Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NC › DURHAM › PRIVATE DIAGNOSTIC CLINIC, PLLC

PRIVATE DIAGNOSTIC CLINIC, PLLC

NPI: 1447306113 · DURHAM, NC 27704 · Pediatrics Physician · NPI assigned 01/26/2007

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

Authorized official NEWMAN, PAUL controls 15+ related entities in our dataset. Read more

$17.42M
Total Medicaid Paid
897,536
Total Claims
613,467
Beneficiaries
85
Codes Billed
2018-01
First Month
2024-06
Last Month

Provider Details

Authorized OfficialNEWMAN, PAUL (EXECUTIVE DIRECTOR)
NPI Enumeration Date01/26/2007

Related Entities

Other providers sharing the same authorized official: NEWMAN, PAUL

ProviderCityStateTotal Paid
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 $679K
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 75,777 $2.35M
2019 75,618 $2.92M
2020 57,403 $2.16M
2021 175,100 $3.65M
2022 341,800 $4.36M
2023 165,228 $1.93M
2024 6,610 $36K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99199 Unlisted special service, procedure or report 480,369 247,712 $2.72M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 26,759 24,185 $2.31M
90460 Immunization administration through 18 years of age via any route, first or only component 50,833 45,024 $1.89M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 31,058 27,670 $1.87M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 18,493 15,868 $1.54M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 16,896 15,306 $1.49M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 12,486 10,861 $1.12M
99239 Hospital discharge day management, more than 30 minutes 10,425 8,939 $875K
99460 9,716 8,475 $686K
96110 Developmental screening, with scoring and documentation, per standardized instrument 34,650 30,915 $319K
99215 Prolong outpt/office vis 2,612 2,247 $304K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2,902 2,613 $288K
97803 4,556 3,418 $209K
99499 616 388 $204K
99462 6,473 4,813 $203K
D0145 Oral evaluation for a patient under three years of age 5,784 5,252 $184K
97802 2,304 1,852 $154K
99245 735 617 $111K
90791 Psychiatric diagnostic evaluation 1,088 910 $96K
96127 22,409 18,793 $92K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 4,535 4,300 $85K
D1206 Topical application of fluoride varnish 5,982 5,393 $82K
99232 Subsequent hospital care, per day, moderate complexity 1,202 534 $61K
94618 2,023 2,001 $56K
99367 917 859 $45K
99222 Initial hospital care, per day, moderate complexity 445 337 $41K
99442 746 602 $32K
99443 553 409 $32K
99238 Hospital discharge day management, 30 minutes or less 587 468 $32K
99233 Prolong inpt eval add15 m 457 144 $32K
0071A 807 522 $32K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 621 604 $24K
96161 6,872 6,075 $24K
90686 26,645 23,875 $21K
90834 Psychotherapy, 45 minutes with patient 357 286 $19K
0072A 450 271 $17K
99384 159 111 $15K
99051 529 476 $12K
90837 Psychotherapy, 53 minutes with patient 118 89 $12K
90651 869 771 $11K
92551 30,528 26,719 $11K
99223 Prolong inpt eval add15 m 92 57 $9K
99205 Prolong outpt/office vis 53 51 $9K
99173 33,956 29,839 $6K
90734 600 527 $5K
90847 Family psychotherapy with the patient present, 50 minutes 49 44 $5K
99441 174 142 $4K
90472 Immunization administration, each additional vaccine (list separately) 188 184 $4K
0081A 61 52 $4K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 45 36 $4K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 57 55 $3K
99170 33 28 $3K
99244 Office or other outpatient consultation, moderate to high complexity 13 13 $2K
99231 Subsequent hospital care, per day, straightforward or low complexity 67 28 $2K
0124A 37 28 $2K
G9919 Screening performed and positive and provision of recommendations 169 146 $2K
90620 29 26 $1K
98968 31 18 $1K
0004A 23 15 $1K
90716 2,872 2,576 $1K
99221 13 12 $973.57
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 28 27 $816.48
99283 Emergency department visit for the evaluation and management, moderate severity 12 12 $658.32
90670 10,177 9,158 $464.92
99070 31 26 $202.24
90723 5,878 5,257 $179.55
90619 49 41 $160.02
90715 143 124 $159.26
90707 2,813 2,518 $153.69
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 15 12 $111.98
90633 3,235 2,929 $105.90
91300 86 58 $0.00
90685 353 329 $0.00
90681 2,043 1,806 $0.00
90700 120 118 $0.00
1003F 31 30 $0.00
G9920 Screening performed and negative 70 66 $0.00
91308 167 146 $0.00
91312 15 13 $0.00
99188 17 17 $0.00
90647 6,000 5,366 $0.00
91307 710 472 $0.00
90696 280 253 $0.00
90688 116 94 $0.00
91305 19 14 $0.00