Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › PA › ROARING SPRING › DLP CONEMAUGH PHYSICIAN PRACTICES LLC

DLP CONEMAUGH PHYSICIAN PRACTICES LLC

NPI: 1245742188 · ROARING SPRING, PA 16673 · Emergency Medicine Physician · NPI assigned 11/01/2017

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

Authorized official BOWMAN, MONICA controls 20+ related entities in our dataset. Read more

$761K
Total Medicaid Paid
13,008
Total Claims
12,386
Beneficiaries
4
Codes Billed
2018-07
First Month
2024-11
Last Month

Provider Details

Authorized OfficialBOWMAN, MONICA (PRESIDENT)
NPI Enumeration Date11/01/2017

Related Entities

Other providers sharing the same authorized official: BOWMAN, MONICA

ProviderCityStateTotal Paid
DLP MARQUETTE PHYSICIAN PRACTICES INC MARQUETTE MI $17.80M
CLARK REGIONAL PHYSICIAN PRACTICES, LLC WINCHESTER KY $9.45M
KENTUCKY MSO, LLC GEORGETOWN KY $6.59M
CLARK REGIONAL PHYSICIAN PRACTICES LLC WINCHESTER KY $2.97M
PINELAKE PHYSICIAN PRACTICE, LLC MAYFIELD KY $2.26M
PORTAGE PHYSICIAN PRACTICES INC HANCOCK MI $1.63M
SPRING VIEW PHYSICIAN PRACTICES, LLC LEBANON KY $1.39M
COLORADO PLAINS PHYSICIAN PRACTICES LLC FORT MORGAN CO $1.28M
SPRING VIEW PHYSICIAN PRACTICES, LLC LEBANON KY $1.27M
NORTHWEST ALABAMA EMERGENCY MEDICINE LLC FLORENCE AL $1.24M
DLP MARIA PARHAM PHYSICIAN PRACTICES, LLC HENDERSON NC $897K
BOURBON PHYSICIAN PRACTICE LLC PARIS KY $847K
PORTAGE PHYSICIAN PRACTICES INC. HOUGHTON MI $763K
LAKE CUMBERLAND PHYSICIAN PRACTICES, LLC SOMERSET KY $529K
KENTUCKY MSO LLC GEORGETOWN KY $406K
RCCH TRIOS PHYSICIANS LLC KENNEWICK WA $401K
NATIONAL PARK CARDIOLOGY SERVICES, LLC HOT SPRINGS AR $341K
LAKE CUMBERLAND PHYSICIAN PRACTICES, LLC SOMERSET KY $331K
KENTUCKY MSO LLC GEORGETOWN KY $282K
BOURBON PHYSICIAN PRACTICE LLC PARIS KY $266K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 27 $2K
2020 436 $17K
2021 4,535 $195K
2022 2,981 $129K
2023 2,319 $162K
2024 2,710 $257K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 3,926 3,738 $329K
99283 Emergency department visit for the evaluation and management, moderate severity 7,224 6,868 $318K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 1,639 1,585 $107K
99282 Emergency department visit for the evaluation and management, low to moderate severity 219 195 $7K