Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

WAKE FOREST HEALTH NETWORK LLC

NPI: 1831567445 · HIGH POINT, NC 27262 · Rheumatology Physician · NPI assigned 09/14/2015

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official GREVEN, CRAIG controls 20+ related entities in our dataset. Read more

$179K
Total Medicaid Paid
5,046
Total Claims
4,666
Beneficiaries
10
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGREVEN, CRAIG (SR VP CLINICAL OPERATIONS)
NPI Enumeration Date09/14/2015

Related Entities

Other providers sharing the same authorized official: GREVEN, CRAIG

ProviderCityStateTotal Paid
WAKE FOREST HEALTH NETWORK LLC HIGH POINT NC $5.44M
WAKE FOREST HEALTH NETWORK LLC WINSTON SALEM NC $4.62M
WAKE FOREST HEALTH NETWORK LLC GREENSBORO NC $3.78M
WAKE FOREST HEALTH NETWORK LLC KERNERSVILLE NC $2.25M
WAKE FOREST HEALTH NETWORK LLC KERNERSVILLE NC $1.81M
WAKE FOREST HEALTH NETWORK LLC ASHEBORO NC $1.60M
WAKE FOREST HEALTH NETWORK LLC BERMUDA RUN NC $1.02M
WAKE FOREST HEALTH NETWORK LLC ASHEBORO NC $907K
WAKE FOREST HEALTH NETWORK LLC HIGH POINT NC $814K
WAKE FOREST HEALTH NETWORK LLC HIGH POINT NC $767K
WAKE FOREST HEALTH NETWORK LLC HIGH POINT NC $741K
WAKE FOREST HEALTH NETWORK LLC ASHEBORO NC $730K
WAKE FOREST HEALTH NETWORK LLC ASHEBORO NC $722K
WAKE FOREST HEALTH NETWORK LLC JONESVILLE NC $683K
WAKE FOREST HEALTH NETWORK LLC CONOVER NC $669K
WAKE FOREST HEALTH NETWORK, LLC HIGH POINT NC $628K
WAKE FOREST HEALTH NETWORK LLC ARCHDALE NC $552K
WAKE FOREST HEALTH NETWORK LLC GREENSBORO NC $544K
WAKE FOREST HEALTH NETWORK LLC HIGH POINT NC $444K
WAKE FOREST HEALTH NETWORK LLC HIGH POINT NC $427K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,034 $19K
2019 1,305 $31K
2020 453 $17K
2021 563 $27K
2022 412 $23K
2023 660 $29K
2024 619 $32K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,286 2,073 $125K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 924 836 $32K
99244 Office or other outpatient consultation, moderate to high complexity 71 68 $9K
80053 Comprehensive metabolic panel 457 442 $4K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 439 424 $4K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 12 12 $2K
36415 Collection of venous blood by venipuncture 455 429 $1K
86140 159 152 $894.22
85652 217 208 $645.02
99441 26 22 $354.79