Medicaid Provider Spending

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

UNC PHYSICIANS NETWORK LLC

NPI: 1558786830 · MORRISVILLE, NC 27560 · Urology Physician · NPI assigned 02/24/2014

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

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

$46.82M
Total Medicaid Paid
2,635,558
Total Claims
2,030,176
Beneficiaries
270
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialFISCUS, LYNNE (CMO)
NPI Enumeration Date02/24/2014

Related Entities

Other providers sharing the same authorized official: FISCUS, LYNNE

ProviderCityStateTotal Paid
UNC PHYSICIANS NETWORK, LLC MORRISVILLE NC $3.22M
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 88,692 $2.35M
2019 99,007 $3.38M
2020 83,832 $2.81M
2021 205,524 $4.63M
2022 487,681 $8.13M
2023 667,980 $11.50M
2024 1,002,842 $14.01M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 265,020 224,863 $10.95M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 196,315 172,616 $10.80M
99199 Unlisted special service, procedure or report 1,512,906 1,101,155 $7.33M
90460 Immunization administration through 18 years of age via any route, first or only component 42,633 36,794 $1.81M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 19,273 16,858 $1.14M
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 9,490 8,689 $1.12M
99232 Subsequent hospital care, per day, moderate complexity 32,889 11,198 $1.12M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 12,886 10,584 $1.11M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 11,547 10,281 $1.08M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 10,332 9,015 $941K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 6,026 5,359 $545K
90792 Psychiatric diagnostic evaluation with medical services 6,318 4,706 $516K
87428 8,045 7,326 $427K
99243 5,022 4,220 $421K
99233 Prolong inpt eval add15 m 7,573 2,776 $366K
99215 Prolong outpt/office vis 5,007 4,470 $333K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 26,349 22,836 $315K
99244 Office or other outpatient consultation, moderate to high complexity 2,578 2,131 $299K
20610 14,264 11,099 $294K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 19,646 9,934 $285K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 20,894 17,951 $270K
59400 Routine obstetric care including antepartum care, vaginal delivery, and postpartum care 188 164 $270K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2,617 2,289 $253K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 3,954 3,564 $253K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 8,007 6,252 $248K
96110 Developmental screening, with scoring and documentation, per standardized instrument 26,169 22,642 $224K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 2,701 1,938 $167K
95810 Polysomnography; sleep staging with 4 or more additional parameters 673 612 $155K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 11,344 9,611 $147K
76830 Ultrasound, transvaginal 1,846 1,587 $144K
92567 12,275 10,780 $137K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 6,202 5,447 $135K
99239 Hospital discharge day management, more than 30 minutes 2,508 2,175 $131K
81025 20,300 15,855 $122K
99238 Hospital discharge day management, 30 minutes or less 2,735 2,416 $122K
90472 Immunization administration, each additional vaccine (list separately) 3,878 3,288 $118K
99284 Emergency department visit for the evaluation and management, high severity 1,292 206 $113K
99223 Prolong inpt eval add15 m 1,111 943 $104K
76801 1,447 971 $90K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 3,333 3,106 $87K
99222 Initial hospital care, per day, moderate complexity 1,342 1,128 $82K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 753 262 $81K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1,036 850 $80K
96127 17,469 15,655 $68K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 753 617 $68K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1,263 1,150 $62K
93000 8,075 7,374 $61K
76819 Fetal biophysical profile; without non-stress testing 974 576 $58K
99460 919 909 $56K
90686 20,498 17,902 $51K
92587 2,104 1,868 $50K
95250 1,030 937 $48K
93926 969 757 $47K
90837 Psychotherapy, 53 minutes with patient 736 462 $44K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 14,135 11,375 $43K
81003 19,891 15,253 $42K
90791 Psychiatric diagnostic evaluation 432 368 $41K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 338 235 $41K
92557 1,899 1,715 $40K
76770 1,200 1,088 $39K
99205 Prolong outpt/office vis 288 269 $38K
90674 6,131 5,239 $36K
83036 Hemoglobin; glycosylated (A1C) 7,388 6,697 $36K
D0145 Oral evaluation for a patient under three years of age 1,063 910 $33K
97597 3,086 1,928 $33K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 234 196 $31K
59025 Fetal non-stress test 1,399 1,023 $31K
99383 263 221 $30K
95115 5,272 1,761 $27K
99493 207 191 $26K
73560 2,718 2,332 $26K
81002 16,453 13,167 $25K
99231 Subsequent hospital care, per day, straightforward or low complexity 2,042 755 $25K
99292 190 86 $23K
90651 942 785 $22K
42820 Tonsillectomy and adenoidectomy; younger than age 12 107 99 $20K
90656 3,894 3,757 $20K
90834 Psychotherapy, 45 minutes with patient 605 455 $19K
51798 3,173 2,691 $19K
92552 2,410 2,117 $18K
90715 572 495 $17K
36415 Collection of venous blood by venipuncture 9,683 8,730 $17K
99308 Subsequent nursing facility care, per day, straightforward 645 620 $16K
99051 1,580 1,504 $15K
D1206 Topical application of fluoride varnish 1,085 924 $15K
69210 713 594 $14K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 225 171 $14K
99242 224 222 $13K
95811 172 165 $13K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 280 275 $12K
99441 497 444 $12K
90480 309 288 $12K
99307 776 720 $12K
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) 5,337 4,850 $11K
99406 2,202 1,844 $11K
95251 916 889 $11K
99442 283 265 $11K
92551 4,867 4,238 $11K
96161 3,252 2,601 $11K
81015 7,771 6,548 $10K
99173 11,559 9,955 $10K
81001 7,141 6,056 $10K
99384 88 65 $10K
92553 727 633 $10K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 14 14 $10K
S0281 Medical home program, comprehensive care coordination and planning, maintenance of plan 106 77 $10K
54150 52 52 $10K
93922 281 237 $9K
72100 550 488 $9K
73562 597 512 $9K
99245 75 68 $9K
95117 1,224 483 $9K
85018 4,445 3,524 $9K
99443 259 222 $9K
92582 407 339 $9K
71046 Radiologic examination, chest; 2 views 774 691 $8K
J1050 Injection, medroxyprogesterone acetate, 1 mg 692 613 $8K
82962 6,032 5,455 $8K
99283 Emergency department visit for the evaluation and management, moderate severity 201 78 $8K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 96 88 $7K
90677 889 886 $7K
0001A 141 134 $7K
52000 92 88 $7K
0012A 118 114 $6K
93880 91 81 $6K
0002A 122 109 $6K
73564 278 258 $6K
0011A 150 139 $6K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 64 51 $6K
99221 126 119 $6K
95806 117 105 $6K
73030 445 379 $6K
99282 Emergency department visit for the evaluation and management, low to moderate severity 205 78 $5K
S0280 Medical home program, comprehensive care coordination and planning, initial plan 136 113 $5K
99421 204 183 $5K
90734 356 295 $5K
99381 53 42 $5K
92579 223 172 $5K
99497 711 651 $5K
99459 443 417 $5K
31575 146 125 $5K
99480 Subsequent intensive care, per day, low birth weight infant 53 12 $5K
99254 55 52 $5K
94060 550 504 $4K
73630 312 268 $4K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 56 45 $4K
99464 68 67 $4K
99382 34 24 $4K
76813 107 43 $4K
99462 118 108 $3K
72110 150 115 $3K
73610 230 177 $3K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 880 645 $3K
99334 146 140 $3K
J1040 Injection, methylprednisolone acetate, 80 mg 701 603 $3K
90847 Family psychotherapy with the patient present, 50 minutes 36 27 $3K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 39 29 $3K
90670 7,656 6,392 $3K
92555 221 206 $3K
90474 117 115 $2K
99417 Prolong home eval add 15m 12 12 $2K
99309 Subsequent nursing facility care, per day, low to moderate complexity 108 85 $2K
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose 28 24 $2K
73100 140 87 $2K
J1885 Injection, ketorolac tromethamine, per 15 mg 1,797 1,564 $2K
0072A 41 30 $2K
91321 85 80 $2K
J1030 Injection, methylprednisolone acetate, 40 mg 739 626 $2K
91320 65 58 $2K
0071A 54 31 $2K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 148 97 $2K
76376 118 93 $2K
J1010 Injection, methylprednisolone acetate, 1 mg 541 495 $2K
73130 106 77 $2K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 44 39 $2K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 182 155 $1K
94729 425 405 $1K
99407 187 170 $1K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 12 12 $1K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 2,504 2,172 $1K
99385 17 16 $1K
94727 344 333 $1K
43235 16 15 $1K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 152 141 $1K
76820 44 12 $1K
90633 2,545 2,248 $1K
87807 77 75 $1K
17250 73 50 $939.64
87210 285 227 $939.51
93015 33 25 $920.49
J0696 Injection, ceftriaxone sodium, per 250 mg 400 344 $911.37
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 53 53 $835.84
99306 Prolong nursin fac eval 15m 18 17 $807.47
99220 13 13 $712.61
93248 57 51 $691.27
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 14 14 $667.03
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 25 24 $581.77
73110 31 12 $568.92
J2785 Injection, regadenoson, 0.1 mg 14 12 $523.97
92250 72 65 $498.10
95816 13 12 $464.54
93356 171 143 $414.81
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 14 13 $381.61
90723 4,159 3,454 $355.31
99281 Emergency department visit for the evaluation and management, self-limited or minor 25 20 $353.82
94618 33 33 $339.99
20611 15 13 $328.82
81007 371 332 $326.51
A4580 Cast supplies (e.g., plaster) 91 67 $293.70
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 153 134 $258.38
95819 12 12 $212.00
74018 18 12 $204.96
51702 12 12 $195.31
90680 3,578 2,970 $193.19
87081 27 27 $191.97
93246 27 25 $182.90
82570 42 36 $170.62
72170 13 12 $160.24
94010 48 41 $144.03
94375 14 12 $142.40
90647 4,172 3,543 $142.00
91322 20 15 $133.39
3077F 873 818 $128.86
94726 15 12 $126.02
92550 16 13 $103.64
J2919 Injection, methylprednisolone sodium succinate, 5 mg 33 33 $102.57
82044 41 36 $93.64
90662 180 176 $74.79
99152 16 14 $70.67
0124A 16 14 $65.00
99177 174 135 $60.86
93018 13 12 $31.64
0298T 12 12 $30.05
81000 18 17 $27.37
90672 15 15 $23.64
94760 409 386 $16.68
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 177 161 $14.50
0296T 14 14 $14.28
82948 33 32 $3.91
36416 204 191 $2.49
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 14 13 $1.44
J7644 Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram 15 14 $0.04
3075F 371 357 $0.00
3074F 3,480 3,322 $0.00
3044F 472 409 $0.00
90694 242 215 $0.00
3079F 922 886 $0.00
0500F 33 32 $0.00
90698 789 663 $0.00
G0008 Administration of influenza virus vaccine 303 299 $0.00
92558 418 369 $0.00
G0442 Annual alcohol misuse screening, 5 to 15 minutes 40 36 $0.00
91301 303 272 $0.00
0503F 206 174 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 495 458 $0.00
3080F 42 38 $0.00
90716 107 92 $0.00
90744 83 65 $0.00
3052F 14 13 $0.00
90688 22 16 $0.00
3078F 4,587 4,374 $0.00
90685 365 322 $0.00
90700 28 28 $0.00
91300 419 377 $0.00
90710 63 52 $0.00
G0444 Annual depression screening, 5 to 15 minutes 14 14 $0.00
90707 110 94 $0.00
3051F 14 13 $0.00
3046F 42 39 $0.00
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 17 17 $0.00