Medicaid Provider Spending

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

DUKE UNIVERSITY AFFILIATED PHYSICIANS, INC.

NPI: 1225073554 · DURHAM, NC 27705 · Family Medicine Physician · NPI assigned 06/19/2006

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

Authorized official ROBERTS, JENNIFER controls 20+ related entities in our dataset. Read more

$5.14M
Total Medicaid Paid
435,877
Total Claims
265,116
Beneficiaries
45
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialROBERTS, JENNIFER (DIRECTOR FINANCE)
Parent OrganizationDUKE UNIVERSITY AFFILIATED PHYSICIANS, INC.
NPI Enumeration Date06/19/2006

Related Entities

Other providers sharing the same authorized official: ROBERTS, JENNIFER

ProviderCityStateTotal Paid
DUKE UNIVERSITY AFFILIATED PHYSICIANS, INC. DURHAM NC $11.52M
DUKE UNIVERSITY AFFILIATED PHYSICIANS, INC. DURHAM NC $4.62M
DUKE UNIVERSITY AFFILIATED PHYSICIANS, INC. RALEIGH NC $3.08M
DUKE UNIVERSITY AFFILIATED PHYSICIANS, INC. KNIGHTDALE NC $2.51M
DUKE UNIVERSITY AFFILIATED PHYSICIANS, INC. MEBANE NC $1.64M
DUKE UNIVERSITY AFFILIATED PHYSICIANS, INC. CREEDMOOR NC $1.59M
DUKE UNIVERSITY AFFILIATED PHYSICIANS, INC. OXFORD NC $1.48M
DUKE UNIVERSITY AFFILIATED PHYSICIANS, INC. KNIGHTDALE NC $1.30M
DUKE UNIVERSITY AFFILIATED PHYSICIANS, INC. WAKE FOREST NC $1.29M
DUKE UNIVERSITY AFFILIATED PHYSICIAINS, INC. RALEIGH NC $1.13M
DUKE UNIVERSITY AFFILIATED PHYSICIANS, INC. HENDERSON NC $1.11M
DUKE UNIVERSITY AFFILIATED PHYSICIANS, INC. DURHAM NC $1.10M
DUKE UNIVERSITY AFFILIATED PHYSICIANS, INC. HILLSBOROUGH NC $1.03M
DUKE UNIVERSITY AFFILIATED PHYSICIANS, INC. DURHAM NC $903K
DUKE UNIVERSITY AFFILIATED PHYSICIANS, INC. RALEIGH NC $847K
DUKE UNIVERSITY AFFILIATED PHYSICIANS, INC. HILLSBOROUGH NC $838K
DUKE UNIVERSITY AFFILIATED PHYSICIANS, INC. MORRISVILLE NC $670K
DUKE UNIVERSITY AFFILIATED PHYSICIANS, INC. DURHAM NC $652K
DUKE UNIVERSITY AFFILIATED PHYSICIAN, INC. RALEIGH NC $469K
JENNIFER D. ROBERTS DO LLC PORTSMOUTH OH $466K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,555 $57K
2019 2,118 $85K
2020 7,333 $158K
2021 42,149 $662K
2022 90,513 $886K
2023 128,264 $1.37M
2024 163,945 $1.93M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99199 Unlisted special service, procedure or report 327,123 170,708 $1.88M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 16,168 13,929 $1.04M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 17,640 15,438 $1.03M
90460 Immunization administration through 18 years of age via any route, first or only component 6,712 5,849 $248K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 12,046 10,364 $183K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,978 1,811 $175K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,941 1,691 $165K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 2,982 2,199 $82K
96110 Developmental screening, with scoring and documentation, per standardized instrument 8,508 7,533 $74K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 4,596 3,871 $73K
96127 14,857 13,060 $55K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 340 320 $30K
90472 Immunization administration, each additional vaccine (list separately) 845 713 $27K
D0145 Oral evaluation for a patient under three years of age 632 594 $22K
D1206 Topical application of fluoride varnish 696 646 $10K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 325 238 $6K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 103 97 $6K
90686 3,316 2,783 $4K
36415 Collection of venous blood by venipuncture 2,066 1,782 $3K
99383 29 25 $3K
92551 3,627 3,176 $3K
0002A 88 58 $2K
90837 Psychotherapy, 53 minutes with patient 27 14 $2K
96161 562 515 $2K
90670 499 412 $2K
0031A 68 64 $2K
90656 895 838 $1K
0001A 46 31 $1K
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) 2,392 2,197 $1K
99173 3,289 2,871 $1K
0011A 27 27 $1K
99442 23 17 $700.97
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 111 49 $608.44
0012A 13 13 $520.00
90474 17 15 $288.02
90680 106 94 $285.63
99441 14 13 $266.52
90480 27 25 $260.00
85025 Blood count; complete (CBC), automated, and automated differential WBC count 42 39 $225.34
90723 269 226 $180.00
99177 218 199 $133.11
90647 218 201 $0.01
90633 39 39 $0.00
90677 317 295 $0.00
91303 40 37 $0.00