Private Diagnostic Clinic, PLLC

Private Diagnostic Clinic, PLLC was paid $121K by Medicaid between Jan 2018 and Jun 2024, across 7 billing codes. Its largest line is 99199, Unlisted special service, procedure or report — 77% of everything it billed.

33Billing provider infoPRIVATE DIAGNOSTIC CLINIC, PLLC
MEBANE, NC 27302

33aNPI1063753283assigned 03/13/2013

33bProvider typeEndocrinology, Diabetes & Metabolism Physician

28Total paid$121K

24GClaims17,385

24DCodes billed7

24AFirst – last monthJan 2018 – Jun 2024

Compared with peers

Next to other Endocrinology, Diabetes & Metabolism Physician providers in North Carolina

Rank by total paid#14 of 49

Median peer was paid$33K

This provider vs. median3.7×

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 NEWMAN, PAUL controls 15+ 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	423	$16K
2019	156	$4K
2020	120	$3K
2021	1,773	$17K
2022	5,354	$30K
2023	7,414	$38K
2024incomplete	2,145	$12K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99199	Unlisted special service, procedure or report	77%	16,354	8,313	$92K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	16%	503	421	$19K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	3.7%	78	71	$4K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	2.8%	213	177	$3K
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	<1%	32	31	$1K
90686		<1%	181	141	$251.05
Q9966	Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml	<1%	24	14	$8.76

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 officialNEWMAN, PAUL (EXECUTIVE DIRECTOR, PDC)

Same official

Other billing entities under NEWMAN, PAUL

Full network →

Provider	Location	Paid
Private Diagnostic Clinic, PLLC	Durham, NC	$17.42M
Private Diagnostic Clinic, PLLC	Elon, NC	$4.46M
Private Diagnostic Clinic, PLLC	Durham, NC	$4.31M
Private Diagnostic Clinic, PLLC	Burlington, NC	$1.52M
Private Diagnostic Clinic, PLLC	Durham, NC	$679K
Private Diagnostic Clinic, PLLC	Durham, NC	$475K
Private Diagnostic Clinic, PLLC	Cary, NC	$88K
Private Diagnostic Clinic, PLLC	Durham, NC	$78K
Newman Medical Group PC	Largo, MD	$46K
Private Diagnostic Clinic, PLLC	Raleigh, NC	$39K
North Point Marriage and Family LLC	Tremonton, UT	$20K
Saludicity LLC	Glenn Dale, MD	$8K
Private Diagnostic Clinic, PLLC	Durham, NC	$5K
Private Diagnostic Clinic, PLLC	Durham, NC	$2K
Private Diagnostic Clinic, PLLC	Durham, NC	$2K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.