Physician
Private Diagnostic Clinic, PLLC
Private Diagnostic Clinic, PLLC was paid $4.31M by Medicaid between Jan 2018 and Jun 2024, across 39 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 25% of everything it billed.
33Billing provider infoPRIVATE DIAGNOSTIC CLINIC, PLLC
DURHAM, NC 27704
DURHAM, NC 27704
33aNPI1962848721assigned 05/20/2013
33bProvider typePediatrics Physician
28Total paid$4.31M
24GClaims243,204
24DCodes billed39
24AFirst – last monthJan 2018 – Jun 2024
Compared with peers
Next to other Pediatrics Physician providers in North Carolina
Rank by total paid#95 of 433
Median peer was paid$942K
This provider vs. median4.6×
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 | 9,028 | $326K | |
| 2019 | 12,992 | $568K | |
| 2020 | 11,428 | $479K | |
| 2021 | 38,634 | $903K | |
| 2022 | 86,474 | $1.24M | |
| 2023 | 73,695 | $737K | |
| 2024incomplete | 10,953 | $57K |
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 | 25% | 17,891 | 15,584 | $1.09M |
| 99199 | Unlisted special service, procedure or report | 20% | 159,439 | 76,467 | $865K |
| 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% | 8,720 | 7,640 | $796K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 13% | 16,473 | 14,366 | $559K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 11% | 5,630 | 4,846 | $490K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.5% | 2,697 | 2,359 | $239K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.5% | 510 | 459 | $64K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 467 | 402 | $41K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 623 | 554 | $34K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 3,091 | 2,613 | $30K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 972 | 908 | $17K |
| 99442 | <1% | 356 | 281 | $16K |
27 more codes
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 1,578 | $13K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 297 | $11K |
| 99441 | <1% | 225 | $7K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 194 | $6K |
| 96127 | <1% | 1,243 | $5K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 40 | $4K |
| 90686 | <1% | 5,144 | $3K | |
| 99051 | <1% | 133 | $3K | |
| D1206 | Topical application of fluoride varnish | <1% | 208 | $3K |
| 92551 | <1% | 5,201 | $3K | |
| 0072A | <1% | 39 | $2K | |
| 99173 | <1% | 7,415 | $2K | |
| 99382 | <1% | 20 | $2K | |
| 0071A | <1% | 47 | $2K | |
| 83655 | <1% | 47 | $617.63 | |
| 96161 | <1% | 213 | $216.98 | |
| 87430 | <1% | 16 | $211.95 | |
| 99401 | <1% | 23 | $114.90 | |
| 87081 | <1% | 14 | $92.43 | |
| 99000 | 0% | 224 | $0.00 | |
| 90698 | 0% | 925 | $0.00 | |
| 90744 | 0% | 153 | $0.00 | |
| 90680 | 0% | 636 | $0.00 | |
| 90651 | 0% | 21 | $0.00 | |
| 90670 | 0% | 2,138 | $0.00 | |
| 90633 | 0% | 90 | $0.00 | |
| 91311 | 0% | 51 | $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 | Elon, NC | $4.46M |
| 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.