Physician
Wake Forest Health Network LLC
Wake Forest Health Network LLC was paid $1.81M by Medicaid between Nov 2020 and Dec 2024, across 37 billing codes. Its largest line is 99199, Unlisted special service, procedure or report — 33% of everything it billed.
33Billing provider infoWAKE FOREST HEALTH NETWORK LLC
KERNERSVILLE, NC 27284
KERNERSVILLE, NC 27284
33aNPI1922434307assigned 09/18/2013
33bProvider typeInternal Medicine Physician
28Total paid$1.81M
24GClaims126,294
24DCodes billed37
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in North Carolina
Rank by total paid#39 of 616
Median peer was paid$74K
This provider vs. median24×
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
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 | |
|---|---|---|---|
| 2020 | 1,449 | $43K | |
| 2021 | 21,043 | $378K | |
| 2022 | 40,607 | $585K | |
| 2023 | 36,333 | $464K | |
| 2024incomplete | 26,862 | $337K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99199 | Unlisted special service, procedure or report | 33% | 84,942 | 44,939 | $591K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 31% | 8,766 | 6,669 | $561K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.3% | 1,330 | 1,007 | $113K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 6.2% | 1,139 | 899 | $112K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.6% | 869 | 716 | $83K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 4.4% | 4,536 | 3,575 | $79K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 3.7% | 1,998 | 1,568 | $67K |
| 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 | 3.3% | 636 | 504 | $59K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.1% | 438 | 356 | $38K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.8% | 989 | 710 | $33K |
| 96127 | 1.3% | 5,971 | 4,778 | $23K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 2,080 | 1,671 | $16K |
25 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 659 | $9K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 223 | $8K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 576 | $7K |
| D1206 | Topical application of fluoride varnish | <1% | 223 | $4K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 55 | $2K |
| 90474 | <1% | 33 | $638.39 | |
| 92551 | <1% | 3,717 | $332.04 | |
| 90686 | <1% | 1,694 | $315.67 | |
| 99173 | <1% | 4,003 | $312.24 | |
| 90670 | <1% | 132 | $232.45 | |
| 96160 | <1% | 56 | $194.48 | |
| 96161 | <1% | 45 | $127.16 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 36 | $102.24 |
| 90734 | 0% | 249 | $0.00 | |
| 90707 | 0% | 70 | $0.00 | |
| 90633 | 0% | 13 | $0.00 | |
| 90715 | 0% | 34 | $0.00 | |
| 90656 | 0% | 271 | $0.00 | |
| 90696 | 0% | 22 | $0.00 | |
| 90716 | 0% | 70 | $0.00 | |
| 90723 | 0% | 30 | $0.00 | |
| 90647 | 0% | 42 | $0.00 | |
| 90651 | 0% | 292 | $0.00 | |
| 90677 | 0% | 25 | $0.00 | |
| 90680 | 0% | 30 | $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 officialGREVEN, CRAIG (SR VP CLINICAL OPERATIONS)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.