DLP Central Carolina Medical Group LLC
DLP Central Carolina Medical Group LLC was paid $1.20M by Medicaid between Jan 2018 and Dec 2024, across 53 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 43% of everything it billed.
SANFORD, NC 27330
Next to other Internal Medicine Physician 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 | |
|---|---|---|---|
| 2018 | 18,544 | $164K | |
| 2019 | 10,881 | $246K | |
| 2020 | 6,820 | $140K | |
| 2021 | 18,958 | $167K | |
| 2022 | 31,042 | $247K | |
| 2023 | 25,260 | $208K | |
| 2024incomplete | 9,845 | $33K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 43% | 12,235 | 8,145 | $514K |
| 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 | 14% | 4,195 | 2,601 | $173K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.3% | 1,531 | 892 | $100K |
| 99199 | Unlisted special service, procedure or report | 6.9% | 23,527 | 22,700 | $83K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 5.2% | 5,987 | 3,435 | $63K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 3.8% | 2,320 | 1,279 | $46K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 3.6% | 3,990 | 1,584 | $43K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.1% | 519 | 370 | $37K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 2.5% | 1,005 | 721 | $31K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.4% | 574 | 282 | $29K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.9% | 2,198 | 1,537 | $23K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.6% | 366 | 162 | $20K |
41 more codes
| 92552 | <1% | 2,796 | $11K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,578 | $7K |
| 90686 | <1% | 1,934 | $4K | |
| 85018 | <1% | 4,712 | $4K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 331 | $4K |
| 87807 | <1% | 227 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 96 | $2K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 443 | $2K |
| 81003 | <1% | 2,729 | $1K | |
| 99173 | <1% | 2,738 | $1K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 35 | $1K |
| 0124A | <1% | 32 | $1K | |
| 90670 | <1% | 358 | $193.91 | |
| 81025 | <1% | 58 | $163.80 | |
| 96160 | <1% | 138 | $148.34 | |
| 90734 | <1% | 154 | $40.90 | |
| 3078F | <1% | 4,878 | $8.08 | |
| 92551 | <1% | 133 | $5.00 | |
| 3079F | <1% | 1,278 | $2.01 | |
| 3074F | <1% | 5,679 | $1.00 | |
| 90685 | <1% | 182 | $0.05 | |
| 90619 | <1% | 38 | $0.02 | |
| 1160F | 0% | 10,524 | $0.00 | |
| 3725F | 0% | 507 | $0.00 | |
| 1159F | 0% | 10,128 | $0.00 | |
| 90715 | 0% | 93 | $0.00 | |
| 99177 | 0% | 85 | $0.00 | |
| 90649 | 0% | 62 | $0.00 | |
| 90633 | 0% | 39 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 106 | $0.00 |
| 3008F | 0% | 8,635 | $0.00 | |
| 1126F | 0% | 73 | $0.00 | |
| 1036F | 0% | 1,428 | $0.00 | |
| 36416 | 0% | 176 | $0.00 | |
| 3075F | 0% | 162 | $0.00 | |
| 90647 | 0% | 93 | $0.00 | |
| 90688 | 0% | 88 | $0.00 | |
| 90651 | 0% | 70 | $0.00 | |
| 1125F | 0% | 47 | $0.00 | |
| 90723 | 0% | 19 | $0.00 | |
| 91305 | 0% | 21 | $0.00 |
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.