Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NC › Morrisville › NPI 1558786830
Physician

Unc Physicians Network LLC

Unc Physicians Network LLC was paid $46.82M by Medicaid between Jan 2018 and Dec 2024, across 270 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 23% of everything it billed.

33Billing provider infoUNC PHYSICIANS NETWORK LLC
MORRISVILLE, NC 27560
33aNPI1558786830assigned 02/24/2014
33bProvider typeUrology Physician
28Total paid$46.82M
24GClaims2,635,558
24DCodes billed270
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Urology Physician providers in North Carolina

Rank by total paid#1 of 69
Median peer was paid$15K
This provider vs. median3,229×

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

Paid by month

$0$500K$1.0M$1.5M2018201920202021202220232024
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
201888,692$2.35M
201999,007$3.38M
202083,832$2.81M
2021205,524$4.63M
2022487,681$8.13M
2023667,980$11.50M
2024incomplete1,002,842$14.01M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 23% 265,020 224,863 $10.95M
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 23% 196,315 172,616 $10.80M
99199 Unlisted special service, procedure or report 16% 1,512,906 1,101,155 $7.33M
90460 Immunization administration through 18 years of age via any route, first or only component 3.9% 42,633 36,794 $1.81M
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2.4% 19,273 16,858 $1.14M
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 2.4% 9,490 8,689 $1.12M
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 2.4% 32,889 11,198 $1.12M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2.4% 12,886 10,584 $1.11M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2.3% 11,547 10,281 $1.08M
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2.0% 10,332 9,015 $941K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1.2% 6,026 5,359 $545K
90792 Psychiatric diagnostic evaluation with medical services 1.1% 6,318 4,706 $516K
258 more codes
87428 <1% 8,045 $427K
99243 <1% 5,022 $421K
99233 Hospital visit by a doctor, follow-up day (complex) <1% 7,573 $366K
99215 Doctor's office visit, returning patient (complex) <1% 5,007 $333K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 26,349 $315K
99244 Office or other outpatient consultation, moderate to high complexity <1% 2,578 $299K
20610 <1% 14,264 $294K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 19,646 $285K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 20,894 $270K
59400 Routine obstetric care including antepartum care, vaginal delivery, and postpartum care <1% 188 $270K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 2,617 $253K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 3,954 $253K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 8,007 $248K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 26,169 $224K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 2,701 $167K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 673 $155K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 11,344 $147K
76830 Ultrasound, transvaginal <1% 1,846 $144K
92567 <1% 12,275 $137K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 6,202 $135K
99239 Hospital discharge day management, more than 30 minutes <1% 2,508 $131K
81025 <1% 20,300 $122K
99238 Hospital discharge day management, 30 minutes or less <1% 2,735 $122K
90472 Immunization administration, each additional vaccine (list separately) <1% 3,878 $118K
99284 Emergency room visit (serious) <1% 1,292 $113K
99223 Prolong inpt eval add15 m <1% 1,111 $104K
76801 <1% 1,447 $90K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 3,333 $87K
99222 Initial hospital care, per day, moderate complexity <1% 1,342 $82K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 753 $81K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 1,036 $80K
96127 <1% 17,469 $68K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 753 $68K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 1,263 $62K
93000 <1% 8,075 $61K
76819 Fetal biophysical profile; without non-stress testing <1% 974 $58K
99460 <1% 919 $56K
90686 <1% 20,498 $51K
92587 <1% 2,104 $50K
95250 <1% 1,030 $48K
93926 <1% 969 $47K
90837 Psychotherapy session, about an hour <1% 736 $44K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 14,135 $43K
81003 <1% 19,891 $42K
90791 Psychiatric diagnostic evaluation <1% 432 $41K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 338 $41K
92557 <1% 1,899 $40K
76770 <1% 1,200 $39K
99205 Prolong outpt/office vis <1% 288 $38K
90674 <1% 6,131 $36K
83036 Hemoglobin; glycosylated (A1C) <1% 7,388 $36K
D0145 Oral evaluation for a patient under three years of age <1% 1,063 $33K
97597 <1% 3,086 $33K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia <1% 234 $31K
59025 Fetal non-stress test <1% 1,399 $31K
99383 <1% 263 $30K
95115 <1% 5,272 $27K
99493 <1% 207 $26K
73560 <1% 2,718 $26K
81002 <1% 16,453 $25K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 2,042 $25K
99292 <1% 190 $23K
90651 <1% 942 $22K
42820 Tonsillectomy and adenoidectomy; younger than age 12 <1% 107 $20K
90656 <1% 3,894 $20K
90834 Psychotherapy session, about 45 minutes <1% 605 $19K
51798 <1% 3,173 $19K
92552 <1% 2,410 $18K
90715 <1% 572 $17K
36415 Collection of venous blood by venipuncture <1% 9,683 $17K
99308 Subsequent nursing facility care, per day, straightforward <1% 645 $16K
99051 <1% 1,580 $15K
D1206 Topical application of fluoride varnish <1% 1,085 $15K
69210 <1% 713 $14K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 225 $14K
99242 <1% 224 $13K
95811 <1% 172 $13K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 280 $12K
99441 <1% 497 $12K
90480 <1% 309 $12K
99307 <1% 776 $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) <1% 5,337 $11K
99406 <1% 2,202 $11K
95251 <1% 916 $11K
99442 <1% 283 $11K
92551 <1% 4,867 $11K
96161 <1% 3,252 $11K
81015 <1% 7,771 $10K
99173 <1% 11,559 $10K
81001 <1% 7,141 $10K
99384 <1% 88 $10K
92553 <1% 727 $10K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) <1% 14 $10K
S0281 Medical home program, comprehensive care coordination and planning, maintenance of plan <1% 106 $10K
54150 <1% 52 $10K
93922 <1% 281 $9K
72100 <1% 550 $9K
73562 <1% 597 $9K
99245 <1% 75 $9K
95117 <1% 1,224 $9K
85018 <1% 4,445 $9K
99443 <1% 259 $9K
92582 <1% 407 $9K
71046 Radiologic examination, chest; 2 views <1% 774 $8K
J1050 Injection, medroxyprogesterone acetate, 1 mg <1% 692 $8K
82962 <1% 6,032 $8K
99283 Emergency room visit (moderate) <1% 201 $8K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials <1% 96 $7K
90677 <1% 889 $7K
0001A <1% 141 $7K
52000 <1% 92 $7K
0012A <1% 118 $6K
93880 <1% 91 $6K
0002A <1% 122 $6K
73564 <1% 278 $6K
0011A <1% 150 $6K
99285 Emergency room visit (most serious) <1% 64 $6K
99221 <1% 126 $6K
95806 <1% 117 $6K
73030 <1% 445 $6K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 205 $5K
S0280 Medical home program, comprehensive care coordination and planning, initial plan <1% 136 $5K
99421 <1% 204 $5K
90734 <1% 356 $5K
99381 <1% 53 $5K
92579 <1% 223 $5K
99497 <1% 711 $5K
99459 <1% 443 $5K
31575 <1% 146 $5K
99480 Subsequent intensive care, per day, low birth weight infant <1% 53 $5K
99254 <1% 55 $5K
94060 <1% 550 $4K
73630 <1% 312 $4K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 56 $4K
99464 <1% 68 $4K
99382 <1% 34 $4K
76813 <1% 107 $4K
99462 <1% 118 $3K
72110 <1% 150 $3K
73610 <1% 230 $3K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 880 $3K
99334 <1% 146 $3K
J1040 Injection, methylprednisolone acetate, 80 mg <1% 701 $3K
90847 Family psychotherapy with the patient present, 50 minutes <1% 36 $3K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 39 $3K
90670 <1% 7,656 $3K
92555 <1% 221 $3K
90474 <1% 117 $2K
99417 Prolong home eval add 15m <1% 12 $2K
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 108 $2K
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose <1% 28 $2K
73100 <1% 140 $2K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 1,797 $2K
0072A <1% 41 $2K
91321 <1% 85 $2K
J1030 Injection, methylprednisolone acetate, 40 mg <1% 739 $2K
91320 <1% 65 $2K
0071A <1% 54 $2K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 148 $2K
76376 <1% 118 $2K
J1010 Injection, methylprednisolone acetate, 1 mg <1% 541 $2K
73130 <1% 106 $2K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 44 $2K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 182 $1K
94729 <1% 425 $1K
99407 <1% 187 $1K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 12 $1K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 2,504 $1K
99385 <1% 17 $1K
94727 <1% 344 $1K
43235 <1% 16 $1K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 152 $1K
76820 <1% 44 $1K
90633 <1% 2,545 $1K
87807 <1% 77 $1K
17250 <1% 73 $939.64
87210 <1% 285 $939.51
93015 <1% 33 $920.49
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 400 $911.37
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 53 $835.84
99306 Prolong nursin fac eval 15m <1% 18 $807.47
99220 <1% 13 $712.61
93248 <1% 57 $691.27
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 14 $667.03
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) <1% 25 $581.77
73110 <1% 31 $568.92
J2785 Injection, regadenoson, 0.1 mg <1% 14 $523.97
92250 <1% 72 $498.10
95816 <1% 13 $464.54
93356 <1% 171 $414.81
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 14 $381.61
90723 <1% 4,159 $355.31
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 25 $353.82
94618 <1% 33 $339.99
20611 <1% 15 $328.82
81007 <1% 371 $326.51
A4580 Cast supplies (e.g., plaster) <1% 91 $293.70
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 153 $258.38
95819 <1% 12 $212.00
74018 <1% 18 $204.96
51702 <1% 12 $195.31
90680 <1% 3,578 $193.19
87081 <1% 27 $191.97
93246 <1% 27 $182.90
82570 <1% 42 $170.62
72170 <1% 13 $160.24
94010 <1% 48 $144.03
94375 <1% 14 $142.40
90647 <1% 4,172 $142.00
91322 <1% 20 $133.39
3077F <1% 873 $128.86
94726 <1% 15 $126.02
92550 <1% 16 $103.64
J2919 Injection, methylprednisolone sodium succinate, 5 mg <1% 33 $102.57
82044 <1% 41 $93.64
90662 <1% 180 $74.79
99152 <1% 16 $70.67
0124A <1% 16 $65.00
99177 <1% 174 $60.86
93018 <1% 13 $31.64
0298T <1% 12 $30.05
81000 <1% 18 $27.37
90672 <1% 15 $23.64
94760 <1% 409 $16.68
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg <1% 177 $14.50
0296T <1% 14 $14.28
82948 <1% 33 $3.91
36416 <1% 204 $2.49
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg <1% 14 $1.44
J7644 Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram <1% 15 $0.04
3075F 0% 371 $0.00
3074F 0% 3,480 $0.00
3044F 0% 472 $0.00
90694 0% 242 $0.00
3079F 0% 922 $0.00
0500F 0% 33 $0.00
90698 0% 789 $0.00
G0008 Administration of influenza virus vaccine 0% 303 $0.00
92558 0% 418 $0.00
G0442 Annual alcohol misuse screening, 5 to 15 minutes 0% 40 $0.00
91301 0% 303 $0.00
0503F 0% 206 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 0% 495 $0.00
3080F 0% 42 $0.00
90716 0% 107 $0.00
90744 0% 83 $0.00
3052F 0% 14 $0.00
90688 0% 22 $0.00
3078F 0% 4,587 $0.00
90685 0% 365 $0.00
90700 0% 28 $0.00
91300 0% 419 $0.00
90710 0% 63 $0.00
G0444 Annual depression screening, 5 to 15 minutes 0% 14 $0.00
90707 0% 110 $0.00
3051F 0% 14 $0.00
3046F 0% 42 $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 0% 17 $0.00

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 officialFISCUS, LYNNE (CMO)
Same official

Other billing entities under FISCUS, LYNNE

Full network →
ProviderLocationPaid
Unc Physicians Network, LLCMorrisville, NC$3.22M
Unc Physicians Network LLCChapel Hill, NC$2.78M
Unc Physicians Network LLCMorrisville, NC$2.40M
Unc Physicians Network LLCDurham, NC$2.05M
Unc Physicians Network LLCSiler City, NC$1.37M
Unc Physicians Network, LLCCary, NC$863K
Unc Physicians Network, LLCMebane, NC$832K
Unc Physicians Network, LLCHolly Springs, NC$818K
Unc Physicians Network LLCChapel Hill, NC$697K
Unc Physicians Network, LLCKnightdale, NC$613K
Unc Physicians Network LLCPittsboro, NC$454K
Unc Physicians Network LLCDurham, NC$451K
Unc Physicians Network, LLCRaleigh, NC$415K
Unc Physicians Network LLCHillsborough, NC$386K
Unc Physicians Network LLCSanford, NC$331K
Unc Physicians Network, LLCChapel Hill, NC$298K
Unc Physicians Network, LLCCary, NC$91K
Unc Physicians Network LLCChapel Hill, NC$77K
Unc Physicians Network Group Practices, LLCGarner, NC$61K
Unc Physicians Network, LLCChapel Hill, NC$38K

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