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.
MORRISVILLE, NC 27560
Next to other Urology 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 | |
|---|---|---|---|
| 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 | |
| 2024incomplete | 1,002,842 | $14.01M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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.
Who's on the registration
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.