Medicaid Provider Spending

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

PRIVATE DIAGNOSTIC CLINIC, PLLC

NPI: 1366598807 · DURHAM, NC 27710 · Ophthalmology Physician · NPI assigned 01/26/2007

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

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

$3.21M
Total Medicaid Paid
76,771
Total Claims
60,972
Beneficiaries
32
Codes Billed
2018-01
First Month
2023-06
Last Month

Provider Details

Authorized OfficialFREDERICK, CHRISTOPHER (CFO)
NPI Enumeration Date01/26/2007

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 $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 DURHAM NC $704K
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 10,252 $433K
2019 11,794 $528K
2020 10,668 $501K
2021 15,906 $692K
2022 19,828 $756K
2023 8,323 $305K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 12,043 10,085 $723K
92060 13,175 11,229 $418K
S0620 Routine ophthalmological examination including refraction; new patient 4,981 4,137 $354K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,041 5,843 $293K
S0621 Routine ophthalmological examination including refraction; established patient 6,323 5,168 $291K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2,799 2,388 $290K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 5,438 4,606 $193K
99232 Subsequent hospital care, per day, moderate complexity 4,049 1,365 $157K
99244 Office or other outpatient consultation, moderate to high complexity 1,048 833 $120K
92083 2,066 1,649 $61K
92134 5,828 4,766 $56K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 1,981 1,797 $46K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 794 636 $39K
67028 Intravitreal injection of a pharmacologic agent 1,086 770 $36K
92133 1,821 1,503 $35K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 786 777 $24K
76512 478 321 $20K
92250 1,931 1,544 $18K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 165 164 $9K
99243 93 89 $9K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 170 145 $8K
92018 82 64 $6K
99253 35 31 $2K
92226 897 443 $2K
99245 22 12 $2K
92019 26 24 $852.28
99205 Prolong outpt/office vis 16 13 $763.87
92235 15 12 $365.62
92201 1,423 454 $81.94
92202 60 43 $71.48
92015 Determination of refractive state 72 49 $47.22
92225 27 12 $0.00