Duke University Health System, INC.
Duke University Health System, INC. was paid $118K by Medicaid between Jan 2018 and Oct 2021, across 8 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 48% of everything it billed.
DURHAM, NC 27705
Next to other Psychiatric Hospital Unit providers in North Carolina
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,932 | $47K | |
| 2019 | 2,273 | $55K | |
| 2020 | 569 | $11K | |
| 2021 | 332 | $4K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 48% | 1,417 | 1,319 | $56K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 26% | 2,654 | 2,016 | $30K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 396 | 361 | $15K |
| 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 | 5.4% | 128 | 112 | $6K |
| Q3014 | Telehealth originating site facility fee | 3.8% | 441 | 370 | $4K |
| 96101 | 2.9% | 41 | 28 | $3K | |
| 96137 | 1.6% | 16 | 13 | $2K | |
| 96136 | <1% | 13 | 12 | $449.50 |
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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.