Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

UNC Physicians Network LLC

UNC Physicians Network LLC was paid $451K by Medicaid between Jan 2018 and Dec 2024, across 9 billing codes. Its largest line is 99199, Unlisted special service, procedure or report — 51% of everything it billed.

33Billing provider infoUNC PHYSICIANS NETWORK LLC
DURHAM, NC 27713
33aNPI1679997944assigned 02/07/2014
28Total paid$451K
24GClaims61,309
24DCodes billed9
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Family Medicine Physician providers in North Carolina

Rank by total paid#278 of 960
Median peer was paid$135K
This provider vs. median3.3×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
20181,845$56K
20191,327$51K
2020486$14K
20212,941$43K
202211,170$61K
202317,318$89K
2024incomplete26,222$137K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99199 Unlisted special service, procedure or report 51% 55,437 41,171 $229K
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 28% 2,594 1,975 $129K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 16% 1,543 1,273 $73K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2.1% 589 541 $10K
90460 Immunization administration through 18 years of age via any route, first or only component 1.5% 186 175 $7K
90686 <1% 746 639 $3K
90674 <1% 141 119 $973.17
90656 <1% 56 55 $406.40
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% 17 13 $87.05

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)
Same official

Other billing entities under FISCUS, LYNNE

Full network →
ProviderLocationPaid
UNC Physicians Network LLCMorrisville, NC$46.82M
UNC Physicians Network, LLCMorrisville, NC$3.22M
UNC Physicians Network LLCChapel Hill, NC$2.78M
UNC Physicians Network LLCMorrisville, NC$2.40M
UNC Physicians Network LLCDurham, NC$2.05M
UNC Physicians Network LLCSiler City, NC$1.37M
UNC Physicians Network, LLCCary, NC$863K
UNC Physicians Network, LLCMebane, NC$832K
UNC Physicians Network, LLCHolly Springs, NC$818K
UNC Physicians Network LLCChapel Hill, NC$697K
UNC Physicians Network, LLCKnightdale, NC$613K
UNC Physicians Network LLCPittsboro, NC$454K
UNC Physicians Network, LLCRaleigh, NC$415K
UNC Physicians Network LLCHillsborough, NC$386K
UNC Physicians Network LLCSanford, NC$331K
UNC Physicians Network, LLCChapel Hill, NC$298K
UNC Physicians Network, LLCCary, NC$91K
UNC Physicians Network LLCChapel Hill, NC$77K
UNC Physicians Network Group Practices, LLCGarner, NC$61K
UNC Physicians Network, LLCChapel Hill, NC$38K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.