Physician
Wake Forest Health Network LLC
Wake Forest Health Network LLC was paid $318K by Medicaid between Jan 2018 and Dec 2024, across 14 billing codes. Its largest line is 99199, Unlisted special service, procedure or report — 44% of everything it billed.
33Billing provider infoWAKE FOREST HEALTH NETWORK LLC
GRANITE FALLS, NC 28630
GRANITE FALLS, NC 28630
33aNPI1770858938assigned 03/20/2012
33bProvider typeFamily Medicine Physician
28Total paid$318K
24GClaims23,325
24DCodes billed14
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in North Carolina
Rank by total paid#352 of 960
Median peer was paid$135K
This provider vs. median2.4×
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 | 1,198 | $6K | |
| 2019 | 189 | $8K | |
| 2020 | 92 | $5K | |
| 2021 | 1,929 | $33K | |
| 2022 | 5,483 | $69K | |
| 2023 | 7,114 | $91K | |
| 2024incomplete | 7,320 | $105K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99199 | Unlisted special service, procedure or report | 44% | 18,295 | 9,646 | $141K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 40% | 3,319 | 2,201 | $127K |
| 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 | 14% | 790 | 633 | $43K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 57 | 48 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 189 | 52 | $1K |
| 99401 | <1% | 37 | 30 | $1K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 266 | 75 | $794.54 |
| 36415 | Collection of venous blood by venipuncture | <1% | 258 | 218 | $535.66 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 15 | 12 | $497.97 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 31 | 26 | $495.61 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 22 | 13 | $308.12 |
| 90686 | <1% | 18 | 14 | $33.10 |
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 officialHOWERTON, RUSSELL (SR VP NETWORK PHYS & HS CMO)
| Provider | Location | Paid |
|---|---|---|
| Wake Forest Health Network, LLC | Greensboro, NC | $242K |
| Wake Forest Health Network LLC | High Point, NC | $56K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.