Medicaid Provider Spending

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

RALEIGH DURHAM MEDICAL GROUP, PA

NPI: 1518918259 · RALEIGH, NC 27613 · Pediatrics Physician · NPI assigned 05/15/2006

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

Authorized official MOYE, DAVID controls 20+ related entities in our dataset. Read more

$918K
Total Medicaid Paid
90,952
Total Claims
53,341
Beneficiaries
43
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMOYE, DAVID (EXECUTIVE DIRECTOR)
Parent OrganizationRALEIGH DURHAM MEDICAL GROUP PA
NPI Enumeration Date05/15/2006

Related Entities

Other providers sharing the same authorized official: MOYE, DAVID

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 823 $26K
2019 1,282 $8K
2020 3,533 $47K
2021 9,109 $113K
2022 25,292 $235K
2023 27,383 $254K
2024 23,530 $236K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99199 Unlisted special service, procedure or report 51,840 25,664 $322K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,236 2,307 $255K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,733 1,313 $95K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 856 641 $65K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,901 2,087 $43K
90472 Immunization administration, each additional vaccine (list separately) 1,370 1,028 $40K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 413 337 $32K
96110 Developmental screening, with scoring and documentation, per standardized instrument 2,253 1,663 $15K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 205 141 $10K
96161 2,832 2,039 $8K
96160 2,579 1,910 $8K
96127 1,387 997 $5K
92552 815 547 $4K
80061 Lipid panel 446 232 $4K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 73 53 $3K
87634 99 68 $2K
99383 40 12 $1K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 36 14 $1K
99173 1,023 683 $1K
85018 634 420 $961.69
90474 62 53 $940.70
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 29 12 $779.20
90460 Immunization administration through 18 years of age via any route, first or only component 13 12 $572.60
90686 487 356 $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) 103 96 $222.80
94761 298 204 $183.15
1160F 5,662 3,882 $119.62
1159F 5,664 3,884 $119.62
36415 Collection of venous blood by venipuncture 35 13 $29.70
G0444 Annual depression screening, 5 to 15 minutes 194 91 $20.45
94760 33 26 $19.23
36416 974 627 $12.64
3008F 1,382 958 $4.38
90677 173 157 $0.03
90648 430 356 $0.01
90723 96 87 $0.00
99000 106 60 $0.00
90656 35 30 $0.00
90680 50 40 $0.00
90670 220 136 $0.00
90633 54 37 $0.00
3725F 66 54 $0.00
90681 15 14 $0.00