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.
RALEIGH, NC 27614
Next to other Maternal & Fetal Medicine Physician providers in North Carolina
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 5,551 | $169K | |
| 2020 | 8,356 | $623K | |
| 2021 | 9,476 | $640K | |
| 2022 | 10,278 | $675K | |
| 2023 | 10,332 | $745K | |
| 2024incomplete | 11,575 | $796K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Wake Specialty Physicians, LLC | Raleigh, NC | $14.80M |
| Rex Hospital INC | Raleigh, NC | $5.39M |
| Wakemed Specialists Group, LLC | Raleigh, NC | $4.37M |
| Rex Hospital INC | Raleigh, NC | $3.40M |
| Wakemed Specialists Group, LLC | Raleigh, NC | $2.00M |
| Wakemed Specialists Group, LLC | Raleigh, NC | $1.65M |
| Wakemed Specialists Group, LLC | Raleigh, NC | $1.41M |
| Wakemed Specialists Group, LLC | Raleigh, NC | $790K |
| Wakemed Specialists Group, LLC | Raleigh, NC | $749K |
| Rex Hospital INC | Knightdale, NC | $742K |
| Wakemed Specialists Group, LLC | Raleigh, NC | $581K |
| Wakemed Specialists Group, LLC | Raleigh, NC | $514K |
| Rex Hospital INC | Raleigh, NC | $362K |
| Rex Hospital INC | Raleigh, NC | $349K |
| Rex Hospital INC | Raleigh, NC | $309K |
| Rex Hospital INC | Raleigh, NC | $261K |
| Rex Hospital INC | Garner, NC | $258K |
| Wakemed Specialists Group, LLC | Raleigh, NC | $184K |
| Rex Hospital INC | Raleigh, NC | $177K |
| Rex Hospital INC | Raleigh, NC | $140K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.