Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Wakemed Specialists Group LLC

Wakemed Specialists Group LLC was paid $3.65M by Medicaid between Aug 2019 and Dec 2024, across 24 billing codes. Its largest line is 76816, Ultrasound, pregnant uterus, real time with image documentation, follow-up — 29% of everything it billed.

33Billing provider infoWAKEMED SPECIALISTS GROUP LLC
RALEIGH, NC 27614
33aNPI1518521905assigned 05/01/2019
28Total paid$3.65M
24GClaims55,568
24DCodes billed24
24AFirst – last monthAug 2019 – Dec 2024
Compared with peers

Next to other Maternal & Fetal Medicine Physician providers in North Carolina

Rank by total paid#3 of 24
Median peer was paid$280K
This provider vs. median13×

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 JAYOUSSI, MARIA controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$50K$100K2018201920202021202220232024
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
YearClaimsPaid
20195,551$169K
20208,356$623K
20219,476$640K
202210,278$675K
202310,332$745K
2024incomplete11,575$796K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 29% 15,413 12,246 $1.07M
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 28% 8,257 6,988 $1.04M
76819 Fetal biophysical profile; without non-stress testing 22% 13,467 10,482 $809K
59025 Fetal non-stress test 4.6% 7,141 3,815 $166K
76801 4.0% 1,859 1,622 $147K
76820 3.8% 4,264 2,767 $139K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 3.3% 1,803 1,507 $119K
99242 <1% 542 500 $36K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity <1% 713 456 $33K
76813 <1% 278 242 $22K
96040 <1% 783 682 $18K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 131 109 $12K
12 more codes
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 276 $8K
99241 <1% 251 $8K
99214 Doctor's office visit, returning patient (more involved) <1% 88 $6K
97802 <1% 75 $5K
99233 Hospital visit by a doctor, follow-up day (complex) <1% 55 $4K
76825 <1% 31 $4K
99215 Doctor's office visit, returning patient (complex) <1% 28 $2K
76827 <1% 31 $1K
99243 <1% 12 $1K
99238 Hospital discharge day management, 30 minutes or less <1% 19 $1K
93325 <1% 29 $973.79
99201 <1% 22 $670.34

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 officialJAYOUSSI, MARIA (EXECUTIVE DIRECTOR OF FINANCE)
Same official

Other billing entities under JAYOUSSI, MARIA

Full network →
ProviderLocationPaid
Wake Specialty Physicians, LLCRaleigh, NC$14.80M
Rex Hospital INCRaleigh, NC$5.39M
Wakemed Specialists Group, LLCRaleigh, NC$4.37M
Rex Hospital INCRaleigh, NC$3.40M
Wakemed Specialists Group, LLCRaleigh, NC$2.00M
Wakemed Specialists Group, LLCRaleigh, NC$1.65M
Wakemed Specialists Group, LLCRaleigh, NC$1.41M
Wakemed Specialists Group, LLCRaleigh, NC$790K
Wakemed Specialists Group, LLCRaleigh, NC$749K
Rex Hospital INCKnightdale, NC$742K
Wakemed Specialists Group, LLCRaleigh, NC$581K
Wakemed Specialists Group, LLCRaleigh, NC$514K
Rex Hospital INCRaleigh, NC$362K
Rex Hospital INCRaleigh, NC$349K
Rex Hospital INCRaleigh, NC$309K
Rex Hospital INCRaleigh, NC$261K
Rex Hospital INCGarner, NC$258K
Wakemed Specialists Group, LLCRaleigh, NC$184K
Rex Hospital INCRaleigh, NC$177K
Rex Hospital INCRaleigh, NC$140K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.