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

Raleigh Durham Medical Group PA

Raleigh Durham Medical Group PA was paid $577K by Medicaid between Feb 2018 and Dec 2024, across 19 billing codes. Its largest line is 99199, Unlisted special service, procedure or report — 82% of everything it billed.

33Billing provider infoRALEIGH DURHAM MEDICAL GROUP PA
CARY, NC 27519
33aNPI1336191972assigned 05/16/2006
33bProvider typePediatrics Physician
28Total paid$577K
24GClaims83,543
24DCodes billed19
24AFirst – last monthFeb 2018 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in North Carolina

Rank by total paid#247 of 433
Median peer was paid$942K
This provider vs. median0.6×

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

Paid by month

$0$10K$20K2018201920202021202220232024
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
2018544$7K
20192,020$13K
2020767$7K
20219,165$78K
202221,660$139K
202324,423$156K
2024incomplete24,964$178K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99199 Unlisted special service, procedure or report 82% 72,499 36,111 $471K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 15% 1,495 1,184 $85K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1.2% 605 383 $7K
90460 Immunization administration through 18 years of age via any route, first or only component 1.1% 178 131 $6K
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 <1% 60 52 $5K
0071A <1% 26 18 $961.40
0072A <1% 21 14 $789.18
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 47 26 $625.82
90686 <1% 607 434 $398.56
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) <1% 42 40 $77.98
99173 <1% 33 24 $66.16
1160F <1% 3,560 2,843 $0.52
7 more codes
1159F <1% 3,560 $0.52
3008F <1% 561 $0.06
99000 0% 93 $0.00
94760 0% 12 $0.00
90656 0% 16 $0.00
3725F 0% 110 $0.00
99072 0% 18 $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 officialMOYE, DAVID (CEO)
Parent organizationRALEIGH DURHAM MEDICAL GROUP PA
Same official

Other billing entities under MOYE, DAVID

Full network →
ProviderLocationPaid
Raleigh Durham Medical Group, PAClayton, NC$3.74M
RDMG Associates, PASpindale, NC$1.88M
RDMG Associates PARoxboro, NC$1.46M
Raleigh Durham Medical Group, PARaleigh, NC$918K
Raleigh Durham Medical Group PADurham, NC$756K
Raleigh Durham Medical Group, PADurham, NC$748K
RDMG Associates PAMorganton, NC$552K
RDMG Associates PAShallotte, NC$432K
RDMG Associates PABlack Mountain, NC$349K
Raleigh Durham Medical Group, PARaleigh, NC$331K
RDMG Associates, PAFayetteville, NC$306K
RDMG Associates PASmithfield, NC$234K
RDMG Associates, PAAsheville, NC$179K
RDMG Associates, PARaleigh, NC$103K
RDMG Associates PAAsheville, NC$78K
RDMG Associates, PAWilmington, NC$55K
RDMG Associates PAAsheville, NC$51K
RDMG Associates, PAMorehead City, NC$20K
RDMG Associates PAWilmington, NC$13K
Raleigh Durham Medical Group PACary, NC$11K

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