Physician
DLP Conemaugh Physician Practices LLC
DLP Conemaugh Physician Practices LLC was paid $3.25M by Medicaid between Jan 2018 and Dec 2024, across 77 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 18% of everything it billed.
33Billing provider infoDLP CONEMAUGH PHYSICIAN PRACTICES LLC
JOHNSTOWN, PA 15905
JOHNSTOWN, PA 15905
33aNPI1205242609assigned 07/07/2014
33bProvider typeFamily Medicine Physician
28Total paid$3.25M
24GClaims78,107
24DCodes billed77
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Pennsylvania
Rank by total paid#18 of 2,756
Median peer was paid$19K
This provider vs. median169×
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 LAWRENCE, CHARLOTTE controls 20+ 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 | 432 | $9K | |
| 2019 | 643 | $13K | |
| 2020 | 3,226 | $120K | |
| 2021 | 22,255 | $965K | |
| 2022 | 20,284 | $873K | |
| 2023 | 15,098 | $628K | |
| 2024incomplete | 16,169 | $640K |
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 | 18% | 16,469 | 15,253 | $600K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 15% | 6,471 | 5,764 | $497K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 9.5% | 7,156 | 1,271 | $307K |
| 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 | 8.4% | 6,140 | 5,853 | $274K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 6.0% | 3,014 | 2,121 | $194K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 4.8% | 3,731 | 3,575 | $155K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 4.4% | 3,736 | 857 | $143K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.7% | 3,853 | 3,254 | $119K |
| 99223 | Prolong inpt eval add15 m | 2.6% | 930 | 903 | $84K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 2.2% | 1,855 | 1,607 | $73K |
| 93976 | 2.2% | 1,087 | 784 | $72K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 2.0% | 1,587 | 1,333 | $65K |
65 more codes
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 1.9% | 554 | $61K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 1.6% | 1,360 | $53K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 1.5% | 1,479 | $50K |
| 99238 | Hospital discharge day management, 30 minutes or less | 1.5% | 1,097 | $47K |
| 76819 | Fetal biophysical profile; without non-stress testing | 1.4% | 1,042 | $47K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.1% | 2,928 | $37K |
| 99203 | Doctor's office visit, new patient (routine) | 1.1% | 627 | $34K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.0% | 517 | $34K |
| 99253 | <1% | 322 | $32K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 998 | $30K |
| 76830 | Ultrasound, transvaginal | <1% | 699 | $24K |
| 76820 | <1% | 658 | $21K | |
| 88307 | <1% | 403 | $17K | |
| 99254 | <1% | 141 | $17K | |
| 99284 | Emergency room visit (serious) | <1% | 100 | $16K |
| 99285 | Emergency room visit (most serious) | <1% | 63 | $12K |
| 76821 | <1% | 269 | $11K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 1,620 | $10K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,227 | $10K |
| 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | <1% | 99 | $9K |
| 88342 | <1% | 244 | $9K | |
| 87428 | <1% | 299 | $9K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 124 | $8K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 121 | $8K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 189 | $7K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 71 | $7K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 95 | $6K |
| 59025 | Fetal non-stress test | <1% | 312 | $5K |
| 93970 | <1% | 124 | $3K | |
| 93000 | <1% | 236 | $3K | |
| 62323 | <1% | 56 | $3K | |
| 90715 | <1% | 82 | $3K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 85 | $2K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 40 | $2K |
| 99205 | Prolong outpt/office vis | <1% | 13 | $2K |
| 88341 | <1% | 25 | $1K | |
| 93296 | <1% | 116 | $1K | |
| 81025 | <1% | 256 | $1K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 12 | $1K |
| 93016 | <1% | 70 | $1K | |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 40 | $1K |
| 93018 | <1% | 82 | $912.82 | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 24 | $825.15 |
| 76801 | <1% | 13 | $784.34 | |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 15 | $780.11 |
| 88141 | <1% | 92 | $778.73 | |
| 73630 | <1% | 20 | $415.41 | |
| 87807 | <1% | 32 | $414.81 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 24 | $366.96 |
| 93227 | <1% | 13 | $310.33 | |
| 81003 | <1% | 143 | $299.76 | |
| 93297 | <1% | 24 | $275.56 | |
| 95251 | <1% | 16 | $257.45 | |
| 93295 | <1% | 12 | $206.05 | |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | <1% | 129 | $114.00 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 76 | $113.40 |
| G2066 | Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results | <1% | 12 | $106.37 |
| 81002 | <1% | 26 | $104.25 | |
| 94060 | <1% | 13 | $94.71 | |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 24 | $48.06 |
| 3074F | 0% | 328 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 201 | $0.00 |
| 3079F | 0% | 28 | $0.00 | |
| 3078F | 0% | 248 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 1,670 | $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 officialLAWRENCE, CHARLOTTE (SECRETARY)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.