Private Diagnostic Clinic, PLLC
Private Diagnostic Clinic, PLLC was paid $78K by Medicaid between Jan 2018 and May 2024, across 12 billing codes. Its largest line is 99199, Unlisted special service, procedure or report — 64% of everything it billed.
DURHAM, NC 27704
Next to other Obstetrics & Gynecology 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 | 102 | $1K | |
| 2019 | 101 | $5K | |
| 2020 | 83 | $3K | |
| 2021 | 1,549 | $26K | |
| 2022 | 3,550 | $21K | |
| 2023 | 3,271 | $19K | |
| 2024incomplete | 323 | $2K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99199 | Unlisted special service, procedure or report | 64% | 8,435 | 4,226 | $50K |
| 59426 | 13% | 14 | 14 | $10K | |
| S0280 | Medical home program, comprehensive care coordination and planning, initial plan | 10% | 199 | 145 | $8K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.2% | 66 | 52 | $4K |
| 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 | 3.2% | 34 | 26 | $2K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 2.1% | 27 | 25 | $2K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 1.4% | 14 | 13 | $1K |
| 90715 | <1% | 18 | 16 | $578.34 | |
| 81025 | <1% | 49 | 39 | $291.63 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 18 | 16 | $193.35 |
| 87210 | <1% | 38 | 38 | $167.14 | |
| 0501F | 0% | 67 | 63 | $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 | 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 | $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.