Medicaid Provider Spending

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

DLP MARIA PARHAM PHYSICIAN PRACTICES LLC

NPI: 1306321252 · LOUISBURG, NC 27549 · Family Medicine Physician · NPI assigned 09/26/2018

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

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

$161K
Total Medicaid Paid
22,696
Total Claims
19,186
Beneficiaries
28
Codes Billed
2020-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBOWMAN, MONICA (PRESIDENT)
NPI Enumeration Date09/26/2018

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
DLP CONEMAUGH PHYSICIAN PRACTICES LLC ROARING SPRING PA $761K
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 229 $6K
2021 950 $18K
2022 2,059 $32K
2023 10,360 $56K
2024 9,098 $49K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,999 1,537 $71K
99199 Unlisted special service, procedure or report 6,820 6,725 $20K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 301 240 $20K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 431 278 $18K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 702 463 $15K
20610 245 190 $5K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 94 65 $4K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 14 12 $2K
45380 Colonoscopy, flexible; with biopsy, single or multiple 48 27 $2K
99222 Initial hospital care, per day, moderate complexity 15 12 $1K
3008F 2,546 2,126 $414.07
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 14 12 $384.34
36415 Collection of venous blood by venipuncture 349 299 $359.62
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 31 24 $229.72
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 380 292 $211.31
3078F 1,079 910 $104.37
1160F 1,745 1,405 $104.37
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 17 12 $100.31
3077F 544 458 $0.00
3288F 538 388 $0.00
3725F 549 373 $0.00
1036F 1,446 1,127 $0.00
3075F 66 50 $0.00
3074F 719 583 $0.00
1126F 853 663 $0.00
3079F 217 183 $0.00
1125F 876 680 $0.00
3080F 58 52 $0.00