Medicaid Provider Spending

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

DLP CONEMAUGH PHYSICIAN PRACTICES LLC

NPI: 1205242609 · JOHNSTOWN, PA 15905 · Family Medicine Physician · NPI assigned 07/07/2014

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

Authorized official LAWRENCE, CHARLOTTE controls 20+ related entities in our dataset. Read more

$3.25M
Total Medicaid Paid
78,107
Total Claims
60,948
Beneficiaries
77
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLAWRENCE, CHARLOTTE (SECRETARY)
NPI Enumeration Date07/07/2014

Related Entities

Other providers sharing the same authorized official: LAWRENCE, CHARLOTTE

ProviderCityStateTotal Paid
LAKE CUMBERLAND REGIONAL HOSPITAL LLC SOMERSET KY $77.77M
DANVILLE REGIONAL MEDICAL CENTER, LLC DANVILLE VA $65.11M
PHC-LAS CRUCES INC LAS CRUCES NM $64.77M
GEORGETOWN COMMUNITY HOSPITAL LLC GEORGETOWN KY $44.03M
PINELAKE REGIONAL HOSPITAL LLC MAYFIELD KY $43.34M
RALEIGH GENERAL HOSPITAL LLC BECKLEY WV $36.44M
LOURDES HOSPITAL LLC PASCO WA $33.94M
RCHP-SIERRA VISTA INC SIERRA VISTA AZ $29.77M
CLINCH VALLEY MEDICAL CENTER INC. RICHLANDS VA $26.28M
SPRING VIEW HOSPITAL LLC LEBANON KY $23.35M
HAVASU REGIONAL MEDICAL CENTER LLC LAKE HAVASU CITY AZ $23.19M
LAS CRUCES PHYSICIAN PRACTICES, LLC LAS CRUCES NM $22.78M
MEADOWVIEW REGIONAL MEDICAL CENTER LLC MAYSVILLE KY $22.57M
LOURDES HOSPITAL LLC RICHLAND WA $22.38M
DANVILLE REGIONAL MEDICAL CENTER LLC MARTINSVILLE VA $21.09M
PHC-FORT MOHAVE INC FORT MOHAVE AZ $19.95M
WYTHE COUNTY COMMUNITY HOSPITAL LLC WYTHEVILLE VA $18.30M
DLP CONEMAUGH MEMORIAL MEDICAL CENTER LLC JOHNSTOWN PA $18.22M
BOURBON COMMUNITY HOSPITAL LLC PARIS KY $18.14M
WILLAMETTE VALLEY MEDICAL CENTER LLC MCMINNVILLE OR $17.29M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 432 $9K
2019 643 $13K
2020 3,226 $120K
2021 22,255 $965K
2022 20,284 $873K
2023 15,098 $628K
2024 16,169 $640K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 16,469 15,253 $600K
90832 Psychotherapy, 30 minutes with patient 6,471 5,764 $497K
99232 Subsequent hospital care, per day, moderate complexity 7,156 1,271 $307K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,140 5,853 $274K
90834 Psychotherapy, 45 minutes with patient 3,014 2,121 $194K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 3,731 3,575 $155K
99233 Prolong inpt eval add15 m 3,736 857 $143K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3,853 3,254 $119K
99223 Prolong inpt eval add15 m 930 903 $84K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 1,855 1,607 $73K
93976 1,087 784 $72K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 1,587 1,333 $65K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 554 527 $61K
88305 Level IV - Surgical pathology, gross and microscopic examination 1,360 1,267 $53K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1,479 1,446 $50K
99238 Hospital discharge day management, 30 minutes or less 1,097 1,069 $47K
76819 Fetal biophysical profile; without non-stress testing 1,042 621 $47K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2,928 1,521 $37K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 627 613 $34K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 517 510 $34K
99253 322 316 $32K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 998 690 $30K
76830 Ultrasound, transvaginal 699 662 $24K
76820 658 367 $21K
88307 403 395 $17K
99254 141 137 $17K
99284 Emergency department visit for the evaluation and management, high severity 100 47 $16K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 63 60 $12K
76821 269 119 $11K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1,620 1,461 $10K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,227 1,173 $10K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 99 62 $9K
88342 244 219 $9K
87428 299 284 $9K
99222 Initial hospital care, per day, moderate complexity 124 121 $8K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 121 114 $8K
99215 Prolong outpt/office vis 189 156 $7K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 71 26 $7K
90791 Psychiatric diagnostic evaluation 95 95 $6K
59025 Fetal non-stress test 312 244 $5K
93970 124 118 $3K
93000 236 224 $3K
62323 56 56 $3K
90715 82 82 $3K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 85 82 $2K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 40 40 $2K
99205 Prolong outpt/office vis 13 13 $2K
88341 25 25 $1K
93296 116 114 $1K
81025 256 250 $1K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 12 12 $1K
93016 70 66 $1K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 40 24 $1K
93018 82 78 $912.82
99231 Subsequent hospital care, per day, straightforward or low complexity 24 13 $825.15
76801 13 13 $784.34
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 15 12 $780.11
88141 92 92 $778.73
73630 20 16 $415.41
87807 32 31 $414.81
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 24 24 $366.96
93227 13 12 $310.33
81003 143 131 $299.76
93297 24 24 $275.56
95251 16 12 $257.45
93295 12 12 $206.05
H0004 Behavioral health counseling and therapy, per 15 minutes 129 51 $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) 76 70 $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 12 12 $106.37
81002 26 26 $104.25
94060 13 12 $94.71
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 24 24 $48.06
3074F 328 287 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 201 188 $0.00
3079F 28 25 $0.00
3078F 248 215 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 1,670 1,565 $0.00