Physician
Duke University Affiliated Physicians, INC.
Duke University Affiliated Physicians, INC. was paid $4.62M by Medicaid between Jan 2018 and Dec 2024, across 49 billing codes. Its largest line is 99199, Unlisted special service, procedure or report — 28% of everything it billed.
33Billing provider infoDUKE UNIVERSITY AFFILIATED PHYSICIANS, INC.
DURHAM, NC 27704
DURHAM, NC 27704
33aNPI1740225929assigned 06/19/2006
33bProvider typePediatrics Physician
28Total paid$4.62M
24GClaims357,297
24DCodes billed49
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in North Carolina
Rank by total paid#81 of 433
Median peer was paid$942K
This provider vs. median4.9×
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 ROBERTS, JENNIFER 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 | |
|---|---|---|---|
| 2018 | 11,506 | $380K | |
| 2019 | 13,315 | $474K | |
| 2020 | 9,622 | $296K | |
| 2021 | 33,024 | $560K | |
| 2022 | 73,102 | $734K | |
| 2023 | 102,322 | $1.00M | |
| 2024incomplete | 114,406 | $1.18M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99199 | Unlisted special service, procedure or report | 28% | 253,482 | 139,252 | $1.27M |
| 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 | 20% | 11,019 | 10,078 | $947K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 14,663 | 13,242 | $890K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.0% | 3,731 | 3,442 | $322K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.3% | 3,255 | 2,990 | $290K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 4.7% | 12,316 | 11,277 | $219K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.9% | 3,348 | 3,071 | $133K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 2.8% | 4,090 | 3,817 | $128K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.4% | 12,190 | 11,187 | $109K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.7% | 913 | 829 | $80K |
| T1017 | Case management, billed per 15 minutesTargeted case management, each 15 minutes | 1.6% | 295 | 223 | $73K |
| D0145 | Oral evaluation for a patient under three years of age | 1.3% | 1,713 | 1,591 | $58K |
37 more codes
| 96127 | <1% | 8,292 | $32K | |
| D1206 | Topical application of fluoride varnish | <1% | 1,749 | $26K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 282 | $7K |
| 90686 | <1% | 5,578 | $6K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 54 | $5K |
| 90474 | <1% | 277 | $5K | |
| 96161 | <1% | 1,165 | $4K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 108 | $3K |
| 92551 | <1% | 5,953 | $2K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 38 | $2K |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | <1% | 39 | $1K |
| 99173 | <1% | 6,580 | $1K | |
| 0072A | <1% | 28 | $1K | |
| 0071A | <1% | 28 | $831.70 | |
| 90656 | <1% | 700 | $793.52 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 37 | $522.81 |
| 36415 | Collection of venous blood by venipuncture | <1% | 229 | $519.76 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 29 | $462.70 |
| 90480 | <1% | 66 | $325.00 | |
| 90670 | <1% | 1,062 | $290.74 | |
| 87081 | <1% | 33 | $234.63 | |
| 96380 | <1% | 12 | $205.68 | |
| 88720 | <1% | 29 | $118.37 | |
| 90723 | <1% | 642 | $91.55 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 249 | $80.96 |
| 99177 | <1% | 69 | $62.64 | |
| 85018 | <1% | 23 | $49.12 | |
| 90647 | <1% | 491 | $28.97 | |
| 90633 | <1% | 168 | $0.01 | |
| 1003F | 0% | 626 | $0.00 | |
| G9920 | Screening performed and negative | 0% | 363 | $0.00 |
| G9919 | Screening performed and positive and provision of recommendations | 0% | 12 | $0.00 |
| 90681 | 0% | 14 | $0.00 | |
| 90677 | 0% | 500 | $0.00 | |
| 90680 | 0% | 402 | $0.00 | |
| 90698 | 0% | 330 | $0.00 | |
| 90744 | 0% | 25 | $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.
From NPPES
Who's on the registration
Authorized officialROBERTS, JENNIFER (DIRECTOR FINANCE)
Parent organizationDUKE UNIVERSITY AFFILIATED PHYSICIANS, INC.
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.