Medicaid Provider Spending

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

WAKE FOREST HEALTH NETWORK LLC

NPI: 1477785756 · GREENSBORO, NC 27408 · Pediatrics Physician · NPI assigned 08/20/2009

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

Authorized official GREVEN, CRAIG controls 20+ related entities in our dataset. Read more

$3.78M
Total Medicaid Paid
208,896
Total Claims
144,737
Beneficiaries
49
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGREVEN, CRAIG (SR VP CLINICAL OPERATIONS)
NPI Enumeration Date08/20/2009

Related Entities

Other providers sharing the same authorized official: GREVEN, CRAIG

ProviderCityStateTotal Paid
WAKE FOREST HEALTH NETWORK LLC HIGH POINT NC $5.44M
WAKE FOREST HEALTH NETWORK LLC WINSTON SALEM NC $4.62M
WAKE FOREST HEALTH NETWORK LLC KERNERSVILLE NC $2.25M
WAKE FOREST HEALTH NETWORK LLC KERNERSVILLE NC $1.81M
WAKE FOREST HEALTH NETWORK LLC ASHEBORO NC $1.60M
WAKE FOREST HEALTH NETWORK LLC BERMUDA RUN NC $1.02M
WAKE FOREST HEALTH NETWORK LLC ASHEBORO NC $907K
WAKE FOREST HEALTH NETWORK LLC HIGH POINT NC $814K
WAKE FOREST HEALTH NETWORK LLC HIGH POINT NC $767K
WAKE FOREST HEALTH NETWORK LLC HIGH POINT NC $741K
WAKE FOREST HEALTH NETWORK LLC ASHEBORO NC $730K
WAKE FOREST HEALTH NETWORK LLC ASHEBORO NC $722K
WAKE FOREST HEALTH NETWORK LLC JONESVILLE NC $683K
WAKE FOREST HEALTH NETWORK LLC CONOVER NC $669K
WAKE FOREST HEALTH NETWORK, LLC HIGH POINT NC $628K
WAKE FOREST HEALTH NETWORK LLC ARCHDALE NC $552K
WAKE FOREST HEALTH NETWORK LLC GREENSBORO NC $544K
WAKE FOREST HEALTH NETWORK LLC HIGH POINT NC $444K
WAKE FOREST HEALTH NETWORK LLC HIGH POINT NC $427K
WAKE FOREST HEALTH NETWORK LLC THOMASVILLE NC $403K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 13,056 $374K
2019 11,196 $349K
2020 8,502 $248K
2021 26,584 $519K
2022 51,444 $858K
2023 54,948 $821K
2024 43,166 $608K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 17,599 14,768 $1.07M
99199 Unlisted special service, procedure or report 100,447 52,925 $756K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 5,080 4,571 $442K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 4,177 3,378 $345K
90472 Immunization administration, each additional vaccine (list separately) 5,533 4,673 $199K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 10,800 9,281 $199K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,919 1,696 $177K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,241 1,069 $108K
D0145 Oral evaluation for a patient under three years of age 2,979 2,655 $97K
96110 Developmental screening, with scoring and documentation, per standardized instrument 9,745 8,359 $82K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1,730 1,491 $60K
96127 13,159 11,252 $54K
D1206 Topical application of fluoride varnish 2,978 2,655 $43K
90460 Immunization administration through 18 years of age via any route, first or only component 682 677 $34K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2,428 1,126 $32K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 292 242 $28K
90474 1,312 1,042 $24K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,539 1,388 $20K
0072A 43 37 $3K
90686 3,109 2,754 $2K
0071A 45 30 $2K
0001A 15 14 $939.43
99381 14 14 $932.37
90651 14 13 $668.55
87807 48 42 $663.84
85018 2,081 1,731 $560.99
96161 131 127 $448.80
99173 5,036 4,320 $428.72
96160 140 129 $414.70
92551 4,473 3,787 $398.74
90734 30 30 $133.90
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 14 14 $132.34
81003 105 83 $69.67
36416 800 645 $59.68
90680 1,294 1,038 $0.00
90723 1,612 1,313 $0.00
90677 294 289 $0.00
90647 1,443 1,224 $0.00
90656 334 314 $0.00
90716 226 194 $0.00
90696 92 58 $0.00
90670 2,529 2,105 $0.00
90633 909 802 $0.00
90700 99 98 $0.00
90707 225 194 $0.00
90648 38 29 $0.00
90710 17 17 $0.00
90685 34 32 $0.00
90715 12 12 $0.00