Physician
Private Diagnostic Clinic, PLLC
Private Diagnostic Clinic, PLLC was paid $2.94M by Medicaid between Jan 2018 and Aug 2024, across 36 billing codes. Its largest line is 76811, Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed — 20% of everything it billed.
33Billing provider infoPRIVATE DIAGNOSTIC CLINIC, PLLC
DURHAM, NC 27705
DURHAM, NC 27705
33aNPI1205159316assigned 03/03/2010
33bProvider typeMaternal & Fetal Medicine Physician
28Total paid$2.94M
24GClaims130,739
24DCodes billed36
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers
Next to other Maternal & Fetal Medicine Physician providers in North Carolina
Rank by total paid#4 of 24
Median peer was paid$280K
This provider vs. median10×
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 | 13,225 | $391K | |
| 2019 | 14,790 | $473K | |
| 2020 | 10,034 | $358K | |
| 2021 | 29,473 | $699K | |
| 2022 | 34,183 | $659K | |
| 2023 | 24,679 | $333K | |
| 2024incomplete | 4,355 | $24K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 20% | 7,717 | 6,651 | $602K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 16% | 13,769 | 10,916 | $482K |
| 59025 | Fetal non-stress test | 12% | 20,408 | 12,671 | $349K |
| 99199 | Unlisted special service, procedure or report | 12% | 52,746 | 30,412 | $338K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 6.4% | 9,004 | 6,923 | $189K |
| 59425 | 4.5% | 439 | 336 | $132K | |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 3.7% | 176 | 150 | $109K |
| 76801 | 3.6% | 3,000 | 2,684 | $107K | |
| 76819 | Fetal biophysical profile; without non-stress testing | 3.3% | 2,157 | 1,161 | $96K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.8% | 1,951 | 1,633 | $82K |
| S0281 | Medical home program, comprehensive care coordination and planning, maintenance of plan | 2.6% | 804 | 710 | $77K |
| 59426 | 1.9% | 116 | 89 | $55K |
24 more codes
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 1.5% | 1,113 | $45K |
| 76820 | 1.3% | 2,152 | $37K | |
| 59400 | Routine obstetric care including antepartum care, vaginal delivery, and postpartum care | 1.2% | 28 | $34K |
| 59510 | 1.0% | 25 | $30K | |
| 90715 | <1% | 800 | $25K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 606 | $23K |
| 76813 | <1% | 492 | $20K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 367 | $19K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,767 | $19K |
| 36415 | Collection of venous blood by venipuncture | <1% | 6,245 | $12K |
| S0280 | Medical home program, comprehensive care coordination and planning, initial plan | <1% | 326 | $10K |
| 59514 | <1% | 15 | $9K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 153 | $7K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 286 | $7K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 186 | $5K |
| 54150 | <1% | 56 | $4K | |
| 90686 | <1% | 389 | $4K | |
| 96040 | <1% | 168 | $4K | |
| 99243 | <1% | 14 | $1K | |
| 96127 | <1% | 263 | $1K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 19 | $234.51 |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 31 | $213.83 |
| 0501F | <1% | 1,542 | $1.35 | |
| 0503F | 0% | 1,409 | $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 | $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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.