Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NC › Raleigh › NPI 1518995224
Physician

Duke University Affiliated Physicians, INC

Duke University Affiliated Physicians, INC was paid $234K by Medicaid between Mar 2018 and Dec 2024, across 8 billing codes. Its largest line is 99199, Unlisted special service, procedure or report — 87% of everything it billed.

33Billing provider infoDUKE UNIVERSITY AFFILIATED PHYSICIANS, INC
RALEIGH, NC 27609
33aNPI1518995224assigned 06/29/2006
28Total paid$234K
24GClaims36,737
24DCodes billed8
24AFirst – last monthMar 2018 – Dec 2024
Compared with peers

Next to other Internal Medicine Physician providers in North Carolina

Rank by total paid#202 of 616
Median peer was paid$74K
This provider vs. median3.2×

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 ROBERTS, JENNIFER controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$10K$20K2018201920202021202220232024
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
2018180$2K
2019159$4K
202052$368.25
20214,835$35K
20227,733$37K
20237,148$41K
2024incomplete16,630$115K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99199 Unlisted special service, procedure or report 87% 35,123 21,857 $205K
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 12% 928 861 $28K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity <1% 25 24 $713.32
36415 Collection of venous blood by venipuncture <1% 486 443 $382.24
96127 <1% 87 52 $214.38
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% 61 54 $122.51
83036 Hemoglobin; glycosylated (A1C) <1% 15 14 $25.49
85027 <1% 12 12 $4.90

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 officialROBERTS, JENNIFER (DIRECTOR FINANCE)
Parent organizationDUKE UNIVERSITY AFFILIATED PHYSICIANS, INC.
Same official

Other billing entities under ROBERTS, JENNIFER

Full network →

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