Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NC › DURHAM › PRIVATE DIAGNOSTIC CLINIC, PLLC

PRIVATE DIAGNOSTIC CLINIC, PLLC

NPI: 1649757568 · DURHAM, NC 27710 · Psychologist · NPI assigned 07/24/2018

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

Authorized official FREDERICK, CHRISTOPHER controls 20+ related entities in our dataset. Read more

$865K
Total Medicaid Paid
15,278
Total Claims
10,229
Beneficiaries
28
Codes Billed
2019-01
First Month
2023-06
Last Month

Provider Details

Authorized OfficialFREDERICK, CHRISTOPHER (CFO)
Parent OrganizationPRIVATE DIAGNOSTIC CLINIC, PLLC
NPI Enumeration Date07/24/2018

Related Entities

Other providers sharing the same authorized official: FREDERICK, CHRISTOPHER

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 3,392 $208K
2020 2,494 $136K
2021 3,838 $235K
2022 3,582 $214K
2023 1,972 $71K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,895 6,832 $526K
99232 Subsequent hospital care, per day, moderate complexity 3,374 900 $97K
96113 694 523 $64K
96112 679 528 $52K
99233 Prolong inpt eval add15 m 773 253 $37K
90837 Psychotherapy, 53 minutes with patient 356 207 $24K
99215 Prolong outpt/office vis 181 138 $13K
99244 Office or other outpatient consultation, moderate to high complexity 77 67 $9K
99231 Subsequent hospital care, per day, straightforward or low complexity 332 113 $7K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 263 172 $7K
99443 176 157 $5K
90834 Psychotherapy, 45 minutes with patient 94 62 $5K
99205 Prolong outpt/office vis 24 24 $3K
96130 32 25 $3K
96133 57 25 $2K
96131 12 12 $2K
96137 12 12 $2K
99254 17 13 $2K
90791 Psychiatric diagnostic evaluation 16 12 $1K
96132 63 26 $1K
99245 16 12 $1K
90847 Family psychotherapy with the patient present, 50 minutes 14 12 $1K
99442 38 37 $998.20
99222 Initial hospital care, per day, moderate complexity 13 12 $676.86
99221 15 13 $560.25
96136 12 12 $425.07
99223 Prolong inpt eval add15 m 25 15 $336.02
98968 18 15 $161.78