Wake Specialty Physicians, LLC
Wake Specialty Physicians, LLC was paid $14.80M by Medicaid between Jan 2018 and Dec 2024, across 126 billing codes. Its largest line is 99199, Unlisted special service, procedure or report — 17% of everything it billed.
RALEIGH, NC 27610
Next to other Urology Physician providers in North Carolina
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 99,095 | $4.97M | |
| 2019 | 75,500 | $3.77M | |
| 2020 | 39,336 | $986K | |
| 2021 | 92,536 | $1.33M | |
| 2022 | 100,442 | $1.07M | |
| 2023 | 156,364 | $1.50M | |
| 2024incomplete | 114,575 | $1.17M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99199 | Unlisted special service, procedure or report | 17% | 415,985 | 234,160 | $2.51M |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 12% | 2,773 | 2,700 | $1.82M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.5% | 25,355 | 22,372 | $1.10M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.2% | 12,097 | 11,518 | $1.06M |
| 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 | 6.7% | 14,367 | 13,561 | $990K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.1% | 10,005 | 9,491 | $902K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.6% | 5,717 | 5,493 | $535K |
| 99479 | Subsequent intensive care, per day, very low birth weight infant | 2.9% | 4,731 | 1,123 | $424K |
| 99238 | Hospital discharge day management, 30 minutes or less | 2.8% | 7,201 | 7,022 | $413K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 2.4% | 9,552 | 9,034 | $362K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.4% | 18,523 | 17,470 | $356K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 2.1% | 2,130 | 2,030 | $305K |
114 more codes
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 2.0% | 3,977 | $303K |
| 99215 | Doctor's office visit, returning patient (complex) | 1.7% | 2,476 | $256K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.7% | 2,573 | $255K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 1.6% | 3,122 | $233K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | 1.5% | 4,732 | $227K |
| 99232 | Hospital visit by a doctor, follow-up day | 1.5% | 6,147 | $215K |
| 99460 | 1.3% | 3,163 | $191K | |
| 99480 | Subsequent intensive care, per day, low birth weight infant | 1.3% | 2,373 | $189K |
| 99284 | Emergency room visit (serious) | 1.3% | 2,056 | $187K |
| 99243 | 1.1% | 1,775 | $161K | |
| 59025 | Fetal non-stress test | 1.1% | 6,569 | $156K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 4,739 | $141K |
| 99245 | <1% | 580 | $102K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 11,994 | $99K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 1,511 | $98K |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 1,345 | $86K |
| 99462 | <1% | 2,453 | $70K | |
| 93303 | Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study | <1% | 739 | $68K |
| 90474 | <1% | 3,082 | $60K | |
| 99217 | <1% | 1,030 | $59K | |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 438 | $55K |
| 97803 | <1% | 1,357 | $52K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 336 | $49K |
| 99381 | <1% | 499 | $48K | |
| 99219 | <1% | 443 | $44K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 415 | $40K |
| D1206 | Topical application of fluoride varnish | <1% | 2,928 | $39K |
| 97802 | <1% | 437 | $32K | |
| 99252 | <1% | 545 | $31K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 405 | $27K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 526 | $23K |
| 99223 | Prolong inpt eval add15 m | <1% | 271 | $23K |
| 76820 | <1% | 697 | $23K | |
| 93320 | <1% | 738 | $23K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 286 | $20K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,631 | $19K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 369 | $18K |
| 96127 | <1% | 3,660 | $15K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 182 | $15K |
| 93325 | <1% | 914 | $15K | |
| 99254 | <1% | 113 | $15K | |
| 96161 | <1% | 3,869 | $14K | |
| 94664 | <1% | 1,420 | $14K | |
| 93000 | <1% | 1,088 | $14K | |
| 99469 | Subsequent inpatient neonatal critical care, per day, 28 days or younger | <1% | 44 | $14K |
| 99220 | <1% | 102 | $13K | |
| 92551 | <1% | 9,246 | $12K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 3,409 | $12K |
| S0280 | Medical home program, comprehensive care coordination and planning, initial plan | <1% | 774 | $10K |
| 99218 | <1% | 197 | $10K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 732 | $9K |
| 92567 | <1% | 978 | $9K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 320 | $9K |
| 96040 | <1% | 263 | $9K | |
| 90651 | <1% | 462 | $8K | |
| 99401 | <1% | 907 | $8K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 239 | $5K |
| 96160 | <1% | 1,411 | $5K | |
| A4590 | Special casting material (e.g., fiberglass) | <1% | 263 | $5K |
| 90686 | <1% | 9,139 | $5K | |
| 76825 | <1% | 29 | $4K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 65 | $4K |
| 99251 | <1% | 88 | $3K | |
| 73630 | <1% | 228 | $3K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 41 | $2K |
| 93971 | <1% | 197 | $2K | |
| 93970 | <1% | 140 | $2K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 147 | $2K |
| 76821 | <1% | 31 | $2K | |
| 99205 | Prolong outpt/office vis | <1% | 12 | $2K |
| 73610 | <1% | 130 | $2K | |
| 93296 | <1% | 174 | $2K | |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | <1% | 14 | $2K |
| 72100 | <1% | 101 | $2K | |
| 76827 | <1% | 29 | $1K | |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 14 | $1K |
| 81025 | <1% | 200 | $1K | |
| 82962 | <1% | 401 | $1K | |
| 29075 | <1% | 19 | $953.52 | |
| 93880 | <1% | 41 | $950.45 | |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 14 | $893.24 |
| 73110 | <1% | 40 | $860.52 | |
| 69210 | <1% | 26 | $847.24 | |
| 20610 | <1% | 43 | $667.79 | |
| 99442 | <1% | 22 | $613.70 | |
| 73130 | <1% | 32 | $596.54 | |
| 81003 | <1% | 335 | $511.57 | |
| 73090 | <1% | 18 | $353.77 | |
| 90620 | <1% | 28 | $339.90 | |
| 90715 | <1% | 117 | $316.16 | |
| 93283 | <1% | 12 | $297.69 | |
| 93295 | <1% | 15 | $296.86 | |
| 99358 | Prolong nursin fac eval 15m | <1% | 192 | $262.39 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 53 | $201.93 |
| 73030 | <1% | 16 | $169.86 | |
| 94010 | <1% | 13 | $87.49 | |
| 99173 | <1% | 9,851 | $59.31 | |
| 87210 | <1% | 19 | $52.65 | |
| 82570 | <1% | 17 | $51.04 | |
| 81001 | <1% | 17 | $31.28 | |
| 90680 | 0% | 3,104 | $0.00 | |
| 90647 | 0% | 3,776 | $0.00 | |
| 90723 | 0% | 3,783 | $0.00 | |
| 90696 | 0% | 75 | $0.00 | |
| 90716 | 0% | 175 | $0.00 | |
| 96150 | 0% | 13 | $0.00 | |
| 90670 | 0% | 5,197 | $0.00 | |
| 90633 | 0% | 907 | $0.00 | |
| 90734 | 0% | 140 | $0.00 | |
| 90700 | 0% | 72 | $0.00 | |
| 90685 | 0% | 475 | $0.00 | |
| 90710 | 0% | 49 | $0.00 | |
| 90707 | 0% | 161 | $0.00 | |
| 99354 | 0% | 15 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Rex Hospital INC | Raleigh, NC | $5.39M |
| Wakemed Specialists Group, LLC | Raleigh, NC | $4.37M |
| Wakemed Specialists Group LLC | Raleigh, NC | $3.65M |
| Rex Hospital INC | Raleigh, NC | $3.40M |
| Wakemed Specialists Group, LLC | Raleigh, NC | $2.00M |
| Wakemed Specialists Group, LLC | Raleigh, NC | $1.65M |
| Wakemed Specialists Group, LLC | Raleigh, NC | $1.41M |
| Wakemed Specialists Group, LLC | Raleigh, NC | $790K |
| Wakemed Specialists Group, LLC | Raleigh, NC | $749K |
| Rex Hospital INC | Knightdale, NC | $742K |
| Wakemed Specialists Group, LLC | Raleigh, NC | $581K |
| Wakemed Specialists Group, LLC | Raleigh, NC | $514K |
| Rex Hospital INC | Raleigh, NC | $362K |
| Rex Hospital INC | Raleigh, NC | $349K |
| Rex Hospital INC | Raleigh, NC | $309K |
| Rex Hospital INC | Raleigh, NC | $261K |
| Rex Hospital INC | Garner, NC | $258K |
| Wakemed Specialists Group, LLC | Raleigh, NC | $184K |
| Rex Hospital INC | Raleigh, NC | $177K |
| Rex Hospital INC | Raleigh, NC | $140K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.