Wake Forest Health Network LLC
Wake Forest Health Network LLC was paid $722K by Medicaid between Jan 2018 and Dec 2024, across 28 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 28% of everything it billed.
ASHEBORO, NC 27203
Next to other Obstetrics & Gynecology 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 | |
|---|---|---|---|
| 2018 | 1,632 | $31K | |
| 2019 | 2,741 | $79K | |
| 2020 | 1,465 | $36K | |
| 2021 | 2,708 | $96K | |
| 2022 | 4,490 | $113K | |
| 2023 | 5,374 | $195K | |
| 2024incomplete | 3,412 | $172K |
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 | 28% | 4,011 | 3,313 | $204K |
| 59400 | Routine obstetric care including antepartum care, vaginal delivery, and postpartum care | 19% | 108 | 99 | $135K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 16% | 1,497 | 1,241 | $114K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 6.8% | 347 | 288 | $49K |
| 76801 | 6.6% | 552 | 471 | $48K | |
| S0280 | Medical home program, comprehensive care coordination and planning, initial plan | 4.3% | 680 | 581 | $31K |
| S0281 | Medical home program, comprehensive care coordination and planning, maintenance of plan | 4.0% | 225 | 182 | $29K |
| 59025 | Fetal non-stress test | 3.5% | 1,082 | 821 | $25K |
| 81025 | 2.3% | 2,474 | 1,979 | $17K | |
| 36415 | Collection of venous blood by venipuncture | 1.9% | 6,518 | 5,166 | $14K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.3% | 801 | 674 | $10K |
| 85027 | 1.2% | 1,409 | 1,137 | $8K |
16 more codes
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 451 | $7K |
| 90715 | <1% | 175 | $6K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 77 | $5K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 59 | $4K |
| 90686 | <1% | 284 | $3K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 97 | $3K |
| 82950 | <1% | 482 | $2K | |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 38 | $2K |
| 76830 | Ultrasound, transvaginal | <1% | 17 | $1K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 24 | $1K |
| 76813 | <1% | 12 | $1K | |
| 87210 | <1% | 218 | $886.71 | |
| 96127 | <1% | 32 | $127.50 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 12 | $95.80 |
| 81003 | <1% | 105 | $73.88 | |
| 0500F | 0% | 35 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.