Physician
Duke University Health System, INC.
Duke University Health System, INC. was paid $289K by Medicaid between Jan 2018 and Nov 2024, across 31 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 29% of everything it billed.
33Billing provider infoDUKE UNIVERSITY HEALTH SYSTEM, INC.
DURHAM, NC 27710
DURHAM, NC 27710
33aNPI1558392977assigned 07/05/2006
33bProvider typeInternal Medicine Physician
28Total paid$289K
24GClaims7,593
24DCodes billed31
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in North Carolina
Rank by total paid#183 of 616
Median peer was paid$74K
This provider vs. median3.9×
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 SMITH, JOHN 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 | 601 | $25K | |
| 2019 | 857 | $47K | |
| 2020 | 412 | $17K | |
| 2021 | 1,574 | $43K | |
| 2022 | 1,047 | $51K | |
| 2023 | 1,094 | $38K | |
| 2024incomplete | 2,008 | $67K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 29% | 1,368 | 1,236 | $83K |
| 97750 | 20% | 1,984 | 1,415 | $57K | |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 9.7% | 329 | 192 | $28K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 5.7% | 1,230 | 589 | $17K |
| 97164 | 4.2% | 387 | 292 | $12K | |
| 99460 | 4.2% | 168 | 160 | $12K | |
| J0248 | Injection, remdesivir, 1 mg | 3.7% | 47 | 16 | $11K |
| M0243 | Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring | 3.2% | 31 | 26 | $9K |
| 99238 | Hospital discharge day management, 30 minutes or less | 3.0% | 151 | 147 | $9K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 2.8% | 81 | 77 | $8K |
| 01920 | 1.8% | 37 | 36 | $5K | |
| M0247 | Intravenous infusion, sotrovimab, includes infusion and post administration monitoring | 1.6% | 26 | 13 | $5K |
19 more codes
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 1.6% | 222 | $5K |
| 90832 | Psychotherapy session, about 30 minutes | 1.5% | 169 | $4K |
| 00140 | 1.4% | 55 | $4K | |
| 99213 | Doctor's office visit, returning patient (routine) | 1.1% | 206 | $3K |
| 99215 | Doctor's office visit, returning patient (complex) | 1.1% | 59 | $3K |
| 99462 | <1% | 75 | $2K | |
| 97597 | <1% | 194 | $2K | |
| 99253 | <1% | 19 | $2K | |
| M0222 | Intravenous injection, bebtelovimab, includes injection and post administration monitoring | <1% | 61 | $1K |
| 99443 | <1% | 59 | $1K | |
| 99221 | <1% | 26 | $1K | |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | <1% | 44 | $1K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 81 | $961.80 |
| M0245 | Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring | <1% | 25 | $940.06 |
| 97161 | <1% | 21 | $828.04 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 39 | $456.29 |
| 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% | 360 | $353.03 |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | <1% | 22 | $259.05 |
| 99442 | <1% | 17 | $93.84 |
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 officialSMITH, JOHN (VP, FINANCE)
Parent organizationDUKE UNIVERSITY HEALTH SYSTEM, INC
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.