Medicaid Provider Spending

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

PRIVATE DIAGNOSTIC CLINIC, PLLC

NPI: 1083930671 · DURHAM, NC 27704 · Pediatrics Physician · NPI assigned 04/08/2010

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

Authorized official FREDERICK, CHRISTOPHER controls 20+ related entities in our dataset. Read more

$4.43M
Total Medicaid Paid
204,965
Total Claims
146,869
Beneficiaries
59
Codes Billed
2018-01
First Month
2024-05
Last Month

Provider Details

Authorized OfficialFREDERICK, CHRISTOPHER (CFO)
NPI Enumeration Date04/08/2010

Related Entities

Other providers sharing the same authorized official: FREDERICK, CHRISTOPHER

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 1,575 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 15,050 13,209 $1.23M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12,039 10,824 $709K
99199 Unlisted special service, procedure or report 97,290 52,979 $564K
90460 Immunization administration through 18 years of age via any route, first or only component 12,658 11,052 $480K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 4,043 3,600 $344K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3,483 3,125 $302K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,490 2,118 $211K
D0145 Oral evaluation for a patient under three years of age 2,218 1,956 $70K
96110 Developmental screening, with scoring and documentation, per standardized instrument 7,446 6,667 $68K
99215 Prolong outpt/office vis 681 557 $65K
T1017 Targeted case management, each 15 minutes 234 233 $53K
99233 Prolong inpt eval add15 m 554 161 $40K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,534 2,181 $39K
99443 598 471 $35K
99442 822 715 $34K
D1206 Topical application of fluoride varnish 2,261 1,994 $31K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 251 211 $23K
96127 5,897 5,035 $22K
J1050 Injection, medroxyprogesterone acetate, 1 mg 576 413 $21K
90686 8,362 7,173 $15K
99441 398 349 $10K
0072A 205 141 $9K
99239 Hospital discharge day management, more than 30 minutes 112 104 $9K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 857 594 $9K
99223 Prolong inpt eval add15 m 40 33 $6K
99051 213 199 $5K
96161 1,410 1,283 $5K
0071A 100 66 $4K
90651 310 256 $3K
0124A 58 39 $3K
99232 Subsequent hospital care, per day, moderate complexity 49 20 $2K
90472 Immunization administration, each additional vaccine (list separately) 104 92 $2K
0081A 31 28 $2K
92551 5,864 5,094 $2K
90716 705 605 $1K
99173 6,599 5,769 $938.68
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 15 13 $858.52
0082A 15 14 $845.00
90734 122 94 $585.44
90707 680 583 $540.75
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 17 15 $483.84
90670 2,603 2,360 $422.92
90715 13 12 $90.28
90619 12 12 $0.02
G9919 Screening performed and positive and provision of recommendations 126 120 $0.00
90681 495 448 $0.00
90633 691 622 $0.00
G9920 Screening performed and negative 78 68 $0.00
1003F 13 13 $0.00
91308 76 68 $0.00
90685 47 47 $0.00
91300 57 44 $0.00
90700 13 13 $0.00
90723 1,520 1,378 $0.00
90647 1,541 1,377 $0.00
91305 33 25 $0.00
91307 190 137 $0.00
90696 31 26 $0.00
90688 35 34 $0.00