Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

DUKE UNIVERSITY AFFILIATED PHYSICIANS, INC.

NPI: 1740225929 · DURHAM, NC 27704 · Pediatrics Physician · NPI assigned 06/19/2006

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

Authorized official ROBERTS, JENNIFER controls 20+ related entities in our dataset. Read more

$4.62M
Total Medicaid Paid
357,297
Total Claims
234,102
Beneficiaries
49
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialROBERTS, JENNIFER (DIRECTOR FINANCE)
Parent OrganizationDUKE UNIVERSITY AFFILIATED PHYSICIANS, INC.
NPI Enumeration Date06/19/2006

Related Entities

Other providers sharing the same authorized official: ROBERTS, JENNIFER

ProviderCityStateTotal Paid
DUKE UNIVERSITY AFFILIATED PHYSICIANS, INC. DURHAM NC $11.52M
DUKE UNIVERSITY AFFILIATED PHYSICIANS, INC. DURHAM NC $5.14M
DUKE UNIVERSITY AFFILIATED PHYSICIANS, INC. RALEIGH NC $3.08M
DUKE UNIVERSITY AFFILIATED PHYSICIANS, INC. KNIGHTDALE NC $2.51M
DUKE UNIVERSITY AFFILIATED PHYSICIANS, INC. MEBANE NC $1.64M
DUKE UNIVERSITY AFFILIATED PHYSICIANS, INC. CREEDMOOR NC $1.59M
DUKE UNIVERSITY AFFILIATED PHYSICIANS, INC. OXFORD NC $1.48M
DUKE UNIVERSITY AFFILIATED PHYSICIANS, INC. KNIGHTDALE NC $1.30M
DUKE UNIVERSITY AFFILIATED PHYSICIANS, INC. WAKE FOREST NC $1.29M
DUKE UNIVERSITY AFFILIATED PHYSICIAINS, INC. RALEIGH NC $1.13M
DUKE UNIVERSITY AFFILIATED PHYSICIANS, INC. HENDERSON NC $1.11M
DUKE UNIVERSITY AFFILIATED PHYSICIANS, INC. DURHAM NC $1.10M
DUKE UNIVERSITY AFFILIATED PHYSICIANS, INC. HILLSBOROUGH NC $1.03M
DUKE UNIVERSITY AFFILIATED PHYSICIANS, INC. DURHAM NC $903K
DUKE UNIVERSITY AFFILIATED PHYSICIANS, INC. RALEIGH NC $847K
DUKE UNIVERSITY AFFILIATED PHYSICIANS, INC. HILLSBOROUGH NC $838K
DUKE UNIVERSITY AFFILIATED PHYSICIANS, INC. MORRISVILLE NC $670K
DUKE UNIVERSITY AFFILIATED PHYSICIANS, INC. DURHAM NC $652K
DUKE UNIVERSITY AFFILIATED PHYSICIAN, INC. RALEIGH NC $469K
JENNIFER D. ROBERTS DO LLC PORTSMOUTH OH $466K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 114,406 $1.18M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99199 Unlisted special service, procedure or report 253,482 139,252 $1.27M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 11,019 10,078 $947K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14,663 13,242 $890K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3,731 3,442 $322K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3,255 2,990 $290K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 12,316 11,277 $219K
90460 Immunization administration through 18 years of age via any route, first or only component 3,348 3,071 $133K
90472 Immunization administration, each additional vaccine (list separately) 4,090 3,817 $128K
96110 Developmental screening, with scoring and documentation, per standardized instrument 12,190 11,187 $109K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 913 829 $80K
T1017 Targeted case management, each 15 minutes 295 223 $73K
D0145 Oral evaluation for a patient under three years of age 1,713 1,591 $58K
96127 8,292 7,535 $32K
D1206 Topical application of fluoride varnish 1,749 1,631 $26K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 282 271 $7K
90686 5,578 5,078 $6K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 54 53 $5K
90474 277 256 $5K
96161 1,165 1,058 $4K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 108 99 $3K
92551 5,953 5,370 $2K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 38 30 $2K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 39 25 $1K
99173 6,580 5,968 $1K
0072A 28 18 $1K
0071A 28 19 $831.70
90656 700 669 $793.52
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 37 37 $522.81
36415 Collection of venous blood by venipuncture 229 207 $519.76
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 29 29 $462.70
90480 66 60 $325.00
90670 1,062 970 $290.74
87081 33 33 $234.63
96380 12 12 $205.68
88720 29 13 $118.37
90723 642 596 $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) 249 226 $80.96
99177 69 68 $62.64
85018 23 18 $49.12
90647 491 449 $28.97
90633 168 149 $0.01
1003F 626 591 $0.00
G9920 Screening performed and negative 363 352 $0.00
G9919 Screening performed and positive and provision of recommendations 12 12 $0.00
90681 14 14 $0.00
90677 500 478 $0.00
90680 402 370 $0.00
90698 330 314 $0.00
90744 25 25 $0.00