Wakemed Specialists Group, LLC
Wakemed Specialists Group, LLC was paid $4.37M by Medicaid between Aug 2019 and Nov 2024, across 13 billing codes. Its largest line is 99479, Subsequent intensive care, per day, very low birth weight infant — 34% of everything it billed.
RALEIGH, NC 27610
Next to other Neonatal-Perinatal Medicine 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 | |
|---|---|---|---|
| 2019 | 3,623 | $257K | |
| 2020 | 9,307 | $790K | |
| 2021 | 11,398 | $938K | |
| 2022 | 11,925 | $1.01M | |
| 2023 | 9,226 | $719K | |
| 2024incomplete | 8,256 | $648K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99479 | Subsequent intensive care, per day, very low birth weight infant | 34% | 15,736 | 3,194 | $1.47M |
| 99480 | Subsequent intensive care, per day, low birth weight infant | 21% | 10,002 | 2,112 | $900K |
| 99460 | 16% | 9,462 | 8,424 | $714K | |
| 99238 | Hospital discharge day management, 30 minutes or less | 14% | 10,705 | 9,377 | $599K |
| 99469 | Subsequent inpatient neonatal critical care, per day, 28 days or younger | 10% | 1,520 | 318 | $438K |
| 99462 | 4.2% | 5,681 | 4,626 | $184K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 407 | 385 | $43K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 37 | 36 | $4K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 60 | 49 | $4K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 33 | 26 | $3K |
| 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 | <1% | 60 | 51 | $2K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 17 | 16 | $2K |
1 more codes
| 96161 | <1% | 15 | $58.95 |
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 |
|---|---|---|
| Wake Specialty Physicians, LLC | Raleigh, NC | $14.80M |
| Rex Hospital INC | Raleigh, NC | $5.39M |
| 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 |
| Rex Hospital INC | Raleigh, NC | $140K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.