Medicaid Provider Spending

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

WAKE FOREST HEALTH NETWORK LLC

NPI: 1922434307 · KERNERSVILLE, NC 27284 · Internal Medicine Physician · NPI assigned 09/18/2013

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

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

$1.81M
Total Medicaid Paid
126,294
Total Claims
77,070
Beneficiaries
37
Codes Billed
2020-11
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGREVEN, CRAIG (SR VP CLINICAL OPERATIONS)
NPI Enumeration Date09/18/2013

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 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
WAKE FOREST HEALTH NETWORK LLC THOMASVILLE NC $403K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 1,449 $43K
2021 21,043 $378K
2022 40,607 $585K
2023 36,333 $464K
2024 26,862 $337K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99199 Unlisted special service, procedure or report 84,942 44,939 $591K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8,766 6,669 $561K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,330 1,007 $113K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,139 899 $112K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 869 716 $83K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 4,536 3,575 $79K
90472 Immunization administration, each additional vaccine (list separately) 1,998 1,568 $67K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 636 504 $59K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 438 356 $38K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 989 710 $33K
96127 5,971 4,778 $23K
96110 Developmental screening, with scoring and documentation, per standardized instrument 2,080 1,671 $16K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 659 266 $9K
D0145 Oral evaluation for a patient under three years of age 223 201 $8K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 576 453 $7K
D1206 Topical application of fluoride varnish 223 201 $4K
90460 Immunization administration through 18 years of age via any route, first or only component 55 55 $2K
90474 33 27 $638.39
92551 3,717 2,922 $332.04
90686 1,694 1,285 $315.67
99173 4,003 3,142 $312.24
90670 132 105 $232.45
96160 56 55 $194.48
96161 45 40 $127.16
36415 Collection of venous blood by venipuncture 36 36 $102.24
90734 249 182 $0.00
90707 70 38 $0.00
90633 13 13 $0.00
90715 34 24 $0.00
90656 271 261 $0.00
90696 22 12 $0.00
90716 70 38 $0.00
90723 30 24 $0.00
90647 42 39 $0.00
90651 292 211 $0.00
90677 25 24 $0.00
90680 30 24 $0.00