Physician
Private Diagnostic Clinic, PLLC
Private Diagnostic Clinic, PLLC was paid $1.52M by Medicaid between Jan 2018 and Jun 2024, across 78 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 56% of everything it billed.
33Billing provider infoPRIVATE DIAGNOSTIC CLINIC, PLLC
BURLINGTON, NC 27215
BURLINGTON, NC 27215
33aNPI1255672473assigned 03/13/2013
33bProvider typeFamily Medicine Physician
28Total paid$1.52M
24GClaims88,762
24DCodes billed78
24AFirst – last monthJan 2018 – Jun 2024
Compared with peers
Next to other Family Medicine Physician providers in North Carolina
Rank by total paid#88 of 960
Median peer was paid$135K
This provider vs. median11×
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 NEWMAN, PAUL controls 15+ 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 | 7,096 | $130K | |
| 2019 | 7,132 | $170K | |
| 2020 | 6,963 | $179K | |
| 2021 | 17,507 | $358K | |
| 2022 | 29,027 | $433K | |
| 2023 | 19,323 | $242K | |
| 2024incomplete | 1,714 | $10K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 56% | 21,169 | 18,373 | $859K |
| 99199 | Unlisted special service, procedure or report | 13% | 35,816 | 21,512 | $200K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.5% | 2,802 | 2,367 | $84K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 4.5% | 721 | 258 | $69K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 3.7% | 502 | 457 | $57K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.5% | 666 | 586 | $38K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.0% | 726 | 611 | $30K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.5% | 194 | 156 | $23K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 1.1% | 462 | 413 | $16K |
| 59025 | Fetal non-stress test | 1.1% | 793 | 510 | $16K |
| 11721 | <1% | 2,094 | 1,730 | $14K | |
| 0240U | <1% | 108 | 90 | $11K |
66 more codes
| 36415 | Collection of venous blood by venipuncture | <1% | 9,030 | $10K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 629 | $10K |
| 64483 | <1% | 66 | $6K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 207 | $6K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 518 | $6K |
| 99051 | <1% | 208 | $5K | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 247 | $5K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 247 | $4K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,019 | $4K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 216 | $4K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 150 | $3K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 41 | $3K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 771 | $3K |
| 81001 | <1% | 1,965 | $3K | |
| 80061 | Lipid panel | <1% | 966 | $3K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 1,282 | $3K |
| 87806 | <1% | 132 | $3K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 65 | $2K |
| 95886 | <1% | 57 | $2K | |
| 73630 | <1% | 112 | $2K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 27 | $1K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 63 | $1K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 163 | $1K |
| 94375 | <1% | 99 | $812.32 | |
| 11056 | <1% | 57 | $783.03 | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 18 | $766.85 |
| 71046 | Radiologic examination, chest; 2 views | <1% | 113 | $748.68 |
| 94010 | <1% | 109 | $741.40 | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 281 | $724.17 |
| 99218 | <1% | 13 | $617.10 | |
| S0280 | Medical home program, comprehensive care coordination and planning, initial plan | <1% | 14 | $600.00 |
| 94729 | <1% | 75 | $560.83 | |
| 82043 | <1% | 316 | $544.66 | |
| 84460 | <1% | 194 | $499.05 | |
| 80053 | Comprehensive metabolic panel | <1% | 922 | $497.84 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 15 | $495.69 |
| 90674 | <1% | 181 | $452.28 | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 135 | $425.82 |
| 84450 | <1% | 194 | $419.65 | |
| 93000 | <1% | 57 | $398.45 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 156 | $385.85 |
| 85652 | <1% | 285 | $384.37 | |
| 82565 | <1% | 169 | $382.57 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 27 | $363.99 |
| 97597 | <1% | 32 | $341.24 | |
| 94727 | <1% | 63 | $332.80 | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 20 | $304.83 |
| 95251 | <1% | 18 | $302.87 | |
| 99225 | <1% | 19 | $280.91 | |
| 82607 | <1% | 25 | $232.42 | |
| 87210 | <1% | 62 | $226.42 | |
| 90686 | <1% | 66 | $198.50 | |
| 82570 | <1% | 112 | $165.41 | |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 29 | $139.51 |
| Q9966 | Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml | <1% | 194 | $129.41 |
| 80076 | <1% | 14 | $79.81 | |
| 82040 | <1% | 33 | $73.81 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 107 | $35.55 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 81 | $0.00 |
| A4215 | Needle, sterile, any size, each | 0% | 12 | $0.00 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 0% | 31 | $0.00 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 15 | $0.00 |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 96 | $0.00 |
| 82248 | 0% | 13 | $0.00 | |
| 99401 | 0% | 28 | $0.00 | |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 0% | 28 | $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 officialNEWMAN, PAUL (EXECUTIVE DIRECTOR, PDC)
| Provider | Location | Paid |
|---|---|---|
| Private Diagnostic Clinic, PLLC | Durham, NC | $17.42M |
| Private Diagnostic Clinic, PLLC | Elon, NC | $4.46M |
| Private Diagnostic Clinic, PLLC | Durham, NC | $4.31M |
| Private Diagnostic Clinic, PLLC | Durham, NC | $679K |
| Private Diagnostic Clinic, PLLC | Durham, NC | $475K |
| Private Diagnostic Clinic, PLLC | Mebane, NC | $121K |
| Private Diagnostic Clinic, PLLC | Cary, NC | $88K |
| Private Diagnostic Clinic, PLLC | Durham, NC | $78K |
| Newman Medical Group PC | Largo, MD | $46K |
| Private Diagnostic Clinic, PLLC | Raleigh, NC | $39K |
| North Point Marriage and Family LLC | Tremonton, UT | $20K |
| Saludicity LLC | Glenn Dale, MD | $8K |
| Private Diagnostic Clinic, PLLC | Durham, NC | $5K |
| Private Diagnostic Clinic, PLLC | Durham, NC | $2K |
| Private Diagnostic Clinic, PLLC | Durham, NC | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.