Private Diagnostic Clinic, PLLC
Private Diagnostic Clinic, PLLC was paid $88K by Medicaid between Feb 2019 and Apr 2024, across 6 billing codes. Its largest line is 76816, Ultrasound, pregnant uterus, real time with image documentation, follow-up — 39% of everything it billed.
CARY, NC 27518
Next to other Maternal & Fetal 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 | |
|---|---|---|---|
| 2019 | 28 | $3K | |
| 2020 | 33 | $2K | |
| 2021 | 801 | $18K | |
| 2022 | 1,690 | $49K | |
| 2023 | 776 | $15K | |
| 2024incomplete | 102 | $613.31 |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 39% | 536 | 365 | $34K |
| 76819 | Fetal biophysical profile; without non-stress testing | 23% | 385 | 190 | $20K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 21% | 161 | 122 | $19K |
| 99199 | Unlisted special service, procedure or report | 17% | 2,281 | 1,151 | $15K |
| 36415 | Collection of venous blood by venipuncture | <1% | 49 | 32 | $102.60 |
| 0501F | 0% | 18 | 15 | $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 | $17.42M |
| Private Diagnostic Clinic, PLLC | Elon, NC | $4.46M |
| Private Diagnostic Clinic, PLLC | Durham, NC | $4.31M |
| Private Diagnostic Clinic, PLLC | Burlington, NC | $1.52M |
| Private Diagnostic Clinic, PLLC | Durham, NC | $679K |
| Private Diagnostic Clinic, PLLC | Durham, NC | $475K |
| Private Diagnostic Clinic, PLLC | Mebane, NC | $121K |
| Private Diagnostic Clinic, PLLC | Durham, NC | $78K |
| Newman Medical Group PC | Largo, MD | $46K |
| Private Diagnostic Clinic, PLLC | Raleigh, NC | $39K |
| North Point Marriage and Family LLC | Tremonton, UT | $20K |
| Saludicity LLC | Glenn Dale, MD | $8K |
| Private Diagnostic Clinic, PLLC | Durham, NC | $5K |
| Private Diagnostic Clinic, PLLC | Durham, NC | $2K |
| Private Diagnostic Clinic, PLLC | Durham, NC | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.