Physician
Private Diagnostic Clinic, PLLC
Private Diagnostic Clinic, PLLC was paid $4.43M by Medicaid between Jan 2018 and May 2024, across 59 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 28% of everything it billed.
33Billing provider infoPRIVATE DIAGNOSTIC CLINIC, PLLC
DURHAM, NC 27704
DURHAM, NC 27704
33aNPI1083930671assigned 04/08/2010
33bProvider typePediatrics Physician
28Total paid$4.43M
24GClaims204,965
24DCodes billed59
24AFirst – last monthJan 2018 – May 2024
Compared with peers
Next to other Pediatrics Physician providers in North Carolina
Rank by total paid#88 of 433
Median peer was paid$942K
This provider vs. median4.7×
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 FREDERICK, CHRISTOPHER 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 | 17,355 | $501K | |
| 2019 | 21,284 | $733K | |
| 2020 | 15,560 | $641K | |
| 2021 | 43,360 | $938K | |
| 2022 | 77,806 | $1.05M | |
| 2023 | 28,025 | $557K | |
| 2024incomplete | 1,575 | $8K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 28% | 15,050 | 13,209 | $1.23M |
| 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% | 12,039 | 10,824 | $709K |
| 99199 | Unlisted special service, procedure or report | 13% | 97,290 | 52,979 | $564K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 11% | 12,658 | 11,052 | $480K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.8% | 4,043 | 3,600 | $344K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.8% | 3,483 | 3,125 | $302K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.8% | 2,490 | 2,118 | $211K |
| D0145 | Oral evaluation for a patient under three years of age | 1.6% | 2,218 | 1,956 | $70K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.5% | 7,446 | 6,667 | $68K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.5% | 681 | 557 | $65K |
| T1017 | Case management, billed per 15 minutesTargeted case management, each 15 minutes | 1.2% | 234 | 233 | $53K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 554 | 161 | $40K |
47 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,534 | $39K |
| 99443 | <1% | 598 | $35K | |
| 99442 | <1% | 822 | $34K | |
| D1206 | Topical application of fluoride varnish | <1% | 2,261 | $31K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 251 | $23K |
| 96127 | <1% | 5,897 | $22K | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 576 | $21K |
| 90686 | <1% | 8,362 | $15K | |
| 99441 | <1% | 398 | $10K | |
| 0072A | <1% | 205 | $9K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 112 | $9K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 857 | $9K |
| 99223 | Prolong inpt eval add15 m | <1% | 40 | $6K |
| 99051 | <1% | 213 | $5K | |
| 96161 | <1% | 1,410 | $5K | |
| 0071A | <1% | 100 | $4K | |
| 90651 | <1% | 310 | $3K | |
| 0124A | <1% | 58 | $3K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 49 | $2K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 104 | $2K |
| 0081A | <1% | 31 | $2K | |
| 92551 | <1% | 5,864 | $2K | |
| 90716 | <1% | 705 | $1K | |
| 99173 | <1% | 6,599 | $938.68 | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 15 | $858.52 |
| 0082A | <1% | 15 | $845.00 | |
| 90734 | <1% | 122 | $585.44 | |
| 90707 | <1% | 680 | $540.75 | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 17 | $483.84 |
| 90670 | <1% | 2,603 | $422.92 | |
| 90715 | <1% | 13 | $90.28 | |
| 90619 | <1% | 12 | $0.02 | |
| G9919 | Screening performed and positive and provision of recommendations | 0% | 126 | $0.00 |
| 90681 | 0% | 495 | $0.00 | |
| 90633 | 0% | 691 | $0.00 | |
| G9920 | Screening performed and negative | 0% | 78 | $0.00 |
| 1003F | 0% | 13 | $0.00 | |
| 91308 | 0% | 76 | $0.00 | |
| 90685 | 0% | 47 | $0.00 | |
| 91300 | 0% | 57 | $0.00 | |
| 90700 | 0% | 13 | $0.00 | |
| 90723 | 0% | 1,520 | $0.00 | |
| 90647 | 0% | 1,541 | $0.00 | |
| 91305 | 0% | 33 | $0.00 | |
| 91307 | 0% | 190 | $0.00 | |
| 90696 | 0% | 31 | $0.00 | |
| 90688 | 0% | 35 | $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 officialFREDERICK, CHRISTOPHER (CFO)
| Provider | Location | Paid |
|---|---|---|
| Private Diagnostic Clinic, PLLC | Durham, NC | $46.44M |
| Private Diagnostic Clinic, PLLC | Durham, NC | $3.21M |
| Private Diagnostic Clinic, PLLC | Durham, NC | $2.94M |
| Private Diagnostic Clinic, PLLC | Durham, NC | $846K |
| Private Diagnostic Clinic, PLLC | Fayetteville, NC | $832K |
| Private Diagnostic Clinic, PLLC | Durham, NC | $706K |
| Private Diagnostic Clinic, PLLC | Durham, NC | $704K |
| Private Diagnostic Clinic, PLLC | Greensboro, NC | $669K |
| Private Diagnostic Clinic, PLLC | Raleigh, NC | $425K |
| Private Diagnostic Clinic, PLLC | Durham, NC | $262K |
| Private Diagnostic Clinic, PLLC | Raleigh, NC | $232K |
| Private Diagnostic Clinic, PLLC | Lumberton, NC | $216K |
| Private Diagnostic Clinic, PLLC | Burlington, NC | $170K |
| Private Diagnostic Clinic, PLLC | Raleigh, NC | $148K |
| Private Diagnostic Clinic, PLLC | Raleigh, NC | $87K |
| Private Diagnostic Clinic, PLLC | Durham, NC | $78K |
| Private Diagnostic Clinic, PLLC | Durham, NC | $73K |
| Private Diagnostic Clinic, PLLC | Laurinburg, NC | $72K |
| Private Diagnostic Clinic, PLLC | Raleigh, NC | $52K |
| Private Diagnostic Clinic, PLLC | Durham, NC | $48K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.