Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Duke University Health System INC

Duke University Health System INC was paid $11K by Medicaid between Oct 2022 and Nov 2024, across 6 billing codes. Its largest line is 77067, Screening mammography, bilateral, including computer-aided detection — 48% of everything it billed.

33Billing provider infoDUKE UNIVERSITY HEALTH SYSTEM INC
MORRISVILLE, NC 27560
33aNPI1417540337assigned 02/12/2021
33bProvider typePhysiological Laboratory
28Total paid$11K
24GClaims270
24DCodes billed6
24AFirst – last monthOct 2022 – Nov 2024
Compared with peers

Next to other Physiological Laboratory providers in North Carolina

Rank by total paid#9 of 12
Median peer was paid$14K
This provider vs. median0.8×

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 SMITH, JOHN controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
202217$0.00
2024incomplete253$11K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
77067 Screening mammography, bilateral, including computer-aided detection 48% 88 82 $5K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 37% 21 17 $4K
77063 Screening digital breast tomosynthesis, bilateral 13% 87 81 $1K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 1.1% 14 12 $124.87
A9573 Injection, gadopiclenol, 1 ml 0% 43 40 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 0% 17 13 $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 officialSMITH, JOHN (VP FINANCE)
Parent organizationDUKE UNIVERSITY HEALTH SYSTEM, INC
Same official

Other billing entities under SMITH, JOHN

Full network →

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