Clinic
Wake Forest University Health Sciences
Wake Forest University Health Sciences was paid $11.82M by Medicaid between Jan 2018 and Dec 2024, across 84 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 26% of everything it billed.
33Billing provider infoWAKE FOREST UNIVERSITY HEALTH SCIENCES
LEXINGTON, NC 27295
LEXINGTON, NC 27295
33aNPI1639454499assigned 10/12/2011
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$11.82M
24GClaims657,087
24DCodes billed84
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Multi-Specialty Clinic/Center providers in North Carolina
Rank by total paid#5 of 69
Median peer was paid$333K
This provider vs. median35×
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.
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 | 38,138 | $1.08M | |
| 2019 | 42,145 | $1.47M | |
| 2020 | 32,893 | $1.20M | |
| 2021 | 79,085 | $1.70M | |
| 2022 | 137,055 | $2.30M | |
| 2023 | 165,513 | $2.33M | |
| 2024incomplete | 162,258 | $1.74M |
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 | 26% | 55,486 | 45,439 | $3.04M |
| 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 | 19% | 29,649 | 25,230 | $2.24M |
| 99199 | Unlisted special service, procedure or report | 19% | 372,227 | 200,492 | $2.21M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.4% | 9,435 | 8,306 | $872K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.5% | 8,932 | 7,454 | $764K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.6% | 6,245 | 5,353 | $544K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 4.3% | 13,511 | 11,762 | $504K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3.8% | 23,642 | 20,636 | $443K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.6% | 3,123 | 2,675 | $303K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.1% | 14,419 | 12,322 | $125K |
| 96127 | <1% | 28,423 | 24,492 | $116K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,763 | 2,165 | $81K |
72 more codes
| 99203 | Doctor's office visit, new patient (routine) | <1% | 989 | $73K |
| 90474 | <1% | 3,407 | $65K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 1,742 | $59K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 3,922 | $51K |
| 99243 | <1% | 493 | $36K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,592 | $34K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 302 | $34K |
| D1206 | Topical application of fluoride varnish | <1% | 1,741 | $26K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 670 | $25K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,264 | $23K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 263 | $21K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 428 | $13K |
| S0280 | Medical home program, comprehensive care coordination and planning, initial plan | <1% | 265 | $11K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 178 | $10K |
| 90651 | <1% | 823 | $9K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 5,236 | $7K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 1,387 | $6K |
| 90686 | <1% | 8,277 | $5K | |
| 83655 | <1% | 736 | $5K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 111 | $4K |
| S0281 | Medical home program, comprehensive care coordination and planning, maintenance of plan | <1% | 31 | $4K |
| 97597 | <1% | 265 | $4K | |
| 0002A | <1% | 51 | $3K | |
| 69210 | <1% | 147 | $3K | |
| 99442 | <1% | 66 | $3K | |
| 0001A | <1% | 43 | $3K | |
| 31231 | <1% | 69 | $3K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 67 | $3K |
| 90734 | <1% | 411 | $2K | |
| 99441 | <1% | 111 | $2K | |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 126 | $2K |
| 96161 | <1% | 549 | $2K | |
| 99383 | <1% | 15 | $2K | |
| 0071A | <1% | 33 | $2K | |
| 76813 | <1% | 32 | $1K | |
| 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% | 305 | $1K |
| 99406 | <1% | 135 | $1K | |
| 0072A | <1% | 15 | $1K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 368 | $952.15 |
| 92551 | <1% | 12,129 | $839.61 | |
| 90620 | <1% | 55 | $579.15 | |
| 90633 | <1% | 2,564 | $557.81 | |
| 92558 | <1% | 283 | $437.36 | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 14 | $423.50 |
| 99173 | <1% | 10,763 | $355.61 | |
| 92587 | <1% | 1,177 | $322.14 | |
| 81003 | <1% | 137 | $306.89 | |
| 87807 | <1% | 12 | $169.56 | |
| 96380 | <1% | 12 | $154.26 | |
| 90715 | <1% | 41 | $120.33 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 13 | $118.50 |
| 96160 | <1% | 27 | $89.76 | |
| 85018 | <1% | 158 | $29.20 | |
| 36416 | <1% | 617 | $6.41 | |
| 90723 | 0% | 4,524 | $0.00 | |
| 90647 | 0% | 4,512 | $0.00 | |
| 90680 | 0% | 3,435 | $0.00 | |
| 90677 | 0% | 592 | $0.00 | |
| 3074F | 0% | 571 | $0.00 | |
| 3008F | 0% | 286 | $0.00 | |
| 90716 | 0% | 91 | $0.00 | |
| 90656 | 0% | 303 | $0.00 | |
| 90696 | 0% | 155 | $0.00 | |
| 90685 | 0% | 42 | $0.00 | |
| 90670 | 0% | 5,923 | $0.00 | |
| 1159F | 0% | 1,047 | $0.00 | |
| 1160F | 0% | 1,047 | $0.00 | |
| 3078F | 0% | 602 | $0.00 | |
| 90707 | 0% | 80 | $0.00 | |
| 90710 | 0% | 229 | $0.00 | |
| 90700 | 0% | 87 | $0.00 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | 0% | 39 | $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 officialSIBERT, THOMAS (PRESIDENT & COO)
Parent organizationWAKE FOREST UNIVERSITY HEALTH SCIENCES
| Provider | Location | Paid |
|---|---|---|
| Wake Forest University Health Sciences | Greensboro, NC | $5.31M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.