Physician
Private Diagnostic Clinic, PLLC
Private Diagnostic Clinic, PLLC was paid $17.42M by Medicaid between Jan 2018 and Jun 2024, across 85 billing codes. Its largest line is 99199, Unlisted special service, procedure or report — 16% of everything it billed.
33Billing provider infoPRIVATE DIAGNOSTIC CLINIC, PLLC
DURHAM, NC 27704
DURHAM, NC 27704
33aNPI1447306113assigned 01/26/2007
33bProvider typePediatrics Physician
28Total paid$17.42M
24GClaims897,536
24DCodes billed85
24AFirst – last monthJan 2018 – Jun 2024
Compared with peers
Next to other Pediatrics Physician providers in North Carolina
Rank by total paid#12 of 433
Median peer was paid$942K
This provider vs. median18×
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 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 | 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 | |
| 2024incomplete | 6,610 | $36K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99199 | Unlisted special service, procedure or report | 16% | 480,369 | 247,712 | $2.72M |
| 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 | 13% | 26,759 | 24,185 | $2.31M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 11% | 50,833 | 45,024 | $1.89M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 31,058 | 27,670 | $1.87M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.8% | 18,493 | 15,868 | $1.54M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.5% | 16,896 | 15,306 | $1.49M |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.4% | 12,486 | 10,861 | $1.12M |
| 99239 | Hospital discharge day management, more than 30 minutes | 5.0% | 10,425 | 8,939 | $875K |
| 99460 | 3.9% | 9,716 | 8,475 | $686K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.8% | 34,650 | 30,915 | $319K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.7% | 2,612 | 2,247 | $304K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.7% | 2,902 | 2,613 | $288K |
73 more codes
| 97803 | 1.2% | 4,556 | $209K | |
| 99499 | 1.2% | 616 | $204K | |
| 99462 | 1.2% | 6,473 | $203K | |
| D0145 | Oral evaluation for a patient under three years of age | 1.1% | 5,784 | $184K |
| 97802 | <1% | 2,304 | $154K | |
| 99245 | <1% | 735 | $111K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 1,088 | $96K |
| 96127 | <1% | 22,409 | $92K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 4,535 | $85K |
| D1206 | Topical application of fluoride varnish | <1% | 5,982 | $82K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 1,202 | $61K |
| 94618 | <1% | 2,023 | $56K | |
| 99367 | <1% | 917 | $45K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 445 | $41K |
| 99442 | <1% | 746 | $32K | |
| 99443 | <1% | 553 | $32K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 587 | $32K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 457 | $32K |
| 0071A | <1% | 807 | $32K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 621 | $24K |
| 96161 | <1% | 6,872 | $24K | |
| 90686 | <1% | 26,645 | $21K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 357 | $19K |
| 0072A | <1% | 450 | $17K | |
| 99384 | <1% | 159 | $15K | |
| 99051 | <1% | 529 | $12K | |
| 90837 | Psychotherapy session, about an hour | <1% | 118 | $12K |
| 90651 | <1% | 869 | $11K | |
| 92551 | <1% | 30,528 | $11K | |
| 99223 | Prolong inpt eval add15 m | <1% | 92 | $9K |
| 99205 | Prolong outpt/office vis | <1% | 53 | $9K |
| 99173 | <1% | 33,956 | $6K | |
| 90734 | <1% | 600 | $5K | |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 49 | $5K |
| 99441 | <1% | 174 | $4K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 188 | $4K |
| 0081A | <1% | 61 | $4K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 45 | $4K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 57 | $3K |
| 99170 | <1% | 33 | $3K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 13 | $2K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 67 | $2K |
| 0124A | <1% | 37 | $2K | |
| G9919 | Screening performed and positive and provision of recommendations | <1% | 169 | $2K |
| 90620 | <1% | 29 | $1K | |
| 98968 | <1% | 31 | $1K | |
| 0004A | <1% | 23 | $1K | |
| 90716 | <1% | 2,872 | $1K | |
| 99221 | <1% | 13 | $973.57 | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 28 | $816.48 |
| 99283 | Emergency room visit (moderate) | <1% | 12 | $658.32 |
| 90670 | <1% | 10,177 | $464.92 | |
| 99070 | <1% | 31 | $202.24 | |
| 90723 | <1% | 5,878 | $179.55 | |
| 90619 | <1% | 49 | $160.02 | |
| 90715 | <1% | 143 | $159.26 | |
| 90707 | <1% | 2,813 | $153.69 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 15 | $111.98 |
| 90633 | <1% | 3,235 | $105.90 | |
| 91300 | 0% | 86 | $0.00 | |
| 90685 | 0% | 353 | $0.00 | |
| 90681 | 0% | 2,043 | $0.00 | |
| 90700 | 0% | 120 | $0.00 | |
| 1003F | 0% | 31 | $0.00 | |
| G9920 | Screening performed and negative | 0% | 70 | $0.00 |
| 91308 | 0% | 167 | $0.00 | |
| 91312 | 0% | 15 | $0.00 | |
| 99188 | 0% | 17 | $0.00 | |
| 90647 | 0% | 6,000 | $0.00 | |
| 91307 | 0% | 710 | $0.00 | |
| 90696 | 0% | 280 | $0.00 | |
| 90688 | 0% | 116 | $0.00 | |
| 91305 | 0% | 19 | $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 officialNEWMAN, PAUL (EXECUTIVE DIRECTOR)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.