Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Private Diagnostic Clinic, PLLC

Private Diagnostic Clinic, PLLC was paid $706K by Medicaid between Jan 2018 and Jul 2024, across 17 billing codes. Its largest line is 99199, Unlisted special service, procedure or report — 44% of everything it billed.

33Billing provider infoPRIVATE DIAGNOSTIC CLINIC, PLLC
DURHAM, NC 27710
33aNPI1295881712assigned 01/26/2007
28Total paid$706K
24GClaims61,143
24DCodes billed17
24AFirst – last monthJan 2018 – Jul 2024
Compared with peers

Next to other Obstetrics & Gynecology Physician providers in North Carolina

Rank by total paid#27 of 189
Median peer was paid$47K
This provider vs. median15×

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

Paid by month

$0$10K$20K$30K2018201920202021202220232024
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
20181,500$62K
20191,459$68K
20201,301$57K
20218,353$134K
202221,751$196K
202322,923$169K
2024incomplete3,856$20K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99199 Unlisted special service, procedure or report 44% 52,637 27,726 $310K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 24% 4,464 3,765 $172K
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 24% 2,969 2,442 $171K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2.3% 249 203 $16K
99244 Office or other outpatient consultation, moderate to high complexity 1.4% 96 82 $10K
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 1.3% 131 110 $9K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 81 63 $5K
99385 <1% 66 37 $4K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 62 46 $2K
99205 Prolong outpt/office vis <1% 17 15 $2K
76830 Ultrasound, transvaginal <1% 211 191 $1K
58300 <1% 33 28 $1K
5 more codes
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 34 $1K
99238 Hospital discharge day management, 30 minutes or less <1% 17 $1K
99242 <1% 14 $871.76
51798 <1% 45 $460.89
81025 <1% 17 $93.40

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 officialFREDERICK, CHRISTOPHER (CFO)
Same official

Other billing entities under FREDERICK, CHRISTOPHER

Full network →

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