Medicaid Provider Spending

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

NPI: 1962848721 · DURHAM, NC 27704 · Pediatrics Physician · NPI assigned 05/20/2013

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

Authorized official NEWMAN, PAUL controls 15+ related entities in our dataset. Read more

$4.31M
Total Medicaid Paid
243,204
Total Claims
149,548
Beneficiaries
39
Codes Billed
2018-01
First Month
2024-06
Last Month

Provider Details

Authorized OfficialNEWMAN, PAUL (EXECUTIVE DIRECTOR, PDC)
NPI Enumeration Date05/20/2013

Related Entities

Other providers sharing the same authorized official: NEWMAN, PAUL

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 10,953 $57K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 17,891 15,584 $1.09M
99199 Unlisted special service, procedure or report 159,439 76,467 $865K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 8,720 7,640 $796K
90460 Immunization administration through 18 years of age via any route, first or only component 16,473 14,366 $559K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 5,630 4,846 $490K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2,697 2,359 $239K
99215 Prolong outpt/office vis 510 459 $64K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 467 402 $41K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 623 554 $34K
96110 Developmental screening, with scoring and documentation, per standardized instrument 3,091 2,613 $30K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 972 908 $17K
99442 356 281 $16K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1,578 1,340 $13K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 297 231 $11K
99441 225 214 $7K
D0145 Oral evaluation for a patient under three years of age 194 169 $6K
96127 1,243 1,186 $5K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 40 39 $4K
90686 5,144 4,522 $3K
99051 133 125 $3K
D1206 Topical application of fluoride varnish 208 183 $3K
92551 5,201 4,656 $3K
0072A 39 30 $2K
99173 7,415 6,602 $2K
99382 20 15 $2K
0071A 47 32 $2K
83655 47 41 $617.63
96161 213 148 $216.98
87430 16 16 $211.95
99401 23 15 $114.90
87081 14 14 $92.43
99000 224 182 $0.00
90698 925 771 $0.00
90744 153 132 $0.00
90680 636 517 $0.00
90651 21 16 $0.00
90670 2,138 1,784 $0.00
90633 90 76 $0.00
91311 51 13 $0.00