Private Diagnostic Clinic, PLLC
Private Diagnostic Clinic, PLLC was paid $846K by Medicaid between Jan 2018 and Jun 2024, across 11 billing codes. Its largest line is 99199, Unlisted special service, procedure or report — 60% of everything it billed.
DURHAM, NC 27705
Next to other Family Medicine Physician providers in North Carolina
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 3,135 | $106K | |
| 2019 | 3,403 | $137K | |
| 2020 | 1,767 | $73K | |
| 2021 | 13,033 | $134K | |
| 2022 | 39,540 | $218K | |
| 2023 | 33,412 | $163K | |
| 2024incomplete | 2,680 | $15K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99199 | Unlisted special service, procedure or report | 60% | 88,079 | 48,609 | $504K |
| 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 | 28% | 5,479 | 4,943 | $234K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 3,036 | 2,836 | $101K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 54 | 51 | $5K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 12 | 12 | $1K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 104 | 99 | $884.97 |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 13 | 13 | $504.27 |
| 99442 | <1% | 26 | 26 | $431.75 | |
| D1206 | Topical application of fluoride varnish | <1% | 13 | 13 | $222.56 |
| 99173 | 0% | 41 | 40 | $0.00 | |
| 92551 | 0% | 113 | 109 | $0.00 |
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.
Who's on the registration
| 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 | 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 |
| Private Diagnostic Clinic, PLLC | Durham, NC | $48K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.