Duke University Health System INC
Duke University Health System INC was paid $213.56 by Medicaid between Jan 2018 and Nov 2024, across 7 billing codes. Its largest line is J7507, Tacrolimus, immediate release, oral, 1 mg — 65% of everything it billed.
DURHAM, NC 27710
Next to other Pharmacy 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 | 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 | |
| 2024incomplete | 2,093 | $0.00 |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| J7507 | Tacrolimus, immediate release, oral, 1 mg | 65% | 2,891 | 2,578 | $139.59 |
| J7517 | Mycophenolate mofetil, oral, 250 mg | 24% | 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 | 6.7% | 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 | 3.0% | 8,530 | 4,359 | $6.40 |
| J7512 | Prednisone, immediate release or delayed release, oral, 1 mg | <1% | 3,136 | 2,953 | $2.13 |
| J7503 | Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg | 0% | 1,904 | 1,435 | $0.00 |
| J7518 | Mycophenolic acid, oral, 180 mg | 0% | 1,298 | 1,236 | $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 |
|---|---|---|
| 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.