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

Private Diagnostic Clinic, PLLC

Private Diagnostic Clinic, PLLC was paid $704K by Medicaid between Jan 2018 and Jun 2024, across 13 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 62% of everything it billed.

33Billing provider infoPRIVATE DIAGNOSTIC CLINIC, PLLC
DURHAM, NC 27710
33aNPI1366588212assigned 01/29/2007
28Total paid$704K
24GClaims38,390
24DCodes billed13
24AFirst – last monthJan 2018 – Jun 2024
Compared with peers

Next to other Internal Medicine Physician providers in North Carolina

Rank by total paid#108 of 616
Median peer was paid$74K
This provider vs. median9.5×

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 FREDERICK, CHRISTOPHER 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
20184,088$116K
20193,730$135K
20202,804$94K
20215,206$108K
202210,468$135K
202310,366$106K
2024incomplete1,728$10K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 62% 11,764 10,632 $438K
99199 Unlisted special service, procedure or report 19% 21,335 11,374 $131K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 10% 3,547 3,284 $74K
99443 3.7% 959 850 $26K
T1017 Case management, billed per 15 minutesTargeted case management, each 15 minutes 2.1% 55 55 $15K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 1.2% 170 149 $8K
99442 <1% 255 228 $4K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity <1% 91 31 $2K
99239 Hospital discharge day management, more than 30 minutes <1% 40 31 $2K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m <1% 73 17 $1K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 72 14 $989.20
99223 Prolong inpt eval add15 m <1% 16 12 $635.57
1 more codes
99441 <1% 13 $56.28

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 officialFREDERICK, CHRISTOPHER (CFO)
Same official

Other billing entities under FREDERICK, CHRISTOPHER

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