Duke University Health System, INC.
Duke University Health System, INC. was paid $49K by Medicaid between Jul 2021 and Dec 2024, across 4 billing codes. Its largest line is 99199, Unlisted special service, procedure or report — 51% of everything it billed.
33Billing provider infoDUKE UNIVERSITY HEALTH SYSTEM, INC.
DURHAM, NC 27705
DURHAM, NC 27705
33aNPI1336448810assigned 03/23/2011
33bProvider typeMetabolic Nutrition Registered Dietitian
28Total paid$49K
24GClaims4,972
24DCodes billed4
24AFirst – last monthJul 2021 – Dec 2024
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official SMITH, JOHN 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 | |
|---|---|---|---|
| 2021 | 217 | $1K | |
| 2022 | 896 | $7K | |
| 2023 | 996 | $9K | |
| 2024incomplete | 2,863 | $32K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99199 | Unlisted special service, procedure or report | 51% | 4,292 | 2,102 | $25K |
| 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 | 48% | 468 | 412 | $24K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 16 | 15 | $453.84 |
| 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% | 196 | 170 | $56.35 |
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 officialSMITH, JOHN (VP, FINANCE)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.