Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NC › DURHAM › PRIVATE DIAGNOSTIC CLINIC, PLLC

PRIVATE DIAGNOSTIC CLINIC, PLLC

NPI: 1295881712 · DURHAM, NC 27710 · Obstetrics & Gynecology Physician · NPI assigned 01/26/2007

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

Authorized official FREDERICK, CHRISTOPHER controls 20+ related entities in our dataset. Read more

$706K
Total Medicaid Paid
61,143
Total Claims
34,815
Beneficiaries
17
Codes Billed
2018-01
First Month
2024-07
Last Month

Provider Details

Authorized OfficialFREDERICK, CHRISTOPHER (CFO)
NPI Enumeration Date01/26/2007

Related Entities

Other providers sharing the same authorized official: FREDERICK, CHRISTOPHER

ProviderCityStateTotal 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 $2.94M
PRIVATE DIAGNOSTIC CLINIC, PLLC DURHAM NC $846K
PRIVATE DIAGNOSTIC CLINIC, PLLC FAYETTEVILLE NC $832K
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,500 $62K
2019 1,459 $68K
2020 1,301 $57K
2021 8,353 $134K
2022 21,751 $196K
2023 22,923 $169K
2024 3,856 $20K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99199 Unlisted special service, procedure or report 52,637 27,726 $310K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,464 3,765 $172K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,969 2,442 $171K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 249 203 $16K
99244 Office or other outpatient consultation, moderate to high complexity 96 82 $10K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 131 110 $9K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 81 63 $5K
99385 66 37 $4K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 62 46 $2K
99205 Prolong outpt/office vis 17 15 $2K
76830 Ultrasound, transvaginal 211 191 $1K
58300 33 28 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 34 25 $1K
99238 Hospital discharge day management, 30 minutes or less 17 16 $1K
99242 14 12 $871.76
51798 45 41 $460.89
81025 17 13 $93.40