLAYTON, NC 27520
Next to other Pediatric Pulmonology Physician 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 | |
|---|---|---|---|
| 2020 | 170 | $6K | |
| 2021 | 462 | $41K | |
| 2022 | 1,124 | $62K | |
| 2023 | 1,306 | $69K | |
| 2024incomplete | 1,017 | $54K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 81% | 2,005 | 1,838 | $187K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 8.5% | 123 | 111 | $20K |
| 94664 | 4.8% | 1,096 | 1,005 | $11K | |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | 2.5% | 51 | 39 | $6K |
| 94010 | <1% | 99 | 92 | $2K | |
| 96160 | <1% | 511 | 475 | $2K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 17 | 12 | $1K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 80 | 66 | $1K |
| 90686 | <1% | 97 | 80 | $77.45 |
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 |
|---|---|---|
| Wake Specialty Physicians, LLC | Raleigh, NC | $14.80M |
| Rex Hospital INC | Raleigh, NC | $5.39M |
| Wakemed Specialists Group, LLC | Raleigh, NC | $4.37M |
| Wakemed Specialists Group LLC | Raleigh, NC | $3.65M |
| Rex Hospital INC | Raleigh, NC | $3.40M |
| Wakemed Specialists Group, LLC | Raleigh, NC | $2.00M |
| Wakemed Specialists Group, LLC | Raleigh, NC | $1.65M |
| Wakemed Specialists Group, LLC | Raleigh, NC | $1.41M |
| Wakemed Specialists Group, LLC | Raleigh, NC | $790K |
| Wakemed Specialists Group, LLC | Raleigh, NC | $749K |
| Rex Hospital INC | Knightdale, NC | $742K |
| Wakemed Specialists Group, LLC | Raleigh, NC | $581K |
| Wakemed Specialists Group, LLC | Raleigh, NC | $514K |
| Rex Hospital INC | Raleigh, NC | $362K |
| Rex Hospital INC | Raleigh, NC | $349K |
| Rex Hospital INC | Raleigh, NC | $309K |
| Rex Hospital INC | Raleigh, NC | $261K |
| Rex Hospital INC | Garner, NC | $258K |
| Wakemed Specialists Group, LLC | Raleigh, NC | $184K |
| Rex Hospital INC | Raleigh, NC | $177K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.