Physician
Private Diagnostic Clinic, PLLC
Private Diagnostic Clinic, PLLC was paid $3.21M by Medicaid between Jan 2018 and Jun 2023, across 32 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 23% of everything it billed.
33Billing provider infoPRIVATE DIAGNOSTIC CLINIC, PLLC
DURHAM, NC 27710
DURHAM, NC 27710
33aNPI1366598807assigned 01/26/2007
33bProvider typeOphthalmology Physician
28Total paid$3.21M
24GClaims76,771
24DCodes billed32
24AFirst – last monthJan 2018 – Jun 2023
Compared with peers
Next to other Ophthalmology Physician providers in North Carolina
Rank by total paid#5 of 118
Median peer was paid$22K
This provider vs. median144×
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
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 | |
|---|---|---|---|
| 2018 | 10,252 | $433K | |
| 2019 | 11,794 | $528K | |
| 2020 | 10,668 | $501K | |
| 2021 | 15,906 | $692K | |
| 2022 | 19,828 | $756K | |
| 2023 | 8,323 | $305K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 23% | 12,043 | 10,085 | $723K |
| 92060 | 13% | 13,175 | 11,229 | $418K | |
| S0620 | Routine ophthalmological examination including refraction; new patient | 11% | 4,981 | 4,137 | $354K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9.1% | 7,041 | 5,843 | $293K |
| S0621 | Routine ophthalmological examination including refraction; established patient | 9.1% | 6,323 | 5,168 | $291K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 9.0% | 2,799 | 2,388 | $290K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 6.0% | 5,438 | 4,606 | $193K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 4.9% | 4,049 | 1,365 | $157K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 3.7% | 1,048 | 833 | $120K |
| 92083 | 1.9% | 2,066 | 1,649 | $61K | |
| 92134 | 1.7% | 5,828 | 4,766 | $56K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 1.4% | 1,981 | 1,797 | $46K |
20 more codes
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 1.2% | 794 | $39K |
| 67028 | Intravitreal injection of a pharmacologic agent | 1.1% | 1,086 | $36K |
| 92133 | 1.1% | 1,821 | $35K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 786 | $24K |
| 76512 | <1% | 478 | $20K | |
| 92250 | <1% | 1,931 | $18K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 165 | $9K |
| 99243 | <1% | 93 | $9K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 170 | $8K |
| 92018 | <1% | 82 | $6K | |
| 99253 | <1% | 35 | $2K | |
| 92226 | <1% | 897 | $2K | |
| 99245 | <1% | 22 | $2K | |
| 92019 | <1% | 26 | $852.28 | |
| 99205 | Prolong outpt/office vis | <1% | 16 | $763.87 |
| 92235 | <1% | 15 | $365.62 | |
| 92201 | <1% | 1,423 | $81.94 | |
| 92202 | <1% | 60 | $71.48 | |
| 92015 | Determination of refractive state | <1% | 72 | $47.22 |
| 92225 | 0% | 27 | $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 officialFREDERICK, CHRISTOPHER (CFO)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.