Medicaid Provider Spending

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

WAKE FOREST HEALTH NETWORK LLC

NPI: 1487879177 · KERNERSVILLE, NC 27284 · Pediatrics Physician · NPI assigned 04/16/2007

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

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

$2.25M
Total Medicaid Paid
134,637
Total Claims
87,843
Beneficiaries
32
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGREVEN, CRAIG (SR VP CLINICAL OPERATIONS)
NPI Enumeration Date04/16/2007

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 GREENSBORO NC $3.78M
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 6,814 $198K
2019 6,420 $219K
2020 4,883 $156K
2021 12,473 $310K
2022 30,017 $458K
2023 37,904 $489K
2024 36,126 $416K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 16,743 14,253 $935K
99199 Unlisted special service, procedure or report 83,224 44,350 $660K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,454 2,882 $292K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 4,385 3,779 $79K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 6,114 5,296 $79K
90472 Immunization administration, each additional vaccine (list separately) 978 838 $32K
96127 8,131 6,848 $32K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 344 300 $29K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 278 248 $24K
96110 Developmental screening, with scoring and documentation, per standardized instrument 2,721 2,374 $24K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 985 507 $15K
99051 399 373 $10K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 79 71 $8K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 82 62 $6K
D0145 Oral evaluation for a patient under three years of age 85 75 $3K
0001A 56 44 $3K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 594 488 $3K
90460 Immunization administration through 18 years of age via any route, first or only component 62 61 $3K
90686 1,445 1,262 $2K
0071A 42 33 $2K
0002A 39 31 $2K
D1206 Topical application of fluoride varnish 85 75 $1K
0072A 25 19 $1K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 15 14 $579.93
99173 1,882 1,576 $190.61
92551 1,629 1,358 $175.81
85018 203 166 $76.13
90656 110 94 $41.02
94760 117 93 $16.58
36416 301 248 $6.38
90670 16 13 $0.00
90734 14 12 $0.00