Physician
Private Diagnostic Clinic, PLLC
Private Diagnostic Clinic, PLLC was paid $4.46M by Medicaid between Jan 2018 and Jun 2024, across 52 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 24% of everything it billed.
33Billing provider infoPRIVATE DIAGNOSTIC CLINIC, PLLC
ELON, NC 27244
ELON, NC 27244
33aNPI1902147440assigned 03/08/2013
33bProvider typePediatrics Physician
28Total paid$4.46M
24GClaims230,122
24DCodes billed52
24AFirst – last monthJan 2018 – Jun 2024
Compared with peers
Next to other Pediatrics Physician providers in North Carolina
Rank by total paid#86 of 433
Median peer was paid$942K
This provider vs. median4.7×
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 NEWMAN, PAUL controls 15+ 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 | 16,981 | $475K | |
| 2019 | 16,387 | $619K | |
| 2020 | 16,172 | $588K | |
| 2021 | 35,764 | $888K | |
| 2022 | 75,284 | $1.22M | |
| 2023 | 60,643 | $627K | |
| 2024incomplete | 8,891 | $48K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 24% | 17,427 | 15,238 | $1.05M |
| 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 | 18% | 8,737 | 7,346 | $793K |
| 99199 | Unlisted special service, procedure or report | 16% | 127,796 | 63,081 | $697K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.4% | 4,822 | 4,349 | $419K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.9% | 4,597 | 4,080 | $399K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 4.8% | 7,043 | 6,341 | $213K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 4.6% | 11,290 | 10,162 | $206K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.9% | 1,952 | 1,751 | $175K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.3% | 11,971 | 10,762 | $101K |
| 0240U | 2.2% | 902 | 688 | $100K | |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 1.8% | 697 | 546 | $80K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 1,164 | 1,062 | $40K |
40 more codes
| 90474 | <1% | 1,556 | $29K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 266 | $25K |
| D1206 | Topical application of fluoride varnish | <1% | 1,228 | $18K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 1,230 | $16K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 567 | $15K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 98 | $13K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 488 | $12K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 285 | $9K |
| 99051 | <1% | 346 | $9K | |
| 96161 | <1% | 2,398 | $8K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 127 | $5K |
| 99460 | <1% | 51 | $4K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 290 | $4K |
| 83655 | <1% | 268 | $3K | |
| 96127 | <1% | 835 | $3K | |
| 90473 | <1% | 156 | $3K | |
| 90686 | <1% | 1,621 | $2K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 25 | $1K |
| 36415 | Collection of venous blood by venipuncture | <1% | 546 | $1K |
| 83718 | <1% | 113 | $1K | |
| 92551 | <1% | 3,988 | $906.78 | |
| 99401 | <1% | 21 | $651.10 | |
| 99173 | <1% | 4,814 | $570.43 | |
| 82465 | <1% | 113 | $559.05 | |
| 90651 | <1% | 13 | $420.48 | |
| 99304 | <1% | 55 | $343.50 | |
| 90672 | <1% | 208 | $321.48 | |
| 90674 | <1% | 411 | $175.84 | |
| 85018 | <1% | 15 | $37.96 | |
| 90633 | <1% | 483 | $35.21 | |
| 80053 | Comprehensive metabolic panel | <1% | 13 | $20.84 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 14 | $9.58 |
| 36416 | <1% | 181 | $3.16 | |
| 90710 | <1% | 232 | $0.01 | |
| 90647 | 0% | 1,733 | $0.00 | |
| 90723 | 0% | 1,857 | $0.00 | |
| 90680 | 0% | 1,523 | $0.00 | |
| 90670 | 0% | 3,142 | $0.00 | |
| 90685 | 0% | 394 | $0.00 | |
| 90734 | 0% | 20 | $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 officialNEWMAN, PAUL (EXECUTIVE DIRECTOR, PDC)
| Provider | Location | Paid |
|---|---|---|
| Private Diagnostic Clinic, PLLC | Durham, NC | $17.42M |
| 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 | Cary, NC | $88K |
| 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.