Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Private Diagnostic Clinic, PLLC

Private Diagnostic Clinic, PLLC was paid $475K by Medicaid between Jan 2018 and Oct 2023, across 11 billing codes. Its largest line is 93306, Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete — 48% of everything it billed.

33Billing provider infoPRIVATE DIAGNOSTIC CLINIC, PLLC
DURHAM, NC 27705
33aNPI1174823066assigned 10/26/2010
28Total paid$475K
24GClaims48,326
24DCodes billed11
24AFirst – last monthJan 2018 – Oct 2023
Compared with peers

Next to other Cardiovascular Disease Physician providers in North Carolina

Rank by total paid#18 of 109
Median peer was paid$58K
This provider vs. median8.1×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
20187,490$64K
20198,186$81K
20207,822$88K
20219,508$101K
202210,004$90K
20235,316$50K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 48% 4,989 4,622 $227K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 24% 37,488 32,833 $115K
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 23% 2,864 2,609 $109K
99199 Unlisted special service, procedure or report 2.3% 1,819 983 $11K
93296 1.8% 877 826 $9K
93295 <1% 122 110 $3K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis <1% 13 13 $1K
93294 <1% 85 80 $869.15
93000 <1% 43 38 $502.54
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity <1% 14 13 $386.74
99152 <1% 12 12 $68.04

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 →

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