DLP Western Carolina Physician Practices LLC
DLP Western Carolina Physician Practices LLC was paid $21K by Medicaid between Aug 2024 and Dec 2024, across 17 billing codes. Its largest line is 99391, Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) — 28% of everything it billed.
SYLVA, NC 28779
Next to other Rural Health Clinic/Center providers in North Carolina
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2024incomplete | 4,406 | $21K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 28% | 86 | 85 | $6K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 16% | 51 | 51 | $3K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 13% | 240 | 240 | $3K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 443 | 412 | $2K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 8.7% | 110 | 110 | $2K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.2% | 30 | 30 | $2K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 4.5% | 191 | 190 | $947.11 |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 2.9% | 111 | 109 | $615.52 |
| 99173 | 2.9% | 162 | 162 | $604.67 | |
| 92551 | 2.7% | 155 | 155 | $563.24 | |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 1.9% | 570 | 511 | $398.37 |
| 3078F | 0% | 270 | 269 | $0.00 |
5 more codes
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.