Raleigh Durham Medical Group, PA
Raleigh Durham Medical Group, PA was paid $331K by Medicaid between Aug 2019 and Dec 2024, across 14 billing codes. Its largest line is 99199, Unlisted special service, procedure or report — 86% of everything it billed.
RALEIGH, NC 27615
Next to other Pediatrics 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 | 204 | $849.58 | |
| 2020 | 316 | $2K | |
| 2021 | 3,899 | $36K | |
| 2022 | 10,419 | $80K | |
| 2023 | 16,164 | $129K | |
| 2024incomplete | 11,665 | $82K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99199 | Unlisted special service, procedure or report | 86% | 36,766 | 18,643 | $283K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 10% | 710 | 481 | $33K |
| 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 | 2.9% | 116 | 90 | $10K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.1% | 227 | 162 | $3K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 16 | 12 | $970.76 |
| 92551 | <1% | 41 | 25 | $132.32 | |
| 90686 | <1% | 86 | 57 | $69.93 | |
| 99177 | <1% | 14 | 12 | $5.22 | |
| 1159F | <1% | 2,170 | 1,552 | $0.24 | |
| 1160F | <1% | 2,170 | 1,552 | $0.24 | |
| 3008F | <1% | 250 | 123 | $0.03 | |
| 3725F | 0% | 15 | 12 | $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 |
|---|---|---|
| Raleigh Durham Medical Group, PA | Clayton, NC | $3.74M |
| RDMG Associates, PA | Spindale, NC | $1.88M |
| RDMG Associates PA | Roxboro, NC | $1.46M |
| Raleigh Durham Medical Group, PA | Raleigh, NC | $918K |
| Raleigh Durham Medical Group PA | Durham, NC | $756K |
| Raleigh Durham Medical Group, PA | Durham, NC | $748K |
| Raleigh Durham Medical Group PA | Cary, NC | $577K |
| RDMG Associates PA | Morganton, NC | $552K |
| RDMG Associates PA | Shallotte, NC | $432K |
| RDMG Associates PA | Black Mountain, NC | $349K |
| RDMG Associates, PA | Fayetteville, NC | $306K |
| RDMG Associates PA | Smithfield, NC | $234K |
| RDMG Associates, PA | Asheville, NC | $179K |
| RDMG Associates, PA | Raleigh, NC | $103K |
| RDMG Associates PA | Asheville, NC | $78K |
| RDMG Associates, PA | Wilmington, NC | $55K |
| RDMG Associates PA | Asheville, NC | $51K |
| RDMG Associates, PA | Morehead City, NC | $20K |
| RDMG Associates PA | Wilmington, NC | $13K |
| Raleigh Durham Medical Group PA | Cary, NC | $11K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.