Physician
Raleigh Durham Medical Group, PA
Raleigh Durham Medical Group, PA was paid $918K by Medicaid between Jan 2018 and Dec 2024, across 43 billing codes. Its largest line is 99199, Unlisted special service, procedure or report — 35% of everything it billed.
33Billing provider infoRALEIGH DURHAM MEDICAL GROUP, PA
RALEIGH, NC 27613
RALEIGH, NC 27613
33aNPI1518918259assigned 05/15/2006
33bProvider typePediatrics Physician
28Total paid$918K
24GClaims90,952
24DCodes billed43
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in North Carolina
Rank by total paid#221 of 433
Median peer was paid$942K
This provider vs. median1.0×
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 MOYE, DAVID controls 20+ 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 | 823 | $26K | |
| 2019 | 1,282 | $8K | |
| 2020 | 3,533 | $47K | |
| 2021 | 9,109 | $113K | |
| 2022 | 25,292 | $235K | |
| 2023 | 27,383 | $254K | |
| 2024incomplete | 23,530 | $236K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99199 | Unlisted special service, procedure or report | 35% | 51,840 | 25,664 | $322K |
| 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 | 28% | 3,236 | 2,307 | $255K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 10% | 1,733 | 1,313 | $95K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.1% | 856 | 641 | $65K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 4.7% | 2,901 | 2,087 | $43K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 4.3% | 1,370 | 1,028 | $40K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.4% | 413 | 337 | $32K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.7% | 2,253 | 1,663 | $15K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 1.0% | 205 | 141 | $10K |
| 96161 | <1% | 2,832 | 2,039 | $8K | |
| 96160 | <1% | 2,579 | 1,910 | $8K | |
| 96127 | <1% | 1,387 | 997 | $5K |
31 more codes
| 92552 | <1% | 815 | $4K | |
| 80061 | Lipid panel | <1% | 446 | $4K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 73 | $3K |
| 87634 | <1% | 99 | $2K | |
| 99383 | <1% | 40 | $1K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 36 | $1K |
| 99173 | <1% | 1,023 | $1K | |
| 85018 | <1% | 634 | $961.69 | |
| 90474 | <1% | 62 | $940.70 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 29 | $779.20 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 13 | $572.60 |
| 90686 | <1% | 487 | $448.05 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 103 | $222.80 |
| 94761 | <1% | 298 | $183.15 | |
| 1160F | <1% | 5,662 | $119.62 | |
| 1159F | <1% | 5,664 | $119.62 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 35 | $29.70 |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 194 | $20.45 |
| 94760 | <1% | 33 | $19.23 | |
| 36416 | <1% | 974 | $12.64 | |
| 3008F | <1% | 1,382 | $4.38 | |
| 90677 | <1% | 173 | $0.03 | |
| 90648 | <1% | 430 | $0.01 | |
| 90723 | 0% | 96 | $0.00 | |
| 99000 | 0% | 106 | $0.00 | |
| 90656 | 0% | 35 | $0.00 | |
| 90680 | 0% | 50 | $0.00 | |
| 90670 | 0% | 220 | $0.00 | |
| 90633 | 0% | 54 | $0.00 | |
| 3725F | 0% | 66 | $0.00 | |
| 90681 | 0% | 15 | $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 officialMOYE, DAVID (EXECUTIVE DIRECTOR)
Parent organizationRALEIGH DURHAM MEDICAL GROUP PA
| Provider | Location | Paid |
|---|---|---|
| Raleigh Durham Medical Group, PA | Clayton, NC | $3.74M |
| RDMG Associates, PA | Spindale, NC | $1.88M |
| RDMG Associates PA | Roxboro, NC | $1.46M |
| Raleigh Durham Medical Group PA | Durham, NC | $756K |
| Raleigh Durham Medical Group, PA | Durham, NC | $748K |
| Raleigh Durham Medical Group PA | Cary, NC | $577K |
| RDMG Associates PA | Morganton, NC | $552K |
| RDMG Associates PA | Shallotte, NC | $432K |
| RDMG Associates PA | Black Mountain, NC | $349K |
| Raleigh Durham Medical Group, PA | Raleigh, NC | $331K |
| RDMG Associates, PA | Fayetteville, NC | $306K |
| RDMG Associates PA | Smithfield, NC | $234K |
| RDMG Associates, PA | Asheville, NC | $179K |
| RDMG Associates, PA | Raleigh, NC | $103K |
| RDMG Associates PA | Asheville, NC | $78K |
| RDMG Associates, PA | Wilmington, NC | $55K |
| RDMG Associates PA | Asheville, NC | $51K |
| RDMG Associates, PA | Morehead City, NC | $20K |
| RDMG Associates PA | Wilmington, NC | $13K |
| Raleigh Durham Medical Group PA | Cary, NC | $11K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.