Wake Specialty Physicians LLC
Wake Specialty Physicians LLC was paid $423K by Medicaid between Dec 2021 and Dec 2024, across 24 billing codes. Its largest line is 99391, Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) — 29% of everything it billed.
CARY, NC 27518
Next to other Pediatrics 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 | |
|---|---|---|---|
| 2021 | 57 | $2K | |
| 2022 | 3,517 | $90K | |
| 2023 | 6,403 | $167K | |
| 2024incomplete | 6,617 | $163K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 29% | 1,513 | 1,286 | $124K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 1,295 | 1,133 | $79K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 15% | 1,616 | 1,474 | $63K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 13% | 523 | 518 | $53K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 9.6% | 2,205 | 2,008 | $41K |
| 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 | 5.8% | 281 | 256 | $25K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 3.9% | 1,956 | 1,778 | $17K |
| 99199 | Unlisted special service, procedure or report | 2.4% | 3,516 | 3,466 | $10K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 106 | 102 | $4K |
| 96161 | <1% | 559 | 492 | $2K | |
| D1206 | Topical application of fluoride varnish | <1% | 106 | 102 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 40 | 30 | $1K |
12 more codes
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 |
|---|---|---|
| Wakemed Specialists Group LLC | Cary, NC | $900K |
| Wakemed Specialists Group LLC | Raleigh, NC | $476K |
| Wakemed Specialists Group, LLC | Cary, NC | $16K |
| Wake Specialty Physicians, LLC | Zebulon, NC | $3K |
| Wake Specialty Physicians LLC | Raleigh, NC | $3K |
| Wake Specialty Physicians LLC | Raleigh, NC | $3K |
| Wake Specialty Physicians LLC | Clayton, NC | $2K |
| Wake Specialty Phisicians, LLC | Raleigh, NC | $968.94 |
| Wake Specialty Physicians LLC | Raleigh, NC | $886.04 |
| Wake Specialty Physicians | Wake Forest, NC | $470.89 |
| Wake Specialty Physicians LLC | Durham, NC | $448.59 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.