Medicaid Provider Spending

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

DUKE HEALTH INTEGRATED PRACTICE, INC.

NPI: 1205553369 · DURHAM, NC 27710 · General Practice Physician · NPI assigned 10/20/2022

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

Authorized official SMITH, JOHN controls 20+ related entities in our dataset. Read more

$36.72M
Total Medicaid Paid
1,834,074
Total Claims
1,170,753
Beneficiaries
379
Codes Billed
2023-07
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSMITH, JOHN (VP FINANCE)
NPI Enumeration Date10/20/2022

Related Entities

Other providers sharing the same authorized official: SMITH, JOHN

ProviderCityStateTotal Paid
PRESTIGE HEALTHCARE RESOURCES INC. BLADENSBURG MD $55.74M
DUKE UNIVERSITY HEALTH SYSTEM, INC. DURHAM NC $44.35M
DUKE UNIVERSITY HEALTH SYSTEM, INC. DURHAM NC $11.62M
PROACT DENTAL, INC. BIRMINGHAM AL $9.47M
DUKE UNIVERSITY HEALTH SYSTEM, INC. DURHAM NC $8.33M
DUKE UNIVERSITY HEALTH SYSTEM INC RALEIGH NC $7.84M
DUKE UNIVERSITY HEALTH SYSTEM, INC. DURHAM NC $7.61M
WISHON RADIOLOGICAL MEDICAL GROUP, INC. FRESNO CA $5.11M
DUKE UNIVERSITY HEALTH SYSTEM, INC. DURHAM NC $5.01M
DUKE UNIVERSITY HEALTH SYSTEM, INC. RALEIGH NC $4.15M
LIGHTHOUSE SYSTEMS, LLC PHARR TX $3.54M
DUKE UNIVERSITY HEALTH SYSTEM, INC. DURHAM NC $1.59M
GATEWAY MEDICAL GROUP LC OKEECHOBEE FL $447K
TRIANGLE GERIATRIC AND MEMORY CLINIC, PLLC CARY NC $437K
DUKE UNIVERSITY HEALTH SYSTEM, INC. DURHAM NC $289K
DUKE UNIVERSITY HEALTH SYSTEM, INC. DURHAM NC $118K
ASSOCIATED HEALTH SERVICES, INC. DURHAM NC $102K
DUKE HEALTH INTEGRATED PRACTICE, INC. DURHAM NC $64K
DUKE UNIVERSITY HEALTH SYSTEM, INC. DURHAM NC $49K
WOMEN'S IMAGING SPECIALISTS IN HEALTHCARE FRESNO CA $36K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 444,477 $10.90M
2024 1,389,597 $25.81M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 100,730 90,666 $6.59M
99199 Unlisted special service, procedure or report 982,876 455,524 $6.19M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 45,937 41,701 $2.49M
99215 Prolong outpt/office vis 27,356 24,293 $2.15M
90460 Immunization administration through 18 years of age via any route, first or only component 30,789 29,363 $1.25M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 12,756 11,313 $1.09M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 10,564 10,108 $958K
99233 Prolong inpt eval add15 m 17,597 5,551 $940K
T1017 Targeted case management, each 15 minutes 4,441 2,994 $857K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 9,000 8,663 $837K
99284 Emergency department visit for the evaluation and management, high severity 7,133 6,394 $598K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 6,042 5,826 $594K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 6,594 6,094 $593K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 10,733 9,711 $567K
99472 Subsequent inpatient pediatric critical care, per day, 2-5 years 2,186 466 $518K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 3,409 1,246 $484K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 6,220 5,503 $464K
99232 Subsequent hospital care, per day, moderate complexity 13,262 5,274 $429K
99479 Subsequent intensive care, per day, very low birth weight infant 3,726 1,038 $336K
74177 Computed tomography, abdomen and pelvis; with contrast material 8,598 7,902 $336K
95720 2,986 1,359 $331K
99244 Office or other outpatient consultation, moderate to high complexity 2,143 1,985 $272K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2,732 2,460 $264K
88305 Level IV - Surgical pathology, gross and microscopic examination 7,458 6,725 $253K
71045 Radiologic examination, chest; single view 49,416 26,029 $238K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 55,310 44,694 $224K
96110 Developmental screening, with scoring and documentation, per standardized instrument 21,382 20,517 $201K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 2,984 2,784 $191K
70450 Computed tomography, head or brain; without contrast material 7,821 6,740 $171K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 6,273 5,890 $170K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 4,355 3,725 $167K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 2,775 2,627 $166K
99480 Subsequent intensive care, per day, low birth weight infant 1,941 457 $158K
93320 6,741 5,657 $156K
96127 34,356 32,005 $153K
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger 507 151 $149K
97802 1,804 1,557 $145K
92060 5,235 4,166 $144K
90837 Psychotherapy, 53 minutes with patient 1,756 709 $143K
99460 1,865 1,671 $138K
01967 Neuraxial labor analgesia/anesthesia for planned vaginal delivery 905 826 $133K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 1,611 1,493 $131K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 1,191 1,124 $130K
71046 Radiologic examination, chest; 2 views 20,336 18,392 $126K
88307 2,541 2,235 $120K
99417 Prolong home eval add 15m 800 711 $119K
99205 Prolong outpt/office vis 932 842 $117K
99238 Hospital discharge day management, 30 minutes or less 2,037 1,824 $115K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 2,337 2,228 $110K
99243 1,352 1,125 $106K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 5,393 5,127 $92K
70551 Magnetic resonance imaging, brain; without contrast material 1,941 1,747 $86K
59025 Fetal non-stress test 5,229 3,554 $84K
93325 7,518 6,312 $83K
71275 Computed tomographic angiography, chest, with contrast material 1,729 1,612 $83K
D0145 Oral evaluation for a patient under three years of age 2,325 2,265 $81K
99223 Prolong inpt eval add15 m 753 633 $78K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 2,181 1,669 $77K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 2,749 2,339 $77K
97803 1,339 1,180 $74K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 1,361 394 $73K
99283 Emergency department visit for the evaluation and management, moderate severity 1,488 1,319 $67K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 1,006 891 $66K
S0621 Routine ophthalmological examination including refraction; established patient 1,205 976 $58K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 971 796 $55K
93000 4,009 3,758 $53K
71260 Computed tomography, thorax, diagnostic; with contrast material 1,867 1,725 $51K
74018 9,056 6,756 $48K
99245 303 251 $48K
76770 1,927 1,765 $47K
99231 Subsequent hospital care, per day, straightforward or low complexity 2,393 788 $46K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,018 856 $44K
95810 Polysomnography; sleep staging with 4 or more additional parameters 403 373 $44K
90472 Immunization administration, each additional vaccine (list separately) 1,527 1,458 $44K
76819 Fetal biophysical profile; without non-stress testing 886 623 $43K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 2,070 1,728 $41K
83020 3,930 3,243 $40K
95941 111 100 $38K
99462 1,138 866 $37K
D1206 Topical application of fluoride varnish 2,412 2,351 $37K
74019 4,962 2,812 $36K
99255 257 223 $35K
01922 387 326 $35K
0240U 277 267 $35K
99222 Initial hospital care, per day, moderate complexity 455 362 $34K
88189 576 480 $33K
99239 Hospital discharge day management, more than 30 minutes 434 402 $33K
76506 1,449 979 $32K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 799 729 $31K
77067 Screening mammography, bilateral, including computer-aided detection 1,860 1,762 $30K
90791 Psychiatric diagnostic evaluation 278 213 $29K
00170 Anesthesia for intraoral procedures, including biopsy 252 190 $28K
67028 Intravitreal injection of a pharmacologic agent 545 409 $27K
77063 Screening digital breast tomosynthesis, bilateral 1,846 1,750 $26K
S0620 Routine ophthalmological examination including refraction; new patient 416 334 $26K
92134 3,074 2,473 $26K
99499 148 102 $25K
92133 1,554 1,274 $24K
71250 955 908 $23K
94375 2,655 2,448 $23K
94010 1,505 1,392 $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) 21,094 19,296 $21K
99221 343 268 $20K
76377 1,016 904 $20K
95724 90 84 $19K
95718 237 197 $18K
92250 1,254 1,034 $18K
72125 Computed tomography, cervical spine; without contrast material 628 548 $18K
76705 Ultrasound, abdominal, real time with image documentation; limited 883 791 $17K
76376 3,900 3,620 $17K
92083 724 556 $17K
84165 2,656 2,429 $17K
96113 83 78 $17K
96112 166 158 $16K
76830 Ultrasound, transvaginal 322 298 $16K
95722 134 99 $16K
99254 120 115 $15K
73630 1,963 1,554 $15K
88141 1,195 966 $15K
88291 1,075 894 $15K
86334 2,156 1,972 $14K
94729 1,917 1,774 $14K
88112 581 485 $14K
88342 545 485 $13K
99478 131 37 $13K
85390 1,566 1,229 $13K
95251 533 488 $13K
00731 356 326 $12K
96040 320 294 $11K
93296 1,079 1,021 $11K
99173 28,459 27,266 $10K
90870 169 83 $10K
73610 1,227 1,137 $10K
78815 Positron emission tomography (PET) for limited area imaging 180 175 $10K
72082 689 632 $9K
S0281 Medical home program, comprehensive care coordination and planning, maintenance of plan 72 68 $9K
36415 Collection of venous blood by venipuncture 5,561 5,022 $9K
94726 634 582 $9K
00140 121 107 $9K
90966 234 171 $9K
95939 128 119 $8K
93295 423 400 $8K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 77 68 $8K
83036 Hemoglobin; glycosylated (A1C) 1,224 1,128 $8K
96133 85 73 $8K
99384 68 65 $8K
86077 320 285 $7K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1,203 1,136 $7K
92567 1,030 728 $7K
90656 6,495 6,314 $7K
90480 1,159 1,032 $7K
99157 90 85 $7K
54161 25 24 $7K
90715 365 351 $7K
90677 2,048 2,020 $7K
90961 264 203 $7K
99459 629 575 $6K
81229 251 227 $6K
96161 1,755 1,676 $6K
99051 263 242 $6K
74176 Computed tomography, abdomen and pelvis; without contrast material 189 172 $6K
76820 402 238 $6K
76801 162 139 $6K
90935 Hemodialysis procedure with single evaluation by a physician 358 173 $6K
70496 120 111 $5K
90834 Psychotherapy, 45 minutes with patient 77 53 $5K
59425 28 26 $5K
96132 85 73 $5K
76512 147 97 $5K
70498 127 111 $5K
90651 1,995 1,928 $5K
93922 201 189 $5K
73030 745 668 $5K
94618 540 509 $5K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 227 207 $5K
95861 112 101 $4K
90686 8,313 7,677 $4K
73502 466 426 $4K
73560 769 681 $4K
31575 112 102 $4K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 226 170 $4K
64642 76 76 $4K
87634 140 131 $4K
S0280 Medical home program, comprehensive care coordination and planning, initial plan 80 70 $4K
85060 382 290 $4K
81003 1,829 1,608 $4K
64483 40 36 $4K
97750 244 221 $4K
73562 369 327 $3K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 12 12 $3K
99242 65 54 $3K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 221 202 $3K
17110 45 45 $3K
92015 Determination of refractive state 543 433 $3K
73110 284 261 $3K
95117 470 276 $3K
93294 228 217 $3K
99401 128 126 $3K
99152 725 619 $3K
74183 51 50 $3K
92551 19,564 18,653 $3K
76642 156 144 $3K
20611 106 97 $3K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 125 120 $3K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 125 120 $3K
73130 413 371 $3K
42820 Tonsillectomy and adenoidectomy; younger than age 12 14 14 $3K
11721 509 408 $3K
54150 30 29 $3K
77080 536 511 $3K
93356 2,966 2,652 $3K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 16 16 $3K
95938 137 127 $2K
95782 26 26 $2K
80061 Lipid panel 438 422 $2K
93971 193 178 $2K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 62 58 $2K
20610 90 81 $2K
76700 Ultrasound, abdominal, real time with image documentation; complete 92 74 $2K
99292 44 17 $2K
D0160 50 44 $2K
99253 28 24 $2K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 166 86 $2K
96131 13 12 $2K
87806 83 79 $2K
94200 243 215 $2K
81001 846 800 $2K
93505 21 13 $2K
72170 329 310 $2K
88304 301 266 $2K
00732 27 24 $2K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 68 64 $2K
73590 345 290 $2K
00811 54 53 $2K
93975 33 25 $2K
73140 157 150 $2K
95811 12 12 $1K
31579 13 12 $1K
96130 13 12 $1K
80076 240 226 $1K
90832 Psychotherapy, 30 minutes with patient 34 29 $1K
31231 14 12 $1K
D8670 Periodic orthodontic treatment visit 14 12 $1K
64643 27 27 $1K
73080 92 86 $1K
88346 50 42 $1K
93227 75 65 $1K
77072 105 99 $1K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 13 12 $1K
76825 12 12 $987.31
94060 31 24 $986.70
88341 82 67 $970.96
95886 30 30 $943.73
74178 27 25 $936.24
95874 169 149 $935.43
91322 26 15 $935.20
00104 31 25 $920.20
93298 96 96 $909.58
64484 18 12 $907.83
84166 122 116 $901.06
51798 95 84 $891.54
82565 261 247 $885.12
94664 107 86 $871.58
80053 Comprehensive metabolic panel 333 317 $868.14
96116 18 15 $851.71
93970 69 44 $841.90
73090 100 89 $835.62
72100 104 94 $835.33
85652 493 467 $831.86
83655 60 57 $824.75
73700 18 15 $779.60
84443 Thyroid stimulating hormone (TSH) 189 181 $778.89
92557 50 36 $771.70
70486 27 25 $770.37
90678 12 12 $745.85
98940 119 45 $743.22
73552 147 131 $735.18
93793 548 290 $705.11
78306 49 49 $703.35
76536 51 50 $702.07
94727 257 234 $694.69
00142 35 27 $688.10
92579 74 37 $679.35
90620 84 79 $676.27
99442 13 13 $644.09
83718 67 65 $636.30
90734 1,009 967 $636.07
73600 82 55 $626.17
99252 14 12 $605.60
99381 12 12 $537.95
90716 648 629 $530.52
90661 363 343 $489.75
87210 128 120 $481.85
82043 219 213 $475.99
72141 12 12 $475.10
90474 28 25 $470.35
97535 Self-care/home management training, each 15 minutes 47 25 $443.67
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 161 147 $440.06
77073 39 37 $429.67
82570 219 213 $424.24
88173 15 12 $401.92
00812 17 15 $397.88
96137 13 13 $356.87
96136 13 13 $351.04
85097 12 12 $340.83
76827 12 12 $340.36
82465 67 65 $337.68
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 26 12 $324.99
99100 40 25 $314.10
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 13 12 $271.36
76140 14 12 $270.48
72148 Magnetic resonance imaging, lumbar spine; without contrast material 13 12 $270.20
88302 48 40 $257.25
99406 56 54 $255.06
77066 Tomosynthesis, mammo 12 12 $246.33
72110 17 15 $234.92
97165 15 12 $233.78
95816 12 12 $222.50
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 18 13 $214.89
88311 41 37 $198.14
81025 26 25 $187.20
88161 12 12 $177.30
90619 270 254 $171.41
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 15 15 $169.56
82607 15 13 $167.31
77001 35 26 $166.39
71271 13 13 $161.52
92582 14 13 $160.37
76937 30 25 $141.74
80048 Basic metabolic panel (calcium, ionized) 30 29 $133.37
92504 20 12 $129.75
84460 40 39 $124.07
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 12 12 $122.16
82962 66 58 $119.10
84450 39 38 $114.66
88313 16 12 $114.59
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 39 39 $96.41
99441 12 12 $84.76
36512 17 14 $83.32
99451 17 12 $80.84
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 179 167 $76.65
86335 12 12 $66.61
82950 13 12 $48.62
82040 12 12 $42.77
J1100 Injection, dexamethasone sodium phosphate, 1 mg 128 115 $36.18
90674 410 386 $30.23
92202 25 24 $28.01
90672 56 45 $24.46
96160 14 14 $18.70
G0452 Molecular pathology procedure; physician interpretation and report 18 12 $18.22
99490 Ccm add 20min 12 12 $11.96
94799 186 168 $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 12 12 $9.66
82948 14 12 $7.82
J7050 Infusion, normal saline solution, 250 cc 42 39 $4.28
J2003 Injection, lidocaine hydrochloride, 1 mg 29 28 $2.29
1003F 4,118 4,040 $0.00
G9919 Screening performed and positive and provision of recommendations 716 700 $0.00
90633 556 539 $0.00
90707 674 653 $0.00
G9920 Screening performed and negative 1,362 1,328 $0.00
90681 147 142 $0.00
90670 776 715 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 56 40 $0.00
G0444 Annual depression screening, 5 to 15 minutes 12 12 $0.00
90700 25 25 $0.00
0501F 376 340 $0.00
90723 1,437 1,391 $0.00
99000 976 894 $0.00
90696 58 55 $0.00
90647 1,159 1,118 $0.00
90698 73 66 $0.00
90680 286 275 $0.00
0503F 204 184 $0.00
94760 85 80 $0.00
90660 14 14 $0.00
0500F 46 44 $0.00
90744 14 13 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 16 16 $0.00