Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NC › Durham › NPI 1205553369
Physician

Duke Health Integrated Practice, INC.

Duke Health Integrated Practice, INC. was paid $36.72M by Medicaid between Jul 2023 and Dec 2024, across 379 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 18% of everything it billed.

33Billing provider infoDUKE HEALTH INTEGRATED PRACTICE, INC.
DURHAM, NC 27710
33aNPI1205553369assigned 10/20/2022
33bProvider typeGeneral Practice Physician
28Total paid$36.72M
24GClaims1,834,074
24DCodes billed379
24AFirst – last monthJul 2023 – Dec 2024
Compared with peers

Next to other General Practice Physician providers in North Carolina

Rank by total paid#1 of 51
Median peer was paid$205K
This provider vs. median179×

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 SMITH, JOHN controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$1.0M$2.0M$3.0M2018201920202021202220232024
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
2023444,477$10.90M
2024incomplete1,389,597$25.81M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 18% 100,730 90,666 $6.59M
99199 Unlisted special service, procedure or report 17% 982,876 455,524 $6.19M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6.8% 45,937 41,701 $2.49M
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 5.8% 27,356 24,293 $2.15M
90460 Immunization administration through 18 years of age via any route, first or only component 3.4% 30,789 29,363 $1.25M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 3.0% 12,756 11,313 $1.09M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2.6% 10,564 10,108 $958K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 2.6% 17,597 5,551 $940K
T1017 Case management, billed per 15 minutesTargeted case management, each 15 minutes 2.3% 4,441 2,994 $857K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2.3% 9,000 8,663 $837K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 1.6% 7,133 6,394 $598K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1.6% 6,042 5,826 $594K
367 more codes
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1.6% 6,594 $593K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1.5% 10,733 $567K
99472 Subsequent inpatient pediatric critical care, per day, 2-5 years 1.4% 2,186 $518K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 1.3% 3,409 $484K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 1.3% 6,220 $464K
99232 Hospital visit by a doctor, follow-up day 1.2% 13,262 $429K
99479 Subsequent intensive care, per day, very low birth weight infant <1% 3,726 $336K
74177 Computed tomography, abdomen and pelvis; with contrast material <1% 8,598 $336K
95720 <1% 2,986 $331K
99244 Office or other outpatient consultation, moderate to high complexity <1% 2,143 $272K
99204 Doctor's office visit, new patient (more involved) <1% 2,732 $264K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 7,458 $253K
71045 Radiologic examination, chest; single view <1% 49,416 $238K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 55,310 $224K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 21,382 $201K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 2,984 $191K
70450 Computed tomography, head or brain; without contrast material <1% 7,821 $171K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 6,273 $170K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 4,355 $167K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 2,775 $166K
99480 Subsequent intensive care, per day, low birth weight infant <1% 1,941 $158K
93320 <1% 6,741 $156K
96127 <1% 34,356 $153K
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger <1% 507 $149K
97802 <1% 1,804 $145K
92060 <1% 5,235 $144K
90837 Psychotherapy session, about an hour <1% 1,756 $143K
99460 <1% 1,865 $138K
01967 Neuraxial labor analgesia/anesthesia for planned vaginal delivery <1% 905 $133K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 1,611 $131K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel <1% 1,191 $130K
71046 Radiologic examination, chest; 2 views <1% 20,336 $126K
88307 <1% 2,541 $120K
99417 Prolong home eval add 15m <1% 800 $119K
99205 Prolong outpt/office vis <1% 932 $117K
99238 Hospital discharge day management, 30 minutes or less <1% 2,037 $115K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 2,337 $110K
99243 <1% 1,352 $106K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 5,393 $92K
70551 Magnetic resonance imaging, brain; without contrast material <1% 1,941 $86K
59025 Fetal non-stress test <1% 5,229 $84K
93325 <1% 7,518 $83K
71275 Computed tomographic angiography, chest, with contrast material <1% 1,729 $83K
D0145 Oral evaluation for a patient under three years of age <1% 2,325 $81K
99223 Prolong inpt eval add15 m <1% 753 $78K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits <1% 2,181 $77K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient <1% 2,749 $77K
97803 <1% 1,339 $74K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder <1% 1,361 $73K
99283 Emergency room visit (moderate) <1% 1,488 $67K
95004 Percutaneous tests with allergenic extracts, immediate type reaction <1% 1,006 $66K
S0621 Routine ophthalmological examination including refraction; established patient <1% 1,205 $58K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient <1% 971 $55K
93000 <1% 4,009 $53K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 1,867 $51K
74018 <1% 9,056 $48K
99245 <1% 303 $48K
76770 <1% 1,927 $47K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 2,393 $46K
99203 Doctor's office visit, new patient (routine) <1% 1,018 $44K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 403 $44K
90472 Immunization administration, each additional vaccine (list separately) <1% 1,527 $44K
76819 Fetal biophysical profile; without non-stress testing <1% 886 $43K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 2,070 $41K
83020 <1% 3,930 $40K
95941 <1% 111 $38K
99462 <1% 1,138 $37K
D1206 Topical application of fluoride varnish <1% 2,412 $37K
74019 <1% 4,962 $36K
99255 <1% 257 $35K
01922 <1% 387 $35K
0240U <1% 277 $35K
99222 Initial hospital care, per day, moderate complexity <1% 455 $34K
88189 <1% 576 $33K
99239 Hospital discharge day management, more than 30 minutes <1% 434 $33K
76506 <1% 1,449 $32K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 799 $31K
77067 Screening mammography, bilateral, including computer-aided detection <1% 1,860 $30K
90791 Psychiatric diagnostic evaluation <1% 278 $29K
00170 Anesthesia for intraoral procedures, including biopsy <1% 252 $28K
67028 Intravitreal injection of a pharmacologic agent <1% 545 $27K
77063 Screening digital breast tomosynthesis, bilateral <1% 1,846 $26K
S0620 Routine ophthalmological examination including refraction; new patient <1% 416 $26K
92134 <1% 3,074 $26K
99499 <1% 148 $25K
92133 <1% 1,554 $24K
71250 <1% 955 $23K
94375 <1% 2,655 $23K
94010 <1% 1,505 $22K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) <1% 21,094 $21K
99221 <1% 343 $20K
76377 <1% 1,016 $20K
95724 <1% 90 $19K
95718 <1% 237 $18K
92250 <1% 1,254 $18K
72125 Computed tomography, cervical spine; without contrast material <1% 628 $18K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 883 $17K
76376 <1% 3,900 $17K
92083 <1% 724 $17K
84165 <1% 2,656 $17K
96113 <1% 83 $17K
96112 <1% 166 $16K
76830 Ultrasound, transvaginal <1% 322 $16K
95722 <1% 134 $16K
99254 <1% 120 $15K
73630 <1% 1,963 $15K
88141 <1% 1,195 $15K
88291 <1% 1,075 $15K
86334 <1% 2,156 $14K
94729 <1% 1,917 $14K
88112 <1% 581 $14K
88342 <1% 545 $13K
99478 <1% 131 $13K
85390 <1% 1,566 $13K
95251 <1% 533 $13K
00731 <1% 356 $12K
96040 <1% 320 $11K
93296 <1% 1,079 $11K
99173 <1% 28,459 $10K
90870 <1% 169 $10K
73610 <1% 1,227 $10K
78815 Positron emission tomography (PET) for limited area imaging <1% 180 $10K
72082 <1% 689 $9K
S0281 Medical home program, comprehensive care coordination and planning, maintenance of plan <1% 72 $9K
36415 Collection of venous blood by venipuncture <1% 5,561 $9K
94726 <1% 634 $9K
00140 <1% 121 $9K
90966 <1% 234 $9K
95939 <1% 128 $8K
93295 <1% 423 $8K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 77 $8K
83036 Hemoglobin; glycosylated (A1C) <1% 1,224 $8K
96133 <1% 85 $8K
99384 <1% 68 $8K
86077 <1% 320 $7K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 1,203 $7K
92567 <1% 1,030 $7K
90656 <1% 6,495 $7K
90480 <1% 1,159 $7K
99157 <1% 90 $7K
54161 <1% 25 $7K
90715 <1% 365 $7K
90677 <1% 2,048 $7K
90961 <1% 264 $7K
99459 <1% 629 $6K
81229 <1% 251 $6K
96161 <1% 1,755 $6K
99051 <1% 263 $6K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 189 $6K
76820 <1% 402 $6K
76801 <1% 162 $6K
90935 Hemodialysis procedure with single evaluation by a physician <1% 358 $6K
70496 <1% 120 $5K
90834 Psychotherapy session, about 45 minutes <1% 77 $5K
59425 <1% 28 $5K
96132 <1% 85 $5K
76512 <1% 147 $5K
70498 <1% 127 $5K
90651 <1% 1,995 $5K
93922 <1% 201 $5K
73030 <1% 745 $5K
94618 <1% 540 $5K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 227 $5K
95861 <1% 112 $4K
90686 <1% 8,313 $4K
73502 <1% 466 $4K
73560 <1% 769 $4K
31575 <1% 112 $4K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient <1% 226 $4K
64642 <1% 76 $4K
87634 <1% 140 $4K
S0280 Medical home program, comprehensive care coordination and planning, initial plan <1% 80 $4K
85060 <1% 382 $4K
81003 <1% 1,829 $4K
64483 <1% 40 $4K
97750 <1% 244 $4K
73562 <1% 369 $3K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials <1% 12 $3K
99242 <1% 65 $3K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 221 $3K
17110 <1% 45 $3K
92015 Determination of refractive state <1% 543 $3K
73110 <1% 284 $3K
95117 <1% 470 $3K
93294 <1% 228 $3K
99401 <1% 128 $3K
99152 <1% 725 $3K
74183 <1% 51 $3K
92551 <1% 19,564 $3K
76642 <1% 156 $3K
20611 <1% 106 $3K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 125 $3K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 125 $3K
73130 <1% 413 $3K
42820 Tonsillectomy and adenoidectomy; younger than age 12 <1% 14 $3K
11721 <1% 509 $3K
54150 <1% 30 $3K
77080 <1% 536 $3K
93356 <1% 2,966 $3K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia <1% 16 $3K
95938 <1% 137 $2K
95782 <1% 26 $2K
80061 Lipid panel <1% 438 $2K
93971 <1% 193 $2K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 62 $2K
20610 <1% 90 $2K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 92 $2K
99292 <1% 44 $2K
D0160 <1% 50 $2K
99253 <1% 28 $2K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 166 $2K
96131 <1% 13 $2K
87806 <1% 83 $2K
94200 <1% 243 $2K
81001 <1% 846 $2K
93505 <1% 21 $2K
72170 <1% 329 $2K
88304 <1% 301 $2K
00732 <1% 27 $2K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 68 $2K
73590 <1% 345 $2K
00811 <1% 54 $2K
93975 <1% 33 $2K
73140 <1% 157 $2K
95811 <1% 12 $1K
31579 <1% 13 $1K
96130 <1% 13 $1K
80076 <1% 240 $1K
90832 Psychotherapy session, about 30 minutes <1% 34 $1K
31231 <1% 14 $1K
D8670 Periodic orthodontic treatment visit <1% 14 $1K
64643 <1% 27 $1K
73080 <1% 92 $1K
88346 <1% 50 $1K
93227 <1% 75 $1K
77072 <1% 105 $1K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 13 $1K
76825 <1% 12 $987.31
94060 <1% 31 $986.70
88341 <1% 82 $970.96
95886 <1% 30 $943.73
74178 <1% 27 $936.24
95874 <1% 169 $935.43
91322 <1% 26 $935.20
00104 <1% 31 $920.20
93298 <1% 96 $909.58
64484 <1% 18 $907.83
84166 <1% 122 $901.06
51798 <1% 95 $891.54
82565 <1% 261 $885.12
94664 <1% 107 $871.58
80053 Comprehensive metabolic panel <1% 333 $868.14
96116 <1% 18 $851.71
93970 <1% 69 $841.90
73090 <1% 100 $835.62
72100 <1% 104 $835.33
85652 <1% 493 $831.86
83655 <1% 60 $824.75
73700 <1% 18 $779.60
84443 Thyroid stimulating hormone (TSH) <1% 189 $778.89
92557 <1% 50 $771.70
70486 <1% 27 $770.37
90678 <1% 12 $745.85
98940 <1% 119 $743.22
73552 <1% 147 $735.18
93793 <1% 548 $705.11
78306 <1% 49 $703.35
76536 <1% 51 $702.07
94727 <1% 257 $694.69
00142 <1% 35 $688.10
92579 <1% 74 $679.35
90620 <1% 84 $676.27
99442 <1% 13 $644.09
83718 <1% 67 $636.30
90734 <1% 1,009 $636.07
73600 <1% 82 $626.17
99252 <1% 14 $605.60
99381 <1% 12 $537.95
90716 <1% 648 $530.52
90661 <1% 363 $489.75
87210 <1% 128 $481.85
82043 <1% 219 $475.99
72141 <1% 12 $475.10
90474 <1% 28 $470.35
97535 Self-care/home management training, each 15 minutes <1% 47 $443.67
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 161 $440.06
77073 <1% 39 $429.67
82570 <1% 219 $424.24
88173 <1% 15 $401.92
00812 <1% 17 $397.88
96137 <1% 13 $356.87
96136 <1% 13 $351.04
85097 <1% 12 $340.83
76827 <1% 12 $340.36
82465 <1% 67 $337.68
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 26 $324.99
99100 <1% 40 $314.10
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 13 $271.36
76140 <1% 14 $270.48
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 13 $270.20
88302 <1% 48 $257.25
99406 <1% 56 $255.06
77066 Tomosynthesis, mammo <1% 12 $246.33
72110 <1% 17 $234.92
97165 <1% 15 $233.78
95816 <1% 12 $222.50
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 18 $214.89
88311 <1% 41 $198.14
81025 <1% 26 $187.20
88161 <1% 12 $177.30
90619 <1% 270 $171.41
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 15 $169.56
82607 <1% 15 $167.31
77001 <1% 35 $166.39
71271 <1% 13 $161.52
92582 <1% 14 $160.37
76937 <1% 30 $141.74
80048 Basic metabolic panel (calcium, ionized) <1% 30 $133.37
92504 <1% 20 $129.75
84460 <1% 40 $124.07
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 12 $122.16
82962 <1% 66 $119.10
84450 <1% 39 $114.66
88313 <1% 16 $114.59
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg <1% 39 $96.41
99441 <1% 12 $84.76
36512 <1% 17 $83.32
99451 <1% 17 $80.84
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml <1% 179 $76.65
86335 <1% 12 $66.61
82950 <1% 13 $48.62
82040 <1% 12 $42.77
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 128 $36.18
90674 <1% 410 $30.23
92202 <1% 25 $28.01
90672 <1% 56 $24.46
96160 <1% 14 $18.70
G0452 Molecular pathology procedure; physician interpretation and report <1% 18 $18.22
99490 Ccm add 20min <1% 12 $11.96
94799 <1% 186 $11.32
G2066 Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results <1% 12 $9.66
82948 <1% 14 $7.82
J7050 Infusion, normal saline solution, 250 cc <1% 42 $4.28
J2003 Injection, lidocaine hydrochloride, 1 mg <1% 29 $2.29
1003F 0% 4,118 $0.00
G9919 Screening performed and positive and provision of recommendations 0% 716 $0.00
90633 0% 556 $0.00
90707 0% 674 $0.00
G9920 Screening performed and negative 0% 1,362 $0.00
90681 0% 147 $0.00
90670 0% 776 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 0% 56 $0.00
G0444 Annual depression screening, 5 to 15 minutes 0% 12 $0.00
90700 0% 25 $0.00
0501F 0% 376 $0.00
90723 0% 1,437 $0.00
99000 0% 976 $0.00
90696 0% 58 $0.00
90647 0% 1,159 $0.00
90698 0% 73 $0.00
90680 0% 286 $0.00
0503F 0% 204 $0.00
94760 0% 85 $0.00
90660 0% 14 $0.00
0500F 0% 46 $0.00
90744 0% 14 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 0% 16 $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 officialSMITH, JOHN (VP FINANCE)
Same official

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