Medicaid Provider Spending

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

UNC PHYSICIANS NETWORK LLC

NPI: 1942624218 · SILER CITY, NC 27344 · Family Medicine Physician · NPI assigned 02/07/2014

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

Authorized official FISCUS, LYNNE controls 20+ related entities in our dataset. Read more

$1.37M
Total Medicaid Paid
73,686
Total Claims
60,524
Beneficiaries
36
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialFISCUS, LYNNE (CMO)
NPI Enumeration Date02/07/2014

Related Entities

Other providers sharing the same authorized official: FISCUS, LYNNE

ProviderCityStateTotal Paid
UNC PHYSICIANS NETWORK LLC MORRISVILLE NC $46.82M
UNC PHYSICIANS NETWORK, LLC MORRISVILLE NC $3.22M
UNC PHYSICIANS NETWORK LLC CHAPEL HILL NC $2.78M
UNC PHYSICIANS NETWORK LLC MORRISVILLE NC $2.40M
UNC PHYSICIANS NETWORK LLC DURHAM NC $2.05M
UNC PHYSICIANS NETWORK, LLC CARY NC $863K
UNC PHYSICIANS NETWORK, LLC MEBANE NC $832K
UNC PHYSICIANS NETWORK, LLC HOLLY SPRINGS NC $818K
UNC PHYSICIANS NETWORK LLC CHAPEL HILL NC $697K
UNC PHYSICIANS NETWORK, LLC KNIGHTDALE NC $613K
UNC PHYSICIANS NETWORK LLC PITTSBORO NC $454K
UNC PHYSICIANS NETWORK LLC DURHAM NC $451K
UNC PHYSICIANS NETWORK, LLC RALEIGH NC $415K
UNC PHYSICIANS NETWORK LLC HILLSBOROUGH NC $386K
UNC PHYSICIANS NETWORK LLC SANFORD NC $331K
UNC PHYSICIANS NETWORK, LLC CHAPEL HILL NC $298K
UNC PHYSICIANS NETWORK, LLC CARY NC $91K
UNC PHYSICIANS NETWORK LLC CHAPEL HILL NC $77K
UNC PHYSICIANS NETWORK GROUP PRACTICES, LLC GARNER NC $61K
UNC PHYSICIANS NETWORK, LLC CHAPEL HILL NC $38K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,670 $129K
2019 5,504 $172K
2020 3,727 $103K
2021 8,054 $185K
2022 13,954 $218K
2023 17,038 $262K
2024 20,739 $301K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 12,901 10,400 $670K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6,632 5,441 $294K
99199 Unlisted special service, procedure or report 37,032 31,688 $150K
99308 Subsequent nursing facility care, per day, straightforward 3,432 2,479 $76K
90460 Immunization administration through 18 years of age via any route, first or only component 1,126 971 $49K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 6,601 4,412 $24K
90837 Psychotherapy, 53 minutes with patient 245 163 $19K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,217 1,065 $17K
90834 Psychotherapy, 45 minutes with patient 323 214 $13K
99215 Prolong outpt/office vis 103 88 $10K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 206 185 $7K
90686 1,532 1,280 $6K
0012A 93 89 $5K
0011A 110 100 $4K
90472 Immunization administration, each additional vaccine (list separately) 85 79 $4K
99309 Subsequent nursing facility care, per day, low to moderate complexity 89 74 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 86 59 $3K
93000 315 292 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 17 15 $2K
0001A 31 28 $2K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 19 15 $2K
90656 228 223 $1K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 14 14 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 43 41 $1K
0002A 17 17 $1K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 345 329 $851.84
83036 Hemoglobin; glycosylated (A1C) 119 102 $478.71
96110 Developmental screening, with scoring and documentation, per standardized instrument 28 25 $243.22
90674 21 12 $221.84
92551 170 150 $86.88
99173 152 140 $14.00
3078F 54 52 $0.00
91300 48 45 $0.00
90670 27 25 $0.00
3074F 12 12 $0.00
91301 213 200 $0.00