Physician
UNC Physicians Network, LLC
UNC Physicians Network, LLC was paid $3.22M by Medicaid between Jan 2018 and Dec 2024, across 70 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 41% of everything it billed.
33Billing provider infoUNC PHYSICIANS NETWORK, LLC
MORRISVILLE, NC 27560
MORRISVILLE, NC 27560
33aNPI1437552015assigned 09/26/2014
33bProvider typeFamily Medicine Physician
28Total paid$3.22M
24GClaims173,087
24DCodes billed70
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in North Carolina
Rank by total paid#32 of 960
Median peer was paid$135K
This provider vs. median24×
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 | 14,876 | $334K | |
| 2019 | 12,893 | $363K | |
| 2020 | 9,950 | $320K | |
| 2021 | 14,386 | $443K | |
| 2022 | 28,370 | $481K | |
| 2023 | 36,009 | $542K | |
| 2024incomplete | 56,603 | $732K |
Box 24 · Service lines
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 | 41% | 31,799 | 24,796 | $1.30M |
| 99199 | Unlisted special service, procedure or report | 13% | 90,922 | 69,435 | $428K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 14,347 | 11,361 | $417K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 7.5% | 7,501 | 2,264 | $240K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 3.8% | 1,033 | 916 | $123K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 3.2% | 1,122 | 913 | $104K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 2.7% | 2,095 | 537 | $86K |
| 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 | 2.6% | 1,001 | 868 | $84K |
| 99254 | 2.6% | 875 | 799 | $83K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.1% | 1,165 | 966 | $68K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.0% | 1,059 | 809 | $64K |
| 99255 | <1% | 290 | 258 | $28K |
58 more codes
| 93000 | <1% | 3,377 | $25K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,045 | $18K |
| 90686 | <1% | 1,892 | $13K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 289 | $13K |
| 99253 | <1% | 190 | $11K | |
| 0012A | <1% | 180 | $10K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 192 | $10K |
| 90674 | <1% | 720 | $9K | |
| 0011A | <1% | 176 | $7K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 105 | $7K |
| 95886 | <1% | 136 | $6K | |
| 51798 | <1% | 869 | $5K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 99 | $4K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 280 | $4K |
| 99243 | <1% | 57 | $4K | |
| 99406 | <1% | 836 | $4K | |
| 99205 | Prolong outpt/office vis | <1% | 15 | $3K |
| A9502 | Technetium tc-99m tetrofosmin, diagnostic, per study dose | <1% | 32 | $3K |
| 69210 | <1% | 149 | $3K | |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 38 | $3K |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 35 | $2K |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,020 | $2K |
| 90656 | <1% | 133 | $2K | |
| 90677 | <1% | 17 | $2K | |
| 81002 | <1% | 1,265 | $2K | |
| 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% | 829 | $2K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 36 | $1K |
| 99442 | <1% | 66 | $1K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 102 | $1K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 20 | $1K |
| 93248 | <1% | 101 | $1K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 71 | $997.71 |
| 96127 | <1% | 263 | $845.45 | |
| 99443 | <1% | 17 | $689.26 | |
| 93017 | <1% | 54 | $683.13 | |
| 99242 | <1% | 13 | $559.12 | |
| 82962 | <1% | 678 | $555.25 | |
| 81003 | <1% | 517 | $514.63 | |
| 99441 | <1% | 33 | $470.91 | |
| 93016 | <1% | 56 | $340.58 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 50 | $300.47 |
| 92567 | <1% | 27 | $276.45 | |
| 0002A | <1% | 17 | $227.12 | |
| 72100 | <1% | 15 | $218.93 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 15 | $183.69 |
| 93018 | <1% | 35 | $175.01 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 20 | $162.59 |
| 93246 | <1% | 15 | $122.43 | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 31 | $32.00 |
| 36416 | <1% | 189 | $3.87 | |
| G0008 | Administration of influenza virus vaccine | <1% | 398 | $3.10 |
| 91301 | 0% | 411 | $0.00 | |
| 3074F | 0% | 180 | $0.00 | |
| 3075F | 0% | 12 | $0.00 | |
| 3078F | 0% | 388 | $0.00 | |
| 3077F | 0% | 26 | $0.00 | |
| 99221 | 0% | 29 | $0.00 | |
| 91300 | 0% | 17 | $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 | 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 | Raleigh, NC | $415K |
| 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.