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PRIVATE DIAGNOSTIC CLINIC, PLLC

General Practice·DURHAM, NC·NPI: 1457389033Share

Compared to General Practice Peers

Total spending distribution among 6 providers in this specialty

P25MedianP75P90

This provider's total spending of $46.4M is at the 50th percentile among 6 General Practice providers.

Active Billing Period:2018-01→2024-05(77 months)
Billing appears to have stoppedLast active: 2024-05

Total Paid

$46.4M

$46,444,320

Total Claims

1.2M

Beneficiaries

867K

1.4 claims/patient

Avg Cost/Claim

$38

Monthly Spending Trend

Yearly Spending

2018
$7.6M
+10%
2019
$8.4M
-11%
2020
$7.5M
+22%
2021
$9.1M
+2%
2022
$9.3M
-51%
2023
$4.5M
-99%
2024
$29K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99233 (Subsequent hospital care, per day, high complexity)) accounts for 11% of total spending.

99233Top 25%

Subsequent hospital care, per day, high complexity

$5.1M

79K claims · 11.0%

Your Cost: $64.88/claim|Median: $35.30
1.8× median
99215Normal range

Office/outpatient visit, high complexity

$4.0M

50K claims · 8.5%

Your Cost: $78.97/claim|Median: $74.09
1.1× median
99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$3.8M

72K claims · 8.2%

Your Cost: $52.68/claim|Median: $53.41
1.0× median
99285Normal range

Emergency dept visit, high/urgent complexity

$3.0M

32K claims · 6.5%

Your Cost: $94.44/claim|Median: $85.65
1.1× median
99472Normal range

Subsequent pediatric critical care, per day, age 2-5

$3.0M

12K claims · 6.4%

Your Cost: $244.02/claim|Median: $307.98
0.8× median
99284Normal range

Emergency dept visit, high complexity

$2.0M

24K claims · 4.4%

Your Cost: $85.16/claim|Median: $69.51
1.2× median
99469Normal range

Subsequent intensive care, very low birth weight infant

$1.7M

6,729 claims · 3.6%

Your Cost: $249.38/claim|Median: $293.45
0.8× median
99479Normal range

Subsequent intensive care, 2,501-5,000 grams

$1.5M

17K claims · 3.2%

Your Cost: $86.99/claim|Median: $103.70
0.8× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$1.3M

26K claims · 2.8%

Your Cost: $49.77/claim|Median: $54.68
0.9× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$1.3M

34K claims · 2.8%

Your Cost: $37.97/claim|Median: $23.99
1.6× median
99291Normal range

Critical care, first 30-74 minutes

$1.3M

9,761 claims · 2.8%

Your Cost: $131.57/claim|Median: $101.24
1.3× median
93303Normal range

Echocardiography, transthoracic, limited

$1.3M

20K claims · 2.8%

Your Cost: $65.10/claim|Median: $112.83
0.6× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$1.2M

9,953 claims · 2.6%

Your Cost: $119.81/claim|Median: $121.58
1.0× median
74177Normal range

CT abdomen and pelvis with contrast

$970K

23K claims · 2.1%

Your Cost: $41.56/claim|Median: $65.76
0.6× median
95720Normal range

$864K

7,119 claims · 1.9%

Your Cost: $121.37/claim|Median: $120.95
1.0× median
71045Normal range

Chest X-ray, single view

$851K

170K claims · 1.8%

Your Cost: $5.00/claim|Median: $4.93
1.0× median
99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$743K

22K claims · 1.6%

Your Cost: $33.59/claim|Median: $37.81
0.9× median
95951Normal range

$665K

3,707 claims · 1.4%

Your Cost: $179.30/claim|Median: $183.28
1.0× median
88305Normal range

Surgical pathology, gross and microscopic examination

$637K

14K claims · 1.4%

Your Cost: $44.86/claim|Median: $35.80
1.3× median
93010Normal range

Electrocardiogram, interpretation and report only

$562K

124K claims · 1.2%

Your Cost: $4.52/claim|Median: $5.60
0.8× median
70450Normal range

CT head/brain without contrast

$561K

26K claims · 1.2%

Your Cost: $21.88/claim|Median: $45.53
0.5× median
70553Normal range

MRI brain without contrast, then with contrast

$500K

7,581 claims · 1.1%

Your Cost: $65.96/claim|Median: $133.68
0.5× median
90960Normal range

End-stage renal disease services, per month, age 20+

$464K

12K claims · 1.0%

Your Cost: $38.00/claim|Median: $52.76
0.7× median
99480Normal range

Subsequent intensive care, very low birth weight infant

$460K

5,973 claims · 1.0%

Your Cost: $77.09/claim|Median: $98.15
0.8× median
99245Normal range

Office consultation, high complexity

$459K

3,022 claims · 1.0%

Your Cost: $151.87/claim|Median: $143.30
1.1× median
93320Normal range

$436K

22K claims · 0.9%

Your Cost: $19.59/claim|Median: $28.68
0.7× median
88307Normal range

Surgical pathology, gross and microscopic, complex

$434K

8,315 claims · 0.9%

Your Cost: $52.18/claim|Median: $59.38
0.9× median
71046Normal range

Chest X-ray, 2 views

$377K

61K claims · 0.8%

Your Cost: $6.20/claim|Median: $8.92
0.7× median
01967Normal range

Anesthesia, neuraxial labor analgesia/delivery

$339K

2,687 claims · 0.7%

Your Cost: $126.11/claim|Median: $283.78
0.4× median
99283Normal range

Emergency dept visit, moderate complexity

$323K

6,615 claims · 0.7%

Your Cost: $48.80/claim|Median: $42.48
1.1× median
99243Normal range

Office or other outpatient consultation, low complexity

$279K

3,804 claims · 0.6%

Your Cost: $73.32/claim|Median: $82.43
0.9× median
70551Normal range

MRI brain without contrast

$236K

5,233 claims · 0.5%

Your Cost: $45.03/claim|Median: $85.39
0.5× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$209K

1,949 claims · 0.5%

Your Cost: $107.42/claim|Median: $233.73
0.5× median
71275Normal range

CT angiography, chest, with contrast

$205K

4,345 claims · 0.4%

Your Cost: $47.07/claim|Median: $92.96
0.5× median
93325Normal range

$201K

25K claims · 0.4%

Your Cost: $7.94/claim|Median: $14.61
0.5× median
76770Normal range

Ultrasound, retroperitoneal, complete

$186K

7,558 claims · 0.4%

Your Cost: $24.58/claim|Median: $37.35
0.7× median
99204Normal range

Office/outpatient visit, new patient, mod-high complexity

$182K

1,757 claims · 0.4%

Your Cost: $103.46/claim|Median: $84.03
1.2× median
95004Normal range

Percutaneous allergy skin tests, each

$177K

2,441 claims · 0.4%

Your Cost: $72.58/claim|Median: $134.97
0.5× median
97802Top 25%

Medical nutrition therapy, reassessment, individual, fifteen minutes

$166K

2,365 claims · 0.4%

Your Cost: $70.21/claim|Median: $12.70
5.5× median
99255Top 25%

$158K

1,153 claims · 0.3%

Your Cost: $137.21/claim|Median: $90.45
1.5× median
71260Normal range

CT chest with contrast

$151K

5,072 claims · 0.3%

Your Cost: $29.82/claim|Median: $48.36
0.6× median
74018Normal range

$147K

27K claims · 0.3%

Your Cost: $5.45/claim|Median: $7.00
0.8× median
74019Normal range

$140K

21K claims · 0.3%

Your Cost: $6.72/claim|Median: $9.82
0.7× median
99417Top 5%

$111K

689 claims · 0.2%

Your Cost: $160.53/claim|Median: $34.90
4.6× median
83020Normal range

$109K

9,836 claims · 0.2%

Your Cost: $11.13/claim|Median: $9.42
1.2× median
99478Normal range

$103K

1,356 claims · 0.2%

Your Cost: $76.05/claim|Median: $106.11
0.7× median
99223Top 25%

Initial hospital care, per day, high complexity

$103K

903 claims · 0.2%

Your Cost: $113.69/claim|Median: $67.32
1.7× median
76506Normal range

$100K

5,281 claims · 0.2%

Your Cost: $18.93/claim|Median: $25.33
0.7× median
88189Normal range

$99K

1,772 claims · 0.2%

Your Cost: $55.65/claim|Median: $45.87
1.2× median
90935Normal range

Hemodialysis, one evaluation

$89K

6,436 claims · 0.2%

Your Cost: $13.78/claim|Median: $23.72
0.6× median

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