DUKE UNIVERSITY HEALTH SYSTEM, INC.
NPI: 1326045857
· DURHAM, NC 27705
· Psychiatric Hospital Unit
· NPI assigned 06/30/2005
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official SMITH, JOHN controls 20+ related entities in our dataset. Read more
$118K
Total Medicaid Paid
Provider Details
| Authorized Official | SMITH, JOHN (AVP) |
| NPI Enumeration Date | 06/30/2005 |
Related Entities
Other providers sharing the same authorized official: SMITH, JOHN
| Provider | City | State | Total Paid |
|---|
| PRESTIGE HEALTHCARE RESOURCES INC. |
BLADENSBURG |
MD |
$55.74M |
| DUKE UNIVERSITY HEALTH SYSTEM, INC. |
DURHAM |
NC |
$44.35M |
| DUKE UNIVERSITY HEALTH SYSTEM, INC. |
DURHAM |
NC |
$11.62M |
| PROACT DENTAL, INC. |
BIRMINGHAM |
AL |
$9.47M |
| DUKE UNIVERSITY HEALTH SYSTEM, INC. |
DURHAM |
NC |
$8.33M |
| DUKE UNIVERSITY HEALTH SYSTEM INC |
RALEIGH |
NC |
$7.84M |
| DUKE UNIVERSITY HEALTH SYSTEM, INC. |
DURHAM |
NC |
$7.61M |
| WISHON RADIOLOGICAL MEDICAL GROUP, INC. |
FRESNO |
CA |
$5.11M |
| DUKE UNIVERSITY HEALTH SYSTEM, INC. |
DURHAM |
NC |
$5.01M |
| DUKE UNIVERSITY HEALTH SYSTEM, INC. |
RALEIGH |
NC |
$4.15M |
| LIGHTHOUSE SYSTEMS, LLC |
PHARR |
TX |
$3.54M |
| DUKE UNIVERSITY HEALTH SYSTEM, INC. |
DURHAM |
NC |
$1.59M |
| OLD SCHOOL LLC |
LAKEWOOD |
OH |
$800K |
| GATEWAY MEDICAL GROUP LC |
OKEECHOBEE |
FL |
$447K |
| TRIANGLE GERIATRIC AND MEMORY CLINIC, PLLC |
CARY |
NC |
$437K |
| DUKE UNIVERSITY HEALTH SYSTEM, INC. |
DURHAM |
NC |
$289K |
| ASSOCIATED HEALTH SERVICES, INC. |
DURHAM |
NC |
$102K |
| DUKE HEALTH INTEGRATED PRACTICE, INC. |
DURHAM |
NC |
$64K |
| DUKE UNIVERSITY HEALTH SYSTEM, INC. |
DURHAM |
NC |
$49K |
| WOMEN'S IMAGING SPECIALISTS IN HEALTHCARE |
FRESNO |
CA |
$36K |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,932 |
$47K |
| 2019 |
2,273 |
$55K |
| 2020 |
569 |
$11K |
| 2021 |
332 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,417 |
1,319 |
$56K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,654 |
2,016 |
$30K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
396 |
361 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
128 |
112 |
$6K |
| Q3014 |
Telehealth originating site facility fee |
441 |
370 |
$4K |
| 96101 |
|
41 |
28 |
$3K |
| 96137 |
|
16 |
13 |
$2K |
| 96136 |
|
13 |
12 |
$449.50 |