Medicaid Provider Spending

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

PRIVATE DIAGNOSTIC CLINIC, PLLC

NPI: 1205159316 · DURHAM, NC 27705 · Maternal & Fetal Medicine Physician · NPI assigned 03/03/2010

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

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

$2.94M
Total Medicaid Paid
130,739
Total Claims
88,841
Beneficiaries
36
Codes Billed
2018-01
First Month
2024-08
Last Month

Provider Details

Authorized OfficialFREDERICK, CHRISTOPHER (CFO)
NPI Enumeration Date03/03/2010

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 $4.43M
PRIVATE DIAGNOSTIC CLINIC, PLLC DURHAM NC $3.21M
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 13,225 $391K
2019 14,790 $473K
2020 10,034 $358K
2021 29,473 $699K
2022 34,183 $659K
2023 24,679 $333K
2024 4,355 $24K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 7,717 6,651 $602K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 13,769 10,916 $482K
59025 Fetal non-stress test 20,408 12,671 $349K
99199 Unlisted special service, procedure or report 52,746 30,412 $338K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 9,004 6,923 $189K
59425 439 336 $132K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 176 150 $109K
76801 3,000 2,684 $107K
76819 Fetal biophysical profile; without non-stress testing 2,157 1,161 $96K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,951 1,633 $82K
S0281 Medical home program, comprehensive care coordination and planning, maintenance of plan 804 710 $77K
59426 116 89 $55K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 1,113 1,014 $45K
76820 2,152 1,205 $37K
59400 Routine obstetric care including antepartum care, vaginal delivery, and postpartum care 28 27 $34K
59510 25 24 $30K
90715 800 640 $25K
99232 Subsequent hospital care, per day, moderate complexity 606 315 $23K
76813 492 466 $20K
99233 Prolong inpt eval add15 m 367 157 $19K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,767 1,386 $19K
36415 Collection of venous blood by venipuncture 6,245 5,242 $12K
S0280 Medical home program, comprehensive care coordination and planning, initial plan 326 289 $10K
59514 15 12 $9K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 153 113 $7K
99231 Subsequent hospital care, per day, straightforward or low complexity 286 138 $7K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 186 163 $5K
54150 56 39 $4K
90686 389 282 $4K
96040 168 108 $4K
99243 14 14 $1K
96127 263 229 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 19 13 $234.51
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 31 31 $213.83
0501F 1,542 1,347 $1.35
0503F 1,409 1,251 $0.00