Physician
Private Diagnostic Clinic, PLLC
Private Diagnostic Clinic, PLLC was paid $679K by Medicaid between Jan 2018 and Jun 2023, across 8 billing codes. Its largest line is 99243, — 37% of everything it billed.
33Billing provider infoPRIVATE DIAGNOSTIC CLINIC, PLLC
DURHAM, NC 27707
DURHAM, NC 27707
33aNPI1417295940assigned 01/17/2013
33bProvider typePediatric Dermatology Physician
28Total paid$679K
24GClaims8,884
24DCodes billed8
24AFirst – last monthJan 2018 – Jun 2023
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official NEWMAN, PAUL controls 15+ 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 | 1,595 | $112K | |
| 2019 | 2,163 | $164K | |
| 2020 | 1,667 | $129K | |
| 2021 | 1,440 | $117K | |
| 2022 | 1,494 | $115K | |
| 2023 | 525 | $43K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99243 | 37% | 2,756 | 2,556 | $252K | |
| 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 | 35% | 3,043 | 2,661 | $240K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 20% | 2,485 | 2,354 | $134K |
| 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 | 5.4% | 339 | 279 | $36K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.1% | 192 | 160 | $14K |
| 17110 | <1% | 27 | 27 | $2K | |
| 99442 | <1% | 18 | 12 | $545.42 | |
| 99441 | <1% | 24 | 12 | $281.00 |
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 officialNEWMAN, PAUL (EXECUTIVE DIRECTOR, PDC)
| Provider | Location | Paid |
|---|---|---|
| Private Diagnostic Clinic, PLLC | Durham, NC | $17.42M |
| Private Diagnostic Clinic, PLLC | Elon, NC | $4.46M |
| Private Diagnostic Clinic, PLLC | Durham, NC | $4.31M |
| Private Diagnostic Clinic, PLLC | Burlington, NC | $1.52M |
| Private Diagnostic Clinic, PLLC | Durham, NC | $475K |
| Private Diagnostic Clinic, PLLC | Mebane, NC | $121K |
| Private Diagnostic Clinic, PLLC | Cary, NC | $88K |
| Private Diagnostic Clinic, PLLC | Durham, NC | $78K |
| Newman Medical Group PC | Largo, MD | $46K |
| Private Diagnostic Clinic, PLLC | Raleigh, NC | $39K |
| North Point Marriage and Family LLC | Tremonton, UT | $20K |
| Saludicity LLC | Glenn Dale, MD | $8K |
| Private Diagnostic Clinic, PLLC | Durham, NC | $5K |
| Private Diagnostic Clinic, PLLC | Durham, NC | $2K |
| Private Diagnostic Clinic, PLLC | Durham, NC | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.