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

Wake Forest Health Network LLC

Wake Forest Health Network LLC was paid $179K by Medicaid between Jan 2018 and Dec 2024, across 10 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 70% of everything it billed.

33Billing provider infoWAKE FOREST HEALTH NETWORK LLC
HIGH POINT, NC 27262
33aNPI1831567445assigned 09/14/2015
33bProvider typeRheumatology Physician
28Total paid$179K
24GClaims5,046
24DCodes billed10
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Rheumatology Physician providers in North Carolina

Rank by total paid#3 of 27
Median peer was paid$19K
This provider vs. median9.3×

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 GREVEN, CRAIG controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
20181,034$19K
20191,305$31K
2020453$17K
2021563$27K
2022412$23K
2023660$29K
2024incomplete619$32K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 70% 2,286 2,073 $125K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 18% 924 836 $32K
99244 Office or other outpatient consultation, moderate to high complexity 5.0% 71 68 $9K
80053 Comprehensive metabolic panel 2.4% 457 442 $4K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 2.1% 439 424 $4K
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% 12 12 $2K
36415 Collection of venous blood by venipuncture <1% 455 429 $1K
86140 <1% 159 152 $894.22
85652 <1% 217 208 $645.02
99441 <1% 26 22 $354.79

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 officialGREVEN, CRAIG (SR VP CLINICAL OPERATIONS)
Same official

Other billing entities under GREVEN, CRAIG

Full network →
ProviderLocationPaid
Wake Forest Health Network LLCHigh Point, NC$5.44M
Wake Forest Health Network LLCWinston Salem, NC$4.62M
Wake Forest Health Network LLCGreensboro, NC$3.78M
Wake Forest Health Network LLCKernersville, NC$2.25M
Wake Forest Health Network LLCKernersville, NC$1.81M
Wake Forest Health Network LLCAsheboro, NC$1.60M
Wake Forest Health Network LLCBermuda Run, NC$1.02M
Wake Forest Health Network LLCAsheboro, NC$907K
Wake Forest Health Network LLCHigh Point, NC$814K
Wake Forest Health Network LLCHigh Point, NC$767K
Wake Forest Health Network LLCHigh Point, NC$741K
Wake Forest Health Network LLCAsheboro, NC$730K
Wake Forest Health Network LLCAsheboro, NC$722K
Wake Forest Health Network LLCJonesville, NC$683K
Wake Forest Health Network LLCConover, NC$669K
Wake Forest Health Network, LLCHigh Point, NC$628K
Wake Forest Health Network LLCArchdale, NC$552K
Wake Forest Health Network LLCGreensboro, NC$544K
Wake Forest Health Network LLCHigh Point, NC$444K
Wake Forest Health Network LLCHigh Point, NC$427K

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