Medicaid Provider Spending

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

NPI: 1376959213 · EBENSBURG, PA 15931 · Internal Medicine Physician · NPI assigned 07/10/2014

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

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

$18K
Total Medicaid Paid
452
Total Claims
421
Beneficiaries
4
Codes Billed
2020-11
First Month
2024-01
Last Month

Provider Details

Authorized OfficialBOWMAN, MONICA (PRESIDENT)
NPI Enumeration Date07/10/2014

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 14 $433.28
2021 180 $7K
2022 150 $6K
2023 95 $3K
2024 13 $528.50

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 303 276 $11K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 123 121 $6K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 14 12 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 12 12 $345.69