Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NC › Durham › NPI 1457389033
Physician

Private Diagnostic Clinic, PLLC

Private Diagnostic Clinic, PLLC was paid $46.44M by Medicaid between Jan 2018 and May 2024, across 278 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 11% of everything it billed.

33Billing provider infoPRIVATE DIAGNOSTIC CLINIC, PLLC
DURHAM, NC 27710
33aNPI1457389033assigned 06/30/2006
33bProvider typeEmergency Medicine Physician
28Total paid$46.44M
24GClaims1,228,223
24DCodes billed278
24AFirst – last monthJan 2018 – May 2024
Compared with peers

Next to other Emergency Medicine Physician providers in North Carolina

Rank by total paid#1 of 196
Median peer was paid$120K
This provider vs. median388×

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

$0$500K$1.0M2018201920202021202220232024
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
2018190,832$7.64M
2019200,037$8.42M
2020185,373$7.46M
2021264,786$9.08M
2022260,754$9.26M
2023125,954$4.55M
2024incomplete487$29K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 11% 78,734 23,110 $5.11M
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 8.5% 50,276 43,515 $3.97M
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 8.2% 72,210 64,738 $3.80M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 6.5% 31,947 28,606 $3.02M
99472 Subsequent inpatient pediatric critical care, per day, 2-5 years 6.4% 12,212 2,588 $2.98M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 4.4% 23,966 21,261 $2.04M
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger 3.6% 6,729 1,520 $1.68M
99479 Subsequent intensive care, per day, very low birth weight infant 3.2% 17,228 4,065 $1.50M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 2.8% 26,432 23,410 $1.32M
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 2.8% 34,183 13,335 $1.30M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 2.8% 9,761 3,341 $1.28M
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 2.8% 19,677 15,661 $1.28M
266 more codes
99244 Office or other outpatient consultation, moderate to high complexity 2.6% 9,953 $1.19M
74177 Computed tomography, abdomen and pelvis; with contrast material 2.1% 23,347 $970K
95720 1.9% 7,119 $864K
71045 Radiologic examination, chest; single view 1.8% 170,057 $851K
99213 Doctor's office visit, returning patient (routine) 1.6% 22,115 $743K
95951 1.4% 3,707 $665K
88305 Level IV - Surgical pathology, gross and microscopic examination 1.4% 14,192 $637K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1.2% 124,475 $562K
70450 Computed tomography, head or brain; without contrast material 1.2% 25,623 $561K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 1.1% 7,581 $500K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits <1% 12,208 $464K
99480 Subsequent intensive care, per day, low birth weight infant <1% 5,973 $460K
99245 <1% 3,022 $459K
93320 <1% 22,262 $436K
88307 <1% 8,315 $434K
71046 Radiologic examination, chest; 2 views <1% 60,914 $377K
01967 Neuraxial labor analgesia/anesthesia for planned vaginal delivery <1% 2,687 $339K
99283 Emergency room visit (moderate) <1% 6,615 $323K
99243 <1% 3,804 $279K
70551 Magnetic resonance imaging, brain; without contrast material <1% 5,233 $236K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 1,949 $209K
71275 Computed tomographic angiography, chest, with contrast material <1% 4,345 $205K
93325 <1% 25,250 $201K
76770 <1% 7,558 $186K
99204 Doctor's office visit, new patient (more involved) <1% 1,757 $182K
95004 Percutaneous tests with allergenic extracts, immediate type reaction <1% 2,441 $177K
97802 <1% 2,365 $166K
99255 <1% 1,153 $158K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 5,072 $151K
74018 <1% 26,920 $147K
74019 <1% 20,888 $140K
99417 Prolong home eval add 15m <1% 689 $111K
83020 <1% 9,836 $109K
99478 <1% 1,356 $103K
99223 Prolong inpt eval add15 m <1% 903 $103K
76506 <1% 5,281 $100K
88189 <1% 1,772 $99K
90935 Hemodialysis procedure with single evaluation by a physician <1% 6,436 $89K
93000 <1% 6,015 $84K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 4,114 $83K
99253 <1% 1,514 $78K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 2,579 $78K
99199 Unlisted special service, procedure or report <1% 14,463 $75K
71250 <1% 3,117 $73K
90961 <1% 2,144 $72K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 3,754 $72K
99238 Hospital discharge day management, 30 minutes or less <1% 1,311 $71K
99157 <1% 851 $58K
85390 <1% 5,261 $58K
88291 <1% 3,730 $57K
01922 <1% 529 $55K
99205 Prolong outpt/office vis <1% 445 $54K
99203 Doctor's office visit, new patient (routine) <1% 977 $53K
94375 <1% 6,893 $52K
95811 <1% 576 $52K
84165 <1% 7,167 $51K
86077 <1% 2,087 $50K
88112 <1% 1,762 $50K
95941 <1% 164 $49K
72125 Computed tomography, cervical spine; without contrast material <1% 1,537 $47K
99354 <1% 640 $47K
76376 <1% 12,515 $45K
92060 <1% 1,681 $45K
64642 <1% 796 $45K
99242 <1% 693 $44K
86334 <1% 5,714 $40K
99239 Hospital discharge day management, more than 30 minutes <1% 496 $40K
99222 Initial hospital care, per day, moderate complexity <1% 422 $39K
00731 <1% 1,002 $39K
94010 <1% 2,976 $37K
D0160 <1% 508 $36K
64643 <1% 703 $35K
94770 <1% 1,624 $35K
94729 <1% 5,275 $32K
77067 Screening mammography, bilateral, including computer-aided detection <1% 2,084 $29K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient <1% 759 $28K
97803 <1% 715 $26K
77063 Screening digital breast tomosynthesis, bilateral <1% 2,017 $26K
95718 <1% 297 $25K
72082 <1% 1,898 $25K
S0621 Routine ophthalmological examination including refraction; established patient <1% 447 $25K
00140 <1% 316 $25K
76377 <1% 1,384 $24K
78815 Positron emission tomography (PET) for limited area imaging <1% 492 $24K
95816 <1% 612 $24K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 706 $23K
88342 <1% 894 $22K
92567 <1% 2,346 $22K
99254 <1% 195 $21K
95782 <1% 179 $21K
94726 <1% 1,574 $21K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 189 $20K
73630 <1% 2,497 $19K
00170 Anesthesia for intraoral procedures, including biopsy <1% 120 $19K
81229 <1% 966 $19K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia <1% 139 $19K
99252 <1% 430 $19K
95953 <1% 184 $19K
96113 <1% 305 $17K
96112 <1% 311 $17K
96116 <1% 125 $17K
93970 <1% 726 $17K
99152 <1% 3,375 $16K
S0620 Routine ophthalmological examination including refraction; new patient <1% 214 $16K
94618 <1% 1,812 $16K
73610 <1% 1,923 $16K
95251 <1% 589 $15K
01920 <1% 97 $15K
99442 <1% 733 $15K
85060 <1% 1,297 $14K
99443 <1% 462 $14K
93531 <1% 60 $14K
70496 <1% 295 $14K
93971 <1% 1,109 $13K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder <1% 847 $13K
90966 <1% 353 $13K
90837 Psychotherapy session, about an hour <1% 211 $13K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials <1% 82 $12K
93922 <1% 606 $12K
54161 <1% 52 $11K
95939 <1% 190 $10K
96040 <1% 294 $10K
95117 <1% 1,073 $9K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 390 $9K
99155 <1% 126 $9K
88141 <1% 507 $9K
83036 Hemoglobin; glycosylated (A1C) <1% 853 $8K
88188 <1% 163 $8K
31575 <1% 168 $8K
95874 <1% 803 $8K
76937 <1% 908 $8K
70498 <1% 175 $8K
01961 <1% 58 $8K
90945 <1% 430 $7K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient <1% 269 $7K
73502 <1% 795 $7K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 311 $7K
76825 <1% 107 $6K
76830 Ultrasound, transvaginal <1% 305 $6K
73560 <1% 1,179 $6K
99476 <1% 24 $6K
88346 <1% 257 $6K
93295 <1% 212 $5K
D8670 Periodic orthodontic treatment visit <1% 66 $5K
96133 <1% 57 $5K
94200 <1% 614 $5K
93597 <1% 20 $5K
72170 <1% 750 $5K
88341 <1% 363 $5K
99292 <1% 57 $5K
93356 <1% 4,801 $5K
74183 <1% 79 $4K
93296 <1% 408 $4K
00811 <1% 156 $4K
85097 <1% 158 $4K
94727 <1% 1,298 $4K
99221 <1% 65 $4K
77080 <1% 886 $4K
95938 <1% 231 $4K
73590 <1% 521 $4K
92557 <1% 139 $3K
73110 <1% 298 $3K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient <1% 86 $3K
93568 <1% 121 $3K
92015 Determination of refractive state <1% 552 $3K
99100 <1% 280 $3K
96132 <1% 57 $3K
99153 Mod sedat endo service >5yrs <1% 251 $3K
93886 <1% 108 $3K
93750 <1% 262 $3K
00920 <1% 27 $3K
90792 Psychiatric diagnostic evaluation with medical services <1% 42 $3K
88304 <1% 329 $3K
84166 <1% 384 $3K
97750 <1% 296 $3K
73030 <1% 499 $3K
95861 <1% 74 $3K
96101 <1% 19 $3K
92579 <1% 116 $3K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 74 $3K
77072 <1% 253 $3K
78306 <1% 128 $2K
01996 <1% 96 $2K
76827 <1% 104 $2K
99156 <1% 41 $2K
93975 <1% 63 $2K
73130 <1% 278 $2K
00104 <1% 97 $2K
94799 <1% 959 $2K
77001 <1% 261 $2K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 75 $2K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 120 $2K
88313 <1% 182 $2K
93294 <1% 83 $2K
73090 <1% 234 $2K
90937 <1% 68 $2K
20610 <1% 52 $1K
81003 <1% 690 $1K
92582 <1% 75 $1K
36620 <1% 51 $1K
36558 <1% 13 $1K
72100 <1% 163 $1K
88161 <1% 103 $1K
93990 <1% 28 $1K
73562 <1% 169 $1K
93227 <1% 96 $1K
88311 <1% 188 $1K
70486 <1% 40 $1K
76642 <1% 61 $1K
74174 <1% 41 $1K
92083 <1% 43 $1K
94150 <1% 337 $1K
72156 <1% 13 $1K
88333 <1% 27 $927.44
92134 <1% 102 $913.04
93793 <1% 593 $854.15
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 15 $838.75
88302 <1% 143 $789.84
93567 <1% 39 $776.82
20611 <1% 30 $759.71
76820 <1% 52 $756.21
54150 <1% 15 $745.92
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 26 $689.51
74178 <1% 14 $655.37
94664 <1% 68 $623.09
73140 <1% 54 $616.29
77073 <1% 47 $605.42
93308 <1% 46 $602.79
73552 <1% 100 $531.99
76801 <1% 14 $486.00
76536 <1% 43 $477.78
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 17 $468.39
70491 <1% 15 $457.20
77066 Tomosynthesis, mammo <1% 30 $421.47
72141 <1% 14 $407.89
88173 <1% 14 $389.06
82962 <1% 298 $379.07
78582 <1% 25 $378.19
92587 <1% 33 $353.76
74240 <1% 14 $331.65
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 90 $301.61
94060 <1% 13 $285.60
73080 <1% 28 $284.52
92583 <1% 14 $274.85
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 27 $241.90
69210 <1% 12 $239.66
93298 <1% 13 $236.50
71271 <1% 12 $201.90
74022 <1% 13 $171.86
99140 <1% 30 $161.04
92555 <1% 26 $157.43
96127 <1% 42 $93.50
G0452 Molecular pathology procedure; physician interpretation and report <1% 75 $90.50
73100 <1% 12 $84.60
99441 <1% 12 $65.70
86335 <1% 12 $65.10
93321 <1% 13 $45.38
G2066 Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results <1% 13 $42.18
90686 <1% 13 $38.36
94760 <1% 313 $24.25
99358 Prolong nursin fac eval 15m <1% 16 $18.27
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 73 $10.96
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 0% 2,755 $0.00
92201 0% 21 $0.00
0399T 0% 1,740 $0.00
A4627 Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler 0% 14 $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)
Same official

Other billing entities under FREDERICK, CHRISTOPHER

Full network →
ProviderLocationPaid
Private Diagnostic Clinic, PLLCDurham, NC$4.43M
Private Diagnostic Clinic, PLLCDurham, NC$3.21M
Private Diagnostic Clinic, PLLCDurham, NC$2.94M
Private Diagnostic Clinic, PLLCDurham, NC$846K
Private Diagnostic Clinic, PLLCFayetteville, NC$832K
Private Diagnostic Clinic, PLLCDurham, NC$706K
Private Diagnostic Clinic, PLLCDurham, NC$704K
Private Diagnostic Clinic, PLLCGreensboro, NC$669K
Private Diagnostic Clinic, PLLCRaleigh, NC$425K
Private Diagnostic Clinic, PLLCDurham, NC$262K
Private Diagnostic Clinic, PLLCRaleigh, NC$232K
Private Diagnostic Clinic, PLLCLumberton, NC$216K
Private Diagnostic Clinic, PLLCBurlington, NC$170K
Private Diagnostic Clinic, PLLCRaleigh, NC$148K
Private Diagnostic Clinic, PLLCRaleigh, NC$87K
Private Diagnostic Clinic, PLLCDurham, NC$78K
Private Diagnostic Clinic, PLLCDurham, NC$73K
Private Diagnostic Clinic, PLLCLaurinburg, NC$72K
Private Diagnostic Clinic, PLLCRaleigh, NC$52K
Private Diagnostic Clinic, PLLCDurham, NC$48K

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