Medicaid Provider Spending

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

DUKE UNIVERSITY HEALTH SYSTEM INC

NPI: 1053682146 · DURHAM, NC 27710 · Pharmacy · NPI assigned 01/20/2012

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

Authorized official SMITH, JOHN controls 20+ related entities in our dataset. Read more

$213.56
Total Medicaid Paid
24,450
Total Claims
18,964
Beneficiaries
7
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSMITH, JOHN (VP, FINANCE)
NPI Enumeration Date01/20/2012

Related Entities

Other providers sharing the same authorized official: SMITH, JOHN

ProviderCityStateTotal Paid
PRESTIGE HEALTHCARE RESOURCES INC. BLADENSBURG MD $55.74M
DUKE UNIVERSITY HEALTH SYSTEM, INC. DURHAM NC $44.35M
DUKE UNIVERSITY HEALTH SYSTEM, INC. DURHAM NC $11.62M
PROACT DENTAL, INC. BIRMINGHAM AL $9.47M
DUKE UNIVERSITY HEALTH SYSTEM, INC. DURHAM NC $8.33M
DUKE UNIVERSITY HEALTH SYSTEM INC RALEIGH NC $7.84M
DUKE UNIVERSITY HEALTH SYSTEM, INC. DURHAM NC $7.61M
WISHON RADIOLOGICAL MEDICAL GROUP, INC. FRESNO CA $5.11M
DUKE UNIVERSITY HEALTH SYSTEM, INC. DURHAM NC $5.01M
DUKE UNIVERSITY HEALTH SYSTEM, INC. RALEIGH NC $4.15M
LIGHTHOUSE SYSTEMS, LLC PHARR TX $3.54M
DUKE UNIVERSITY HEALTH SYSTEM, INC. DURHAM NC $1.59M
OLD SCHOOL LLC LAKEWOOD OH $800K
GATEWAY MEDICAL GROUP LC OKEECHOBEE FL $447K
TRIANGLE GERIATRIC AND MEMORY CLINIC, PLLC CARY NC $437K
DUKE UNIVERSITY HEALTH SYSTEM, INC. DURHAM NC $289K
DUKE UNIVERSITY HEALTH SYSTEM, INC. DURHAM NC $118K
ASSOCIATED HEALTH SERVICES, INC. DURHAM NC $102K
DUKE HEALTH INTEGRATED PRACTICE, INC. DURHAM NC $64K
DUKE UNIVERSITY HEALTH SYSTEM, INC. DURHAM NC $49K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,731 $0.00
2019 3,885 $0.00
2020 4,246 $8.00
2021 4,055 $4.80
2022 3,359 $71.10
2023 3,081 $129.66
2024 2,093 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
J7507 Tacrolimus, immediate release, oral, 1 mg 2,891 2,578 $139.59
J7517 Mycophenolate mofetil, oral, 250 mg 2,423 2,283 $51.04
Q0511 Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period 4,268 4,120 $14.40
Q0512 Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period 8,530 4,359 $6.40
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 3,136 2,953 $2.13
J7503 Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg 1,904 1,435 $0.00
J7518 Mycophenolic acid, oral, 180 mg 1,298 1,236 $0.00