Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PRIVATE DIAGNOSTIC CLINIC, PLLC

NPI: 1457389033 · DURHAM, NC 27710 · Emergency Medicine Physician · NPI assigned 06/30/2006

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

Authorized official FREDERICK, CHRISTOPHER controls 20+ related entities in our dataset. Read more

$46.44M
Total Medicaid Paid
1,228,223
Total Claims
866,595
Beneficiaries
278
Codes Billed
2018-01
First Month
2024-05
Last Month

Provider Details

Authorized OfficialFREDERICK, CHRISTOPHER (CFO)
NPI Enumeration Date06/30/2006

Related Entities

Other providers sharing the same authorized official: FREDERICK, CHRISTOPHER

ProviderCityStateTotal Paid
PRIVATE DIAGNOSTIC CLINIC, PLLC DURHAM NC $4.43M
PRIVATE DIAGNOSTIC CLINIC, PLLC DURHAM NC $3.21M
PRIVATE DIAGNOSTIC CLINIC, PLLC DURHAM NC $2.94M
PRIVATE DIAGNOSTIC CLINIC, PLLC DURHAM NC $846K
PRIVATE DIAGNOSTIC CLINIC, PLLC FAYETTEVILLE NC $832K
PRIVATE DIAGNOSTIC CLINIC, PLLC DURHAM NC $706K
PRIVATE DIAGNOSTIC CLINIC, PLLC DURHAM NC $704K
PRIVATE DIAGNOSTIC CLINIC, PLLC GREENSBORO NC $669K
PRIVATE DIAGNOSTIC CLINIC, PLLC RALEIGH NC $425K
PRIVATE DIAGNOSTIC CLINIC, PLLC DURHAM NC $262K
PRIVATE DIAGNOSTIC CLINIC, PLLC RALEIGH NC $232K
PRIVATE DIAGNOSTIC CLINIC, PLLC LUMBERTON NC $216K
PRIVATE DIAGNOSTIC CLINIC, PLLC BURLINGTON NC $170K
PRIVATE DIAGNOSTIC CLINIC, PLLC RALEIGH NC $148K
PRIVATE DIAGNOSTIC CLINIC, PLLC RALEIGH NC $87K
PRIVATE DIAGNOSTIC CLINIC, PLLC DURHAM NC $78K
PRIVATE DIAGNOSTIC CLINIC, PLLC DURHAM NC $73K
PRIVATE DIAGNOSTIC CLINIC, PLLC LAURINBURG NC $72K
PRIVATE DIAGNOSTIC CLINIC, PLLC RALEIGH NC $52K
PRIVATE DIAGNOSTIC CLINIC, PLLC DURHAM NC $48K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 190,832 $7.64M
2019 200,037 $8.42M
2020 185,373 $7.46M
2021 264,786 $9.08M
2022 260,754 $9.26M
2023 125,954 $4.55M
2024 487 $29K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99233 Prolong inpt eval add15 m 78,734 23,110 $5.11M
99215 Prolong outpt/office vis 50,276 43,515 $3.97M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 72,210 64,738 $3.80M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 31,947 28,606 $3.02M
99472 Subsequent inpatient pediatric critical care, per day, 2-5 years 12,212 2,588 $2.98M
99284 Emergency department visit for the evaluation and management, high severity 23,966 21,261 $2.04M
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger 6,729 1,520 $1.68M
99479 Subsequent intensive care, per day, very low birth weight infant 17,228 4,065 $1.50M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 26,432 23,410 $1.32M
99232 Subsequent hospital care, per day, moderate complexity 34,183 13,335 $1.30M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 9,761 3,341 $1.28M
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 19,677 15,661 $1.28M
99244 Office or other outpatient consultation, moderate to high complexity 9,953 8,265 $1.19M
74177 Computed tomography, abdomen and pelvis; with contrast material 23,347 20,854 $970K
95720 7,119 3,133 $864K
71045 Radiologic examination, chest; single view 170,057 86,270 $851K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 22,115 19,384 $743K
95951 3,707 1,846 $665K
88305 Level IV - Surgical pathology, gross and microscopic examination 14,192 12,578 $637K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 124,475 96,151 $562K
70450 Computed tomography, head or brain; without contrast material 25,623 21,999 $561K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 7,581 6,863 $500K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 12,208 10,112 $464K
99480 Subsequent intensive care, per day, low birth weight infant 5,973 1,429 $460K
99245 3,022 2,546 $459K
93320 22,262 16,412 $436K
88307 8,315 7,126 $434K
71046 Radiologic examination, chest; 2 views 60,914 53,112 $377K
01967 Neuraxial labor analgesia/anesthesia for planned vaginal delivery 2,687 2,228 $339K
99283 Emergency department visit for the evaluation and management, moderate severity 6,615 5,866 $323K
99243 3,804 2,921 $279K
70551 Magnetic resonance imaging, brain; without contrast material 5,233 4,660 $236K
95810 Polysomnography; sleep staging with 4 or more additional parameters 1,949 1,717 $209K
71275 Computed tomographic angiography, chest, with contrast material 4,345 3,866 $205K
93325 25,250 18,696 $201K
76770 7,558 6,628 $186K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,757 1,489 $182K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 2,441 2,147 $177K
97802 2,365 1,738 $166K
99255 1,153 937 $158K
71260 Computed tomography, thorax, diagnostic; with contrast material 5,072 4,465 $151K
74018 26,920 17,613 $147K
74019 20,888 9,301 $140K
99417 Prolong home eval add 15m 689 594 $111K
83020 9,836 7,796 $109K
99478 1,356 259 $103K
99223 Prolong inpt eval add15 m 903 711 $103K
76506 5,281 3,140 $100K
88189 1,772 1,413 $99K
90935 Hemodialysis procedure with single evaluation by a physician 6,436 3,332 $89K
93000 6,015 5,281 $84K
99231 Subsequent hospital care, per day, straightforward or low complexity 4,114 1,861 $83K
99253 1,514 697 $78K
99282 Emergency department visit for the evaluation and management, low to moderate severity 2,579 2,341 $78K
99199 Unlisted special service, procedure or report 14,463 14,463 $75K
71250 3,117 2,853 $73K
90961 2,144 1,589 $72K
76705 Ultrasound, abdominal, real time with image documentation; limited 3,754 3,142 $72K
99238 Hospital discharge day management, 30 minutes or less 1,311 1,160 $71K
99157 851 771 $58K
85390 5,261 3,565 $58K
88291 3,730 2,903 $57K
01922 529 431 $55K
99205 Prolong outpt/office vis 445 394 $54K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 977 762 $53K
94375 6,893 5,913 $52K
95811 576 538 $52K
84165 7,167 6,638 $51K
86077 2,087 1,784 $50K
88112 1,762 1,477 $50K
95941 164 140 $49K
72125 Computed tomography, cervical spine; without contrast material 1,537 1,365 $47K
99354 640 616 $47K
76376 12,515 11,279 $45K
92060 1,681 1,150 $45K
64642 796 761 $45K
99242 693 618 $44K
86334 5,714 5,277 $40K
99239 Hospital discharge day management, more than 30 minutes 496 420 $40K
99222 Initial hospital care, per day, moderate complexity 422 361 $39K
00731 1,002 859 $39K
94010 2,976 2,673 $37K
D0160 508 455 $36K
64643 703 644 $35K
94770 1,624 1,554 $35K
94729 5,275 4,544 $32K
77067 Screening mammography, bilateral, including computer-aided detection 2,084 1,818 $29K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 759 676 $28K
97803 715 478 $26K
77063 Screening digital breast tomosynthesis, bilateral 2,017 1,752 $26K
95718 297 226 $25K
72082 1,898 1,738 $25K
S0621 Routine ophthalmological examination including refraction; established patient 447 405 $25K
00140 316 276 $25K
76377 1,384 1,236 $24K
78815 Positron emission tomography (PET) for limited area imaging 492 441 $24K
95816 612 564 $24K
74176 Computed tomography, abdomen and pelvis; without contrast material 706 630 $23K
88342 894 762 $22K
92567 2,346 1,711 $22K
99254 195 153 $21K
95782 179 156 $21K
94726 1,574 1,435 $21K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 189 173 $20K
73630 2,497 1,966 $19K
00170 Anesthesia for intraoral procedures, including biopsy 120 106 $19K
81229 966 746 $19K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 139 127 $19K
99252 430 318 $19K
95953 184 106 $19K
96113 305 191 $17K
96112 311 193 $17K
96116 125 117 $17K
93970 726 630 $17K
99152 3,375 2,811 $16K
S0620 Routine ophthalmological examination including refraction; new patient 214 188 $16K
94618 1,812 1,658 $16K
73610 1,923 1,537 $16K
95251 589 487 $15K
01920 97 91 $15K
99442 733 566 $15K
85060 1,297 983 $14K
99443 462 361 $14K
93531 60 53 $14K
70496 295 252 $14K
93971 1,109 1,009 $13K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 847 199 $13K
90966 353 241 $13K
90837 Psychotherapy, 53 minutes with patient 211 131 $13K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 82 41 $12K
93922 606 552 $12K
54161 52 41 $11K
95939 190 146 $10K
96040 294 257 $10K
95117 1,073 577 $9K
76700 Ultrasound, abdominal, real time with image documentation; complete 390 337 $9K
99155 126 125 $9K
88141 507 412 $9K
83036 Hemoglobin; glycosylated (A1C) 853 708 $8K
88188 163 150 $8K
31575 168 146 $8K
95874 803 763 $8K
76937 908 780 $8K
70498 175 146 $8K
01961 58 52 $8K
90945 430 90 $7K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 269 251 $7K
73502 795 676 $7K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 311 283 $7K
76825 107 82 $6K
76830 Ultrasound, transvaginal 305 281 $6K
73560 1,179 934 $6K
99476 24 13 $6K
88346 257 216 $6K
93295 212 179 $5K
D8670 Periodic orthodontic treatment visit 66 65 $5K
96133 57 43 $5K
94200 614 541 $5K
93597 20 12 $5K
72170 750 636 $5K
88341 363 306 $5K
99292 57 30 $5K
93356 4,801 4,206 $5K
74183 79 75 $4K
93296 408 353 $4K
00811 156 134 $4K
85097 158 144 $4K
94727 1,298 992 $4K
99221 65 52 $4K
77080 886 766 $4K
95938 231 196 $4K
73590 521 377 $4K
92557 139 118 $3K
73110 298 250 $3K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 86 72 $3K
93568 121 101 $3K
92015 Determination of refractive state 552 451 $3K
99100 280 230 $3K
96132 57 43 $3K
99153 Mod sedat endo service >5yrs 251 215 $3K
93886 108 65 $3K
93750 262 79 $3K
00920 27 24 $3K
90792 Psychiatric diagnostic evaluation with medical services 42 37 $3K
88304 329 300 $3K
84166 384 356 $3K
97750 296 225 $3K
73030 499 398 $3K
95861 74 64 $3K
96101 19 12 $3K
92579 116 108 $3K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 74 67 $3K
77072 253 193 $3K
78306 128 120 $2K
01996 96 44 $2K
76827 104 82 $2K
99156 41 26 $2K
93975 63 60 $2K
73130 278 216 $2K
00104 97 52 $2K
94799 959 879 $2K
77001 261 228 $2K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 75 67 $2K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 120 101 $2K
88313 182 147 $2K
93294 83 67 $2K
73090 234 164 $2K
90937 68 38 $2K
20610 52 37 $1K
81003 690 560 $1K
92582 75 58 $1K
36620 51 37 $1K
36558 13 13 $1K
72100 163 149 $1K
88161 103 92 $1K
93990 28 27 $1K
73562 169 130 $1K
93227 96 66 $1K
88311 188 171 $1K
70486 40 38 $1K
76642 61 48 $1K
74174 41 39 $1K
92083 43 39 $1K
94150 337 316 $1K
72156 13 12 $1K
88333 27 27 $927.44
92134 102 77 $913.04
93793 593 296 $854.15
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 15 14 $838.75
88302 143 101 $789.84
93567 39 26 $776.82
20611 30 24 $759.71
76820 52 40 $756.21
54150 15 12 $745.92
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 26 24 $689.51
74178 14 14 $655.37
94664 68 60 $623.09
73140 54 39 $616.29
77073 47 42 $605.42
93308 46 39 $602.79
73552 100 79 $531.99
76801 14 12 $486.00
76536 43 39 $477.78
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 17 15 $468.39
70491 15 12 $457.20
77066 Tomosynthesis, mammo 30 24 $421.47
72141 14 12 $407.89
88173 14 12 $389.06
82962 298 239 $379.07
78582 25 25 $378.19
92587 33 12 $353.76
74240 14 12 $331.65
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 90 74 $301.61
94060 13 13 $285.60
73080 28 24 $284.52
92583 14 13 $274.85
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 27 25 $241.90
69210 12 12 $239.66
93298 13 12 $236.50
71271 12 12 $201.90
74022 13 12 $171.86
99140 30 26 $161.04
92555 26 13 $157.43
96127 42 39 $93.50
G0452 Molecular pathology procedure; physician interpretation and report 75 40 $90.50
73100 12 12 $84.60
99441 12 12 $65.70
86335 12 12 $65.10
93321 13 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 13 12 $42.18
90686 13 13 $38.36
94760 313 290 $24.25
99358 Prolong nursin fac eval 15m 16 15 $18.27
J1100 Injection, dexamethasone sodium phosphate, 1 mg 73 61 $10.96
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 2,755 2,382 $0.00
92201 21 12 $0.00
0399T 1,740 1,684 $0.00
A4627 Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler 14 14 $0.00