Behavioral
Private Diagnostic Clinic, PLLC
Private Diagnostic Clinic, PLLC was paid $865K by Medicaid between Jan 2019 and Jun 2023, across 28 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 61% of everything it billed.
33Billing provider infoPRIVATE DIAGNOSTIC CLINIC, PLLC
DURHAM, NC 27710
DURHAM, NC 27710
33aNPI1649757568assigned 07/24/2018
33bProvider typePsychologist
28Total paid$865K
24GClaims15,278
24DCodes billed28
24AFirst – last monthJan 2019 – Jun 2023
Compared with peers
Next to other Psychologist providers in North Carolina
Rank by total paid#20 of 96
Median peer was paid$141K
This provider vs. median6.1×
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 FREDERICK, CHRISTOPHER 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 | |
|---|---|---|---|
| 2019 | 3,392 | $208K | |
| 2020 | 2,494 | $136K | |
| 2021 | 3,838 | $235K | |
| 2022 | 3,582 | $214K | |
| 2023 | 1,972 | $71K |
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 | 61% | 7,895 | 6,832 | $526K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 11% | 3,374 | 900 | $97K |
| 96113 | 7.3% | 694 | 523 | $64K | |
| 96112 | 6.0% | 679 | 528 | $52K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 4.3% | 773 | 253 | $37K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 2.7% | 356 | 207 | $24K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.5% | 181 | 138 | $13K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 1.0% | 77 | 67 | $9K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 332 | 113 | $7K |
| 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% | 263 | 172 | $7K |
| 99443 | <1% | 176 | 157 | $5K | |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 94 | 62 | $5K |
16 more codes
| 99205 | Prolong outpt/office vis | <1% | 24 | $3K |
| 96130 | <1% | 32 | $3K | |
| 96133 | <1% | 57 | $2K | |
| 96131 | <1% | 12 | $2K | |
| 96137 | <1% | 12 | $2K | |
| 99254 | <1% | 17 | $2K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 16 | $1K |
| 96132 | <1% | 63 | $1K | |
| 99245 | <1% | 16 | $1K | |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 14 | $1K |
| 99442 | <1% | 38 | $998.20 | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 13 | $676.86 |
| 99221 | <1% | 15 | $560.25 | |
| 96136 | <1% | 12 | $425.07 | |
| 99223 | Prolong inpt eval add15 m | <1% | 25 | $336.02 |
| 98968 | <1% | 18 | $161.78 |
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 officialFREDERICK, CHRISTOPHER (CFO)
Parent organizationPRIVATE DIAGNOSTIC CLINIC, PLLC
| Provider | Location | Paid |
|---|---|---|
| Private Diagnostic Clinic, PLLC | Durham, NC | $46.44M |
| 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.