Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PRIVATE DIAGNOSTIC CLINIC, PLLC

NPI: 1366588212 · DURHAM, NC 27710 · Internal Medicine Physician · NPI assigned 01/29/2007

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official FREDERICK, CHRISTOPHER controls 20+ related entities in our dataset. Read more

$704K
Total Medicaid Paid
38,390
Total Claims
26,689
Beneficiaries
13
Codes Billed
2018-01
First Month
2024-06
Last Month

Provider Details

Authorized OfficialFREDERICK, CHRISTOPHER (CFO)
NPI Enumeration Date01/29/2007

Related Entities

Other providers sharing the same authorized official: FREDERICK, CHRISTOPHER

ProviderCityStateTotal 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 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
PRIVATE DIAGNOSTIC CLINIC, PLLC DURHAM NC $48K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,088 $116K
2019 3,730 $135K
2020 2,804 $94K
2021 5,206 $108K
2022 10,468 $135K
2023 10,366 $106K
2024 1,728 $10K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 11,764 10,632 $438K
99199 Unlisted special service, procedure or report 21,335 11,374 $131K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,547 3,284 $74K
99443 959 850 $26K
T1017 Targeted case management, each 15 minutes 55 55 $15K
99215 Prolong outpt/office vis 170 149 $8K
99442 255 228 $4K
99232 Subsequent hospital care, per day, moderate complexity 91 31 $2K
99239 Hospital discharge day management, more than 30 minutes 40 31 $2K
99233 Prolong inpt eval add15 m 73 17 $1K
99231 Subsequent hospital care, per day, straightforward or low complexity 72 14 $989.20
99223 Prolong inpt eval add15 m 16 12 $635.57
99441 13 12 $56.28