Physician
Private Diagnostic Clinic, PLLC
Private Diagnostic Clinic, PLLC was paid $29.58M by Medicaid between Jan 2018 and Jun 2024, across 77 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 33% of everything it billed.
33Billing provider infoPRIVATE DIAGNOSTIC CLINIC, PLLC
RALEIGH, NC 27617
RALEIGH, NC 27617
33aNPI1316455728assigned 01/19/2018
33bProvider typeInternal Medicine Physician
28Total paid$29.58M
24GClaims1,383,846
24DCodes billed77
24AFirst – last monthJan 2018 – Jun 2024
Compared with peers
Next to other Internal Medicine Physician providers in North Carolina
Rank by total paid#2 of 616
Median peer was paid$74K
This provider vs. median398×
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
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 | 129,428 | $4.15M | |
| 2019 | 111,504 | $4.62M | |
| 2020 | 94,979 | $4.05M | |
| 2021 | 250,192 | $5.95M | |
| 2022 | 452,506 | $7.17M | |
| 2023 | 307,270 | $3.42M | |
| 2024incomplete | 37,967 | $217K |
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 | 33% | 111,535 | 99,606 | $9.85M |
| 99199 | Unlisted special service, procedure or report | 15% | 762,994 | 423,804 | $4.43M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 58,960 | 53,260 | $3.55M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 7.1% | 50,746 | 46,216 | $2.09M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.7% | 19,736 | 17,983 | $1.70M |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.7% | 19,224 | 17,159 | $1.67M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.4% | 15,455 | 13,864 | $1.29M |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.1% | 12,769 | 11,229 | $1.23M |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.1% | 5,446 | 4,805 | $624K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 1.8% | 8,400 | 7,409 | $543K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 1.6% | 9,080 | 3,256 | $467K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.1% | 35,213 | 32,089 | $334K |
65 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 15,633 | $278K |
| 96127 | <1% | 50,379 | $233K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 7,641 | $218K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 5,667 | $175K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 3,897 | $135K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 5,095 | $100K |
| 99051 | <1% | 2,724 | $65K | |
| D1206 | Topical application of fluoride varnish | <1% | 4,350 | $65K |
| 96112 | <1% | 650 | $63K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 4,059 | $54K |
| 90651 | <1% | 2,341 | $38K | |
| 96111 | <1% | 370 | $37K | |
| 90734 | <1% | 3,475 | $36K | |
| 87634 | <1% | 1,129 | $34K | |
| 90686 | <1% | 24,804 | $29K | |
| 0071A | <1% | 550 | $25K | |
| 87070 | <1% | 2,330 | $23K | |
| 87430 | <1% | 1,543 | $21K | |
| 96161 | <1% | 4,837 | $17K | |
| 99354 | <1% | 224 | $16K | |
| 0072A | <1% | 317 | $15K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 452 | $15K |
| 94010 | <1% | 573 | $12K | |
| 90474 | <1% | 661 | $12K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 1,508 | $12K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 130 | $10K |
| 92551 | <1% | 24,079 | $9K | |
| 99173 | <1% | 52,108 | $9K | |
| 93000 | <1% | 557 | $8K | |
| 83718 | <1% | 499 | $4K | |
| 94060 | <1% | 116 | $3K | |
| 96160 | <1% | 1,048 | $3K | |
| 99417 | Prolong home eval add 15m | <1% | 15 | $3K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,056 | $3K |
| 90715 | <1% | 838 | $2K | |
| 82465 | <1% | 499 | $2K | |
| 81003 | <1% | 934 | $2K | |
| 90620 | <1% | 58 | $2K | |
| 92552 | <1% | 2,659 | $2K | |
| 99381 | <1% | 17 | $2K | |
| 90473 | <1% | 81 | $2K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 88 | $1K |
| 99383 | <1% | 33 | $1K | |
| 87807 | <1% | 73 | $974.97 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 109 | $927.07 |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 17 | $883.40 |
| 94664 | <1% | 78 | $712.32 | |
| 90716 | <1% | 2,774 | $584.58 | |
| 90672 | <1% | 606 | $431.43 | |
| 90633 | <1% | 2,315 | $361.53 | |
| 90670 | <1% | 9,985 | $232.45 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 12 | $122.16 |
| 81025 | <1% | 13 | $93.60 | |
| 90707 | <1% | 2,779 | $86.79 | |
| 87081 | <1% | 19 | $21.33 | |
| 90723 | 0% | 5,012 | $0.00 | |
| 90647 | 0% | 5,016 | $0.00 | |
| 99000 | 0% | 9,955 | $0.00 | |
| 90680 | 0% | 3,552 | $0.00 | |
| 90696 | 0% | 197 | $0.00 | |
| 36416 | 0% | 564 | $0.00 | |
| 91307 | 0% | 287 | $0.00 | |
| 90685 | 0% | 869 | $0.00 | |
| 98960 | 0% | 19 | $0.00 | |
| 90461 | 0% | 13 | $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 officialFREDERICK, CHRISTOPHER (CFO)
Parent organizationPRIVATE DIAGNOSTIC CLINIC PLLC
| Provider | Location | 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 | $706K |
| 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.