Physician
UNC Physicians Network, LLC
UNC Physicians Network, LLC was paid $818K by Medicaid between Jan 2018 and Dec 2024, across 30 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 33% of everything it billed.
33Billing provider infoUNC PHYSICIANS NETWORK, LLC
HOLLY SPRINGS, NC 27540
HOLLY SPRINGS, NC 27540
33aNPI1821396326assigned 03/08/2011
33bProvider typeFamily Medicine Physician
28Total paid$818K
24GClaims64,368
24DCodes billed30
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in North Carolina
Rank by total paid#172 of 960
Median peer was paid$135K
This provider vs. median6.1×
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
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 | 1,226 | $42K | |
| 2019 | 1,563 | $69K | |
| 2020 | 1,198 | $40K | |
| 2021 | 4,919 | $99K | |
| 2022 | 13,419 | $146K | |
| 2023 | 17,428 | $174K | |
| 2024incomplete | 24,615 | $248K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 33% | 3,928 | 3,081 | $268K |
| 99199 | Unlisted special service, procedure or report | 28% | 50,467 | 37,981 | $231K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 17% | 2,316 | 1,943 | $136K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 14% | 2,933 | 2,458 | $112K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.3% | 220 | 201 | $19K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.2% | 178 | 162 | $18K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 516 | 414 | $8K |
| 96127 | <1% | 1,138 | 1,082 | $5K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 24 | 16 | $3K |
| 0012A | <1% | 44 | 43 | $3K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 268 | 249 | $2K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 68 | 61 | $2K |
18 more codes
| 0001A | <1% | 44 | $2K | |
| 0011A | <1% | 44 | $2K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 16 | $2K |
| 0002A | <1% | 43 | $1K | |
| 90686 | <1% | 1,075 | $1K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 19 | $663.85 |
| 90674 | <1% | 208 | $570.16 | |
| 90656 | <1% | 203 | $241.90 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 13 | $226.08 |
| 96161 | <1% | 37 | $131.18 | |
| 99173 | <1% | 227 | $128.87 | |
| 91300 | <1% | 136 | $11.55 | |
| 92552 | <1% | 26 | $1.00 | |
| 90647 | 0% | 14 | $0.00 | |
| 91301 | 0% | 109 | $0.00 | |
| 90677 | 0% | 20 | $0.00 | |
| 90723 | 0% | 17 | $0.00 | |
| 90680 | 0% | 17 | $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.
From NPPES
Who's on the registration
Authorized officialFISCUS, LYNNE (CMO)
| Provider | Location | Paid |
|---|---|---|
| UNC Physicians Network LLC | Morrisville, NC | $46.82M |
| UNC Physicians Network, LLC | Morrisville, NC | $3.22M |
| UNC Physicians Network LLC | Chapel Hill, NC | $2.78M |
| UNC Physicians Network LLC | Morrisville, NC | $2.40M |
| UNC Physicians Network LLC | Durham, NC | $2.05M |
| UNC Physicians Network LLC | Siler City, NC | $1.37M |
| UNC Physicians Network, LLC | Cary, NC | $863K |
| UNC Physicians Network, LLC | Mebane, NC | $832K |
| UNC Physicians Network LLC | Chapel Hill, NC | $697K |
| UNC Physicians Network, LLC | Knightdale, NC | $613K |
| UNC Physicians Network LLC | Pittsboro, NC | $454K |
| UNC Physicians Network LLC | Durham, NC | $451K |
| UNC Physicians Network, LLC | Raleigh, NC | $415K |
| UNC Physicians Network LLC | Hillsborough, NC | $386K |
| UNC Physicians Network LLC | Sanford, NC | $331K |
| UNC Physicians Network, LLC | Chapel Hill, NC | $298K |
| UNC Physicians Network, LLC | Cary, NC | $91K |
| UNC Physicians Network LLC | Chapel Hill, NC | $77K |
| UNC Physicians Network Group Practices, LLC | Garner, NC | $61K |
| UNC Physicians Network, LLC | Chapel Hill, NC | $38K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.