Medicaid Provider Spending

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

DLP RUTHERFORD REGIONAL HEALTH SYSTEM, LLC

NPI: 1245321181 · RUTHERFORDTON, NC 28139 · General Acute Care Hospital · NPI assigned 09/27/2006

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

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

$14.37M
Total Medicaid Paid
423,987
Total Claims
333,233
Beneficiaries
125
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLAWRENCE, CHARLOTTE (SECRETARY)
NPI Enumeration Date09/27/2006

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 69,584 $1.63M
2019 62,430 $1.34M
2020 47,676 $1.06M
2021 53,472 $1.63M
2022 59,823 $2.69M
2023 65,720 $3.01M
2024 65,282 $3.01M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 17,080 14,557 $2.87M
99283 Emergency department visit for the evaluation and management, moderate severity 28,753 25,143 $2.72M
99284 Emergency department visit for the evaluation and management, high severity 20,447 17,848 $2.50M
74177 Computed tomography, abdomen and pelvis; with contrast material 1,416 1,248 $934K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 3,305 2,821 $507K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 11,334 9,709 $350K
70450 Computed tomography, head or brain; without contrast material 2,383 2,024 $348K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 6,819 4,913 $318K
99282 Emergency department visit for the evaluation and management, low to moderate severity 3,811 3,380 $231K
80053 Comprehensive metabolic panel 28,907 24,412 $230K
71045 Radiologic examination, chest; single view 6,220 5,196 $219K
88305 Level IV - Surgical pathology, gross and microscopic examination 2,740 2,243 $204K
J7030 Infusion, normal saline solution , 1000 cc 13,820 11,199 $201K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 28,088 23,680 $191K
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 2,312 1,920 $179K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 11,382 10,065 $170K
71046 Radiologic examination, chest; 2 views 3,576 3,192 $146K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 14,610 6,589 $146K
96375 Therapeutic injection; each additional sequential IV push 6,102 5,229 $129K
74176 Computed tomography, abdomen and pelvis; without contrast material 265 239 $127K
96361 Intravenous infusion, hydration; each additional hour 8,088 6,949 $100K
87088 11,723 10,021 $91K
87086 Culture, bacterial; quantitative colony count, urine 11,743 10,021 $90K
99215 Prolong outpt/office vis 777 566 $83K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 8,806 6,904 $82K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 3,404 2,873 $81K
87070 6,650 5,801 $78K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1,367 1,178 $71K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 3,291 2,702 $71K
83690 8,359 7,093 $54K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,896 2,550 $53K
A9270 Non-covered item or service 52,668 26,688 $51K
81025 6,862 5,890 $49K
84484 6,665 5,028 $49K
88312 662 539 $43K
81001 13,874 11,914 $41K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 711 611 $33K
59025 Fetal non-stress test 742 539 $32K
83880 1,142 978 $31K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 189 158 $30K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 853 701 $30K
J1885 Injection, ketorolac tromethamine, per 15 mg 3,059 2,597 $26K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 841 687 $23K
J3490 Unclassified drugs 4,912 2,720 $23K
84443 Thyroid stimulating hormone (TSH) 1,589 1,411 $21K
85730 4,422 3,730 $20K
83735 3,406 2,863 $19K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 708 587 $19K
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 459 264 $19K
J2704 Injection, propofol, 10 mg 2,061 1,481 $17K
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 835 644 $17K
85610 5,484 4,646 $16K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 1,063 817 $15K
83605 1,382 1,135 $15K
80061 Lipid panel 756 708 $14K
81003 5,635 4,887 $12K
87186 1,317 1,179 $12K
J2405 Injection, ondansetron hydrochloride, per 1 mg 6,687 5,599 $10K
J0696 Injection, ceftriaxone sodium, per 250 mg 2,053 1,779 $10K
88304 236 207 $9K
J2250 Injection, midazolam hydrochloride, per 1 mg 1,402 994 $7K
87077 747 667 $6K
87040 594 364 $6K
82550 859 730 $5K
86140 1,010 893 $5K
S0119 Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) 202 183 $5K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 1,081 950 $5K
87420 321 304 $5K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 117 103 $4K
85027 576 483 $4K
73630 72 61 $4K
J2270 Injection, morphine sulfate, up to 10 mg 1,310 1,019 $3K
73610 56 52 $3K
85380 322 273 $3K
G0378 Hospital observation service, per hour 12 12 $2K
72125 Computed tomography, cervical spine; without contrast material 14 12 $2K
J3010 Injection, fentanyl citrate, 0.1 mg 650 492 $2K
Q0144 Azithromycin dihydrate, oral, capsules/powder, 1 gram 29 26 $2K
86803 78 70 $2K
84145 80 66 $1K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 12 12 $1K
80048 Basic metabolic panel (calcium, ionized) 192 159 $1K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 18 12 $1K
J1200 Injection, diphenhydramine hcl, up to 50 mg 347 283 $1K
J7120 Ringers lactate infusion, up to 1000 cc 81 59 $1K
73110 12 12 $1K
J0690 Injection, cefazolin sodium, 500 mg 116 63 $1K
J2360 Injection, orphenadrine citrate, up to 60 mg 42 38 $1K
88342 13 12 $1K
J0780 Injection, prochlorperazine, up to 10 mg 30 26 $1K
73564 31 24 $1K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 16 16 $797.96
80320 91 82 $699.34
73130 15 12 $667.94
73030 16 16 $620.97
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 211 181 $575.83
84100 168 138 $573.63
83036 Hemoglobin; glycosylated (A1C) 47 37 $478.04
87081 139 130 $449.69
J2470 Injection, pantoprazole sodium, 40 mg 37 29 $411.49
J7626 Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg 43 42 $402.26
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 411 316 $347.19
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 44 39 $318.54
C9113 Injection, pantoprazole sodium, per vial 32 30 $297.47
86703 15 13 $283.85
S0164 Injection, pantoprazole sodium, 40 mg 46 40 $254.04
87340 14 12 $207.72
83655 13 13 $196.04
82800 27 25 $179.73
84702 13 12 $173.36
82728 13 12 $149.89
J2550 Injection, promethazine hcl, up to 50 mg 63 52 $143.15
80329 27 12 $138.18
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 14 14 $115.83
J2765 Injection, metoclopramide hcl, up to 10 mg 69 59 $108.75
86592 18 16 $103.10
82962 51 37 $102.89
83615 13 12 $58.61
82009 13 12 $56.33
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 46 39 $51.39
J1170 Injection, hydromorphone, up to 4 mg 14 14 $44.50
85018 13 13 $38.35
85014 13 13 $38.35
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 34 26 $13.14
J2003 Injection, lidocaine hydrochloride, 1 mg 15 13 $8.87