NP / PA
Raleigh Durham Medical Group, PA
Raleigh Durham Medical Group, PA was paid $3.74M by Medicaid between Aug 2018 and Dec 2024, across 56 billing codes. Its largest line is 99199, Unlisted special service, procedure or report — 37% of everything it billed.
33Billing provider infoRALEIGH DURHAM MEDICAL GROUP, PA
CLAYTON, NC 27520
CLAYTON, NC 27520
33aNPI1013371061assigned 04/06/2016
33bProvider typeFamily Nurse Practitioner
28Total paid$3.74M
24GClaims386,873
24DCodes billed56
24AFirst – last monthAug 2018 – Dec 2024
Compared with peers
Next to other Family Nurse Practitioner providers in North Carolina
Rank by total paid#3 of 147
Median peer was paid$12K
This provider vs. median324×
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 MOYE, DAVID 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 | |
|---|---|---|---|
| 2018 | 7,971 | $149K | |
| 2019 | 31,216 | $375K | |
| 2020 | 21,093 | $259K | |
| 2021 | 50,616 | $520K | |
| 2022 | 74,933 | $710K | |
| 2023 | 106,420 | $876K | |
| 2024incomplete | 94,624 | $851K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99199 | Unlisted special service, procedure or report | 37% | 216,188 | 108,132 | $1.40M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 32% | 24,037 | 17,905 | $1.21M |
| 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 | 17% | 9,438 | 7,458 | $620K |
| 87428 | 2.9% | 2,079 | 1,633 | $110K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.9% | 7,077 | 5,524 | $107K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.7% | 1,184 | 973 | $100K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.9% | 914 | 725 | $72K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.1% | 1,668 | 1,327 | $40K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 2,693 | 2,196 | $21K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 617 | 488 | $13K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 249 | 76 | $10K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 136 | 93 | $9K |
44 more codes
| 99460 | <1% | 104 | $5K | |
| 90686 | <1% | 1,893 | $4K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 124 | $4K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 56 | $3K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 56 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 185 | $2K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 78 | $2K |
| 87807 | <1% | 160 | $2K | |
| D1206 | Topical application of fluoride varnish | <1% | 128 | $2K |
| 96161 | <1% | 315 | $858.86 | |
| 90656 | <1% | 117 | $719.20 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 83 | $489.44 |
| 92551 | <1% | 525 | $481.93 | |
| 99173 | <1% | 771 | $456.77 | |
| 96127 | <1% | 213 | $454.38 | |
| 99051 | <1% | 13 | $288.22 | |
| 90474 | <1% | 16 | $286.30 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 64 | $61.99 |
| 99072 | <1% | 1,514 | $28.72 | |
| 99490 | Ccm add 20min | <1% | 22 | $24.66 |
| 1159F | <1% | 41,148 | $11.33 | |
| 1160F | <1% | 40,875 | $8.61 | |
| 3008F | <1% | 23,434 | $1.41 | |
| 3074F | <1% | 549 | $0.14 | |
| 3078F | <1% | 294 | $0.10 | |
| 90677 | <1% | 12 | $0.02 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 141 | $0.01 |
| 1036F | 0% | 3,961 | $0.00 | |
| 90680 | 0% | 64 | $0.00 | |
| 94760 | 0% | 44 | $0.00 | |
| 1125F | 0% | 47 | $0.00 | |
| 90698 | 0% | 396 | $0.00 | |
| 1034F | 0% | 56 | $0.00 | |
| 90744 | 0% | 14 | $0.00 | |
| 91301 | 0% | 14 | $0.00 | |
| 3725F | 0% | 1,719 | $0.00 | |
| 90670 | 0% | 381 | $0.00 | |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 365 | $0.00 |
| 1033F | 0% | 470 | $0.00 | |
| 90685 | 0% | 61 | $0.00 | |
| 0521F | 0% | 47 | $0.00 | |
| 90633 | 0% | 13 | $0.00 | |
| 1032F | 0% | 37 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 14 | $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 officialMOYE, DAVID (CEO)
Parent organizationRALEIGH DURHAM MEDICAL GROUP, PA
| Provider | Location | Paid |
|---|---|---|
| RDMG Associates, PA | Spindale, NC | $1.88M |
| RDMG Associates PA | Roxboro, NC | $1.46M |
| Raleigh Durham Medical Group, PA | Raleigh, NC | $918K |
| Raleigh Durham Medical Group PA | Durham, NC | $756K |
| Raleigh Durham Medical Group, PA | Durham, NC | $748K |
| Raleigh Durham Medical Group PA | Cary, NC | $577K |
| RDMG Associates PA | Morganton, NC | $552K |
| RDMG Associates PA | Shallotte, NC | $432K |
| RDMG Associates PA | Black Mountain, NC | $349K |
| Raleigh Durham Medical Group, PA | Raleigh, NC | $331K |
| RDMG Associates, PA | Fayetteville, NC | $306K |
| RDMG Associates PA | Smithfield, NC | $234K |
| RDMG Associates, PA | Asheville, NC | $179K |
| RDMG Associates, PA | Raleigh, NC | $103K |
| RDMG Associates PA | Asheville, NC | $78K |
| RDMG Associates, PA | Wilmington, NC | $55K |
| RDMG Associates PA | Asheville, NC | $51K |
| RDMG Associates, PA | Morehead City, NC | $20K |
| RDMG Associates PA | Wilmington, NC | $13K |
| Raleigh Durham Medical Group PA | Cary, NC | $11K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.