Medicaid Provider Spending

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

DLP CENTRAL CAROLINA MEDICAL GROUP LLC

NPI: 1417495516 · SANFORD, NC 27330 · Internal Medicine Physician · NPI assigned 02/08/2017

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

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

$1.20M
Total Medicaid Paid
121,350
Total Claims
81,263
Beneficiaries
53
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLAWRENCE, CHARLOTTE (SECRETARY)
NPI Enumeration Date02/08/2017

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 18,544 $164K
2019 10,881 $246K
2020 6,820 $140K
2021 18,958 $167K
2022 31,042 $247K
2023 25,260 $208K
2024 9,845 $33K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12,235 8,145 $514K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,195 2,601 $173K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,531 892 $100K
99199 Unlisted special service, procedure or report 23,527 22,700 $83K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 5,987 3,435 $63K
90472 Immunization administration, each additional vaccine (list separately) 2,320 1,279 $46K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 3,990 1,584 $43K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 519 370 $37K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1,005 721 $31K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 574 282 $29K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,198 1,537 $23K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 366 162 $20K
92552 2,796 1,629 $11K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,578 854 $7K
90686 1,934 1,159 $4K
85018 4,712 2,550 $4K
90460 Immunization administration through 18 years of age via any route, first or only component 331 182 $4K
87807 227 159 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 96 61 $2K
83036 Hemoglobin; glycosylated (A1C) 443 262 $2K
81003 2,729 1,111 $1K
99173 2,738 1,491 $1K
99215 Prolong outpt/office vis 35 29 $1K
0124A 32 26 $1K
90670 358 271 $193.91
81025 58 25 $163.80
96160 138 78 $148.34
90734 154 40 $40.90
3078F 4,878 3,031 $8.08
92551 133 54 $5.00
3079F 1,278 837 $2.01
3074F 5,679 3,515 $1.00
90685 182 131 $0.05
90619 38 26 $0.02
1160F 10,524 6,591 $0.00
3725F 507 343 $0.00
1159F 10,128 6,172 $0.00
90715 93 13 $0.00
99177 85 26 $0.00
90649 62 45 $0.00
90633 39 37 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 106 56 $0.00
3008F 8,635 5,440 $0.00
1126F 73 46 $0.00
1036F 1,428 886 $0.00
36416 176 86 $0.00
3075F 162 121 $0.00
90647 93 40 $0.00
90688 88 65 $0.00
90651 70 13 $0.00
1125F 47 25 $0.00
90723 19 14 $0.00
91305 21 15 $0.00