Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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UNC PHYSICIANS NETWORK, LLC

NPI: 1437552015 · MORRISVILLE, NC 27560 · Family Medicine Physician · NPI assigned 09/26/2014

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official FISCUS, LYNNE controls 20+ related entities in our dataset. Read more

$3.22M
Total Medicaid Paid
173,087
Total Claims
129,907
Beneficiaries
70
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialFISCUS, LYNNE (CMO)
NPI Enumeration Date09/26/2014

Related Entities

Other providers sharing the same authorized official: FISCUS, LYNNE

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 56,603 $732K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 31,799 24,796 $1.30M
99199 Unlisted special service, procedure or report 90,922 69,435 $428K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14,347 11,361 $417K
99232 Subsequent hospital care, per day, moderate complexity 7,501 2,264 $240K
99244 Office or other outpatient consultation, moderate to high complexity 1,033 916 $123K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1,122 913 $104K
99233 Prolong inpt eval add15 m 2,095 537 $86K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,001 868 $84K
99254 875 799 $83K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,165 966 $68K
99215 Prolong outpt/office vis 1,059 809 $64K
99255 290 258 $28K
93000 3,377 2,717 $25K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,045 1,815 $18K
90686 1,892 1,480 $13K
90792 Psychiatric diagnostic evaluation with medical services 289 222 $13K
99253 190 174 $11K
0012A 180 170 $10K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 192 153 $10K
90674 720 609 $9K
0011A 176 169 $7K
99239 Hospital discharge day management, more than 30 minutes 105 83 $7K
95886 136 120 $6K
51798 869 646 $5K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 99 88 $4K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 280 171 $4K
99243 57 49 $4K
99406 836 612 $4K
99205 Prolong outpt/office vis 15 15 $3K
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose 32 27 $3K
69210 149 124 $3K
45380 Colonoscopy, flexible; with biopsy, single or multiple 38 30 $3K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 35 28 $2K
36415 Collection of venous blood by venipuncture 2,020 1,525 $2K
90656 133 133 $2K
90677 17 16 $2K
81002 1,265 961 $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) 829 715 $2K
99238 Hospital discharge day management, 30 minutes or less 36 26 $1K
99442 66 50 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 102 82 $1K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 20 12 $1K
93248 101 87 $1K
99231 Subsequent hospital care, per day, straightforward or low complexity 71 24 $997.71
96127 263 220 $845.45
99443 17 12 $689.26
93017 54 39 $683.13
99242 13 12 $559.12
82962 678 480 $555.25
81003 517 416 $514.63
99441 33 25 $470.91
93016 56 39 $340.58
83036 Hemoglobin; glycosylated (A1C) 50 43 $300.47
92567 27 24 $276.45
0002A 17 12 $227.12
72100 15 14 $218.93
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 15 13 $183.69
93018 35 28 $175.01
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 20 14 $162.59
93246 15 15 $122.43
99222 Initial hospital care, per day, moderate complexity 31 29 $32.00
36416 189 140 $3.87
G0008 Administration of influenza virus vaccine 398 271 $3.10
91301 411 377 $0.00
3074F 180 178 $0.00
3075F 12 12 $0.00
3078F 388 374 $0.00
3077F 26 25 $0.00
99221 29 28 $0.00
91300 17 12 $0.00