Physician
Wake Specialty Physicians, LLC
Wake Specialty Physicians, LLC was paid $1.52M by Medicaid between Dec 2019 and Dec 2024, across 28 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 20% of everything it billed.
33Billing provider infoWAKE SPECIALTY PHYSICIANS, LLC
CLAYTON, NC 27520
CLAYTON, NC 27520
33aNPI1588216253assigned 07/12/2019
33bProvider typePediatrics Physician
28Total paid$1.52M
24GClaims73,814
24DCodes billed28
24AFirst – last monthDec 2019 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in North Carolina
Rank by total paid#184 of 433
Median peer was paid$942K
This provider vs. median1.6×
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 JAYOUSSI, MARIA 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 | |
|---|---|---|---|
| 2019 | 89 | $6K | |
| 2020 | 2,212 | $71K | |
| 2021 | 8,887 | $217K | |
| 2022 | 16,541 | $315K | |
| 2023 | 21,624 | $431K | |
| 2024incomplete | 24,461 | $478K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 20% | 3,356 | 3,008 | $299K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 18% | 3,083 | 2,785 | $274K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 17% | 4,146 | 3,762 | $253K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 14% | 2,274 | 2,134 | $217K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 8.0% | 3,395 | 3,004 | $122K |
| 99199 | Unlisted special service, procedure or report | 7.0% | 33,468 | 31,712 | $107K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 6.0% | 4,933 | 4,412 | $91K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.6% | 569 | 538 | $55K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.8% | 5,117 | 4,434 | $42K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 354 | 320 | $12K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 99 | 97 | $11K |
| 92551 | <1% | 2,837 | 2,570 | $8K |
16 more codes
| D1206 | Topical application of fluoride varnish | <1% | 625 | $8K |
| 96127 | <1% | 1,550 | $7K | |
| 99381 | <1% | 68 | $7K | |
| 90474 | <1% | 200 | $3K | |
| 99173 | <1% | 2,051 | $959.79 | |
| 96161 | <1% | 235 | $845.24 | |
| 99442 | <1% | 16 | $720.61 | |
| 90686 | <1% | 1,379 | $398.30 | |
| 90633 | 0% | 249 | $0.00 | |
| 90670 | 0% | 1,163 | $0.00 | |
| 90681 | 0% | 42 | $0.00 | |
| 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) | 0% | 12 | $0.00 |
| 90723 | 0% | 968 | $0.00 | |
| 90647 | 0% | 1,011 | $0.00 | |
| 90680 | 0% | 534 | $0.00 | |
| 90656 | 0% | 80 | $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 officialJAYOUSSI, MARIA (EXECUTIVE DIRECTOR OF FINANCE)
| 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 |
| Wakemed Specialists Group LLC | Raleigh, NC | $3.65M |
| 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.