Medicaid Provider Spending

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

DLP WILSON MEDICAL CENTER LLC

NPI: 1215359922 · WILSON, NC 27893 · General Acute Care Hospital · NPI assigned 01/15/2014

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

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

$11.47M
Total Medicaid Paid
314,188
Total Claims
264,566
Beneficiaries
99
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLAWRENCE, CHARLOTTE (SECRETARY)
NPI Enumeration Date01/15/2014

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 49,945 $1.42M
2019 60,647 $1.62M
2020 42,527 $788K
2021 42,259 $1.28M
2022 36,434 $1.84M
2023 45,789 $2.37M
2024 36,587 $2.16M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 33,965 31,308 $3.53M
99284 Emergency department visit for the evaluation and management, high severity 17,597 16,184 $2.87M
99282 Emergency department visit for the evaluation and management, low to moderate severity 17,606 16,324 $1.09M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 1,955 1,648 $609K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 3,747 3,361 $501K
41899 Unlisted procedure, dentoalveolar structures 245 158 $348K
80053 Comprehensive metabolic panel 27,361 24,336 $253K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 5,310 2,868 $213K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 34,362 30,419 $209K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 11,538 10,024 $193K
99281 Emergency department visit for the evaluation and management, self-limited or minor 4,664 4,326 $188K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 5,862 5,384 $171K
88305 Level IV - Surgical pathology, gross and microscopic examination 498 473 $128K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 275 240 $117K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 3,898 3,325 $82K
80305 2,494 2,133 $82K
71045 Radiologic examination, chest; single view 3,486 3,128 $78K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 155 141 $70K
81001 21,830 19,788 $70K
71046 Radiologic examination, chest; 2 views 2,449 2,260 $67K
70450 Computed tomography, head or brain; without contrast material 406 370 $66K
36415 Collection of venous blood by venipuncture 35,949 30,990 $60K
J7030 Infusion, normal saline solution , 1000 cc 2,860 2,198 $54K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 1,799 1,476 $45K
J7120 Ringers lactate infusion, up to 1000 cc 1,263 1,100 $29K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2,387 2,299 $28K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 885 270 $28K
74177 Computed tomography, abdomen and pelvis; with contrast material 43 38 $24K
84484 3,763 3,019 $22K
A9270 Non-covered item or service 34,895 19,638 $22K
96375 Therapeutic injection; each additional sequential IV push 1,088 975 $20K
81025 2,733 2,481 $19K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 54 54 $18K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 977 878 $15K
J3490 Unclassified drugs 5,119 2,538 $14K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 663 620 $9K
85730 2,295 2,099 $9K
83690 1,422 1,303 $8K
59025 Fetal non-stress test 207 179 $8K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 14 13 $7K
80048 Basic metabolic panel (calcium, ionized) 1,416 1,322 $6K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 215 183 $6K
80061 Lipid panel 494 430 $6K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 371 355 $6K
85610 2,314 2,118 $6K
82550 1,602 1,476 $6K
83735 973 909 $4K
96361 Intravenous infusion, hydration; each additional hour 331 310 $4K
U0004 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r 84 48 $4K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 119 112 $3K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 444 410 $3K
83036 Hemoglobin; glycosylated (A1C) 344 295 $3K
J1885 Injection, ketorolac tromethamine, per 15 mg 1,358 1,178 $3K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 752 635 $3K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 176 141 $2K
94726 31 27 $2K
87086 Culture, bacterial; quantitative colony count, urine 318 295 $2K
87081 280 258 $2K
J2405 Injection, ondansetron hydrochloride, per 1 mg 804 683 $2K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 47 38 $2K
71260 Computed tomography, thorax, diagnostic; with contrast material 12 12 $1K
J2704 Injection, propofol, 10 mg 199 166 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 155 126 $1K
A6197 Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing 716 440 $1K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 26 26 $1K
94729 46 41 $1K
84443 Thyroid stimulating hormone (TSH) 97 72 $1K
J3010 Injection, fentanyl citrate, 0.1 mg 307 275 $1K
87807 95 91 $1K
11045 18 13 $998.75
94060 43 38 $985.03
82553 121 116 $714.74
87088 126 113 $710.49
73130 15 13 $700.31
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 179 165 $510.62
82948 201 182 $507.61
73630 15 12 $434.85
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 14 13 $414.37
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 27 26 $390.61
84439 65 45 $389.89
J0696 Injection, ceftriaxone sodium, per 250 mg 152 147 $370.30
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 96 48 $330.64
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 29 12 $297.54
87070 96 86 $241.42
83605 32 30 $224.86
J2250 Injection, midazolam hydrochloride, per 1 mg 124 116 $153.83
82565 39 38 $146.01
G0463 Hospital outpatient clinic visit for assessment and management of a patient 29 28 $142.60
J7999 Compounded drug, not otherwise classified 78 77 $135.94
87205 96 86 $113.92
J0171 Injection, adrenalin, epinephrine, 0.1 mg 41 39 $113.38
87186 16 14 $96.55
J7050 Infusion, normal saline solution, 250 cc 28 25 $86.50
J2270 Injection, morphine sulfate, up to 10 mg 50 36 $85.60
J3370 Injection, vancomycin hcl, 500 mg 52 52 $71.47
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 57 56 $70.14
J1580 Injection, garamycin, gentamicin, up to 80 mg 52 52 $62.00
J1644 Injection, heparin sodium, per 1000 units 13 12 $25.07
84520 39 38 $14.34