Physician
UNC Physicians Network LLC
UNC Physicians Network LLC was paid $2.05M by Medicaid between Jan 2018 and Dec 2024, across 46 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.
33Billing provider infoUNC PHYSICIANS NETWORK LLC
DURHAM, NC 27713
DURHAM, NC 27713
33aNPI1578987848assigned 02/07/2014
33bProvider typePediatrics Physician
28Total paid$2.05M
24GClaims130,322
24DCodes billed46
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in North Carolina
Rank by total paid#157 of 433
Median peer was paid$942K
This provider vs. median2.2×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 6,257 | $189K | |
| 2019 | 6,476 | $253K | |
| 2020 | 3,964 | $145K | |
| 2021 | 11,725 | $254K | |
| 2022 | 30,225 | $383K | |
| 2023 | 34,138 | $394K | |
| 2024incomplete | 37,537 | $431K |
Box 24 · Service lines
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 | 37% | 12,187 | 10,773 | $751K |
| 99199 | Unlisted special service, procedure or report | 17% | 86,080 | 61,091 | $356K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 15% | 8,066 | 7,212 | $298K |
| 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 | 10% | 2,439 | 2,175 | $214K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.5% | 1,166 | 1,057 | $113K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.3% | 1,206 | 1,010 | $108K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.1% | 473 | 431 | $43K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.5% | 818 | 715 | $31K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.4% | 285 | 266 | $29K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.3% | 3,169 | 2,875 | $27K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 480 | 424 | $16K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 738 | 648 | $13K |
34 more codes
| 99051 | <1% | 259 | $6K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 178 | $5K |
| 90480 | <1% | 127 | $5K | |
| 92551 | <1% | 2,661 | $4K | |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | <1% | 28 | $4K |
| 90686 | <1% | 3,385 | $4K | |
| 96127 | <1% | 767 | $3K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 81 | $3K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 219 | $3K |
| 99173 | <1% | 2,588 | $3K | |
| 0072A | <1% | 48 | $2K | |
| 90651 | <1% | 71 | $2K | |
| 90837 | Psychotherapy session, about an hour | <1% | 16 | $2K |
| D1206 | Topical application of fluoride varnish | <1% | 81 | $1K |
| 0071A | <1% | 30 | $1K | |
| 0124A | <1% | 16 | $781.98 | |
| 90674 | <1% | 610 | $524.94 | |
| 90734 | <1% | 27 | $421.02 | |
| 90670 | <1% | 463 | $228.32 | |
| 96161 | <1% | 62 | $228.14 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 77 | $201.03 |
| 90656 | <1% | 556 | $161.52 | |
| 90698 | <1% | 329 | $108.07 | |
| 1003F | 0% | 42 | $0.00 | |
| 91300 | 0% | 39 | $0.00 | |
| G9920 | Screening performed and negative | 0% | 61 | $0.00 |
| 90633 | 0% | 29 | $0.00 | |
| 91311 | 0% | 12 | $0.00 | |
| 90647 | 0% | 55 | $0.00 | |
| 99000 | 0% | 47 | $0.00 | |
| 90723 | 0% | 57 | $0.00 | |
| 90677 | 0% | 82 | $0.00 | |
| 90680 | 0% | 80 | $0.00 | |
| 90744 | 0% | 32 | $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)
| Provider | Location | Paid |
|---|---|---|
| UNC Physicians Network LLC | Morrisville, NC | $46.82M |
| 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 | 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.