Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

DLP Marquette Physician Practices INC

DLP Marquette Physician Practices INC was paid $17.80M by Medicaid between Jan 2018 and Dec 2024, across 182 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 27% of everything it billed.

33Billing provider infoDLP MARQUETTE PHYSICIAN PRACTICES INC
MARQUETTE, MI 49855
33aNPI1487902995assigned 08/15/2012
33bProvider typeFamily Medicine Physician
28Total paid$17.80M
24GClaims389,477
24DCodes billed182
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Family Medicine Physician providers in Michigan

Rank by total paid#7 of 826
Median peer was paid$98K
This provider vs. median182×

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.

Entity ProliferationAuthorized official BOWMAN, MONICA controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$100K$200K$300K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
201868,630$2.83M
201961,694$2.54M
202052,392$2.27M
202157,066$2.61M
202255,821$2.71M
202353,726$2.65M
2024incomplete40,148$2.19M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 27% 63,512 58,669 $4.81M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 18% 60,637 56,559 $3.17M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 5.1% 15,928 14,648 $915K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 4.9% 13,977 12,705 $875K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 3.6% 6,761 6,701 $642K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3.1% 7,402 7,243 $559K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 3.1% 6,550 6,168 $557K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2.6% 6,775 6,520 $464K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2.4% 5,546 5,512 $422K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 2.2% 4,267 4,183 $399K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 2.1% 3,986 3,980 $376K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 2.1% 4,363 4,353 $372K
170 more codes
99205 Prolong outpt/office vis 1.8% 2,777 $328K
99232 Hospital visit by a doctor, follow-up day 1.8% 8,171 $324K
99203 Doctor's office visit, new patient (routine) 1.8% 5,031 $319K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1.6% 3,394 $285K
99233 Hospital visit by a doctor, follow-up day (complex) 1.5% 4,693 $276K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1.2% 4,016 $209K
99223 Prolong inpt eval add15 m 1.0% 1,712 $184K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1.0% 18,271 $179K
99480 Subsequent intensive care, per day, low birth weight infant <1% 1,454 $142K
90472 Immunization administration, each additional vaccine (list separately) <1% 8,295 $141K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 4,053 $125K
99238 Hospital discharge day management, 30 minutes or less <1% 2,736 $116K
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger <1% 254 $94K
99468 <1% 116 $93K
99222 Initial hospital care, per day, moderate complexity <1% 1,140 $85K
90651 <1% 2,228 $84K
17110 <1% 1,272 $80K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 1,133 $80K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 4,059 $73K
90686 <1% 9,262 $65K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 9,774 $48K
90837 Psychotherapy session, about an hour <1% 666 $47K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 4,388 $41K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 868 $40K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 301 $36K
J1050 Injection, medroxyprogesterone acetate, 1 mg <1% 461 $36K
90715 <1% 2,047 $35K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 4,212 $34K
99460 <1% 633 $34K
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory <1% 1,362 $33K
90792 Psychiatric diagnostic evaluation with medical services <1% 159 $29K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) <1% 598 $24K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study <1% 548 $19K
90632 <1% 323 $19K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 556 $19K
90674 <1% 713 $19K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 156 $17K
91320 <1% 208 $17K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 116 $16K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 1,055 $16K
36415 Collection of venous blood by venipuncture <1% 5,061 $15K
99479 Subsequent intensive care, per day, very low birth weight infant <1% 159 $15K
90732 <1% 144 $15K
90791 Psychiatric diagnostic evaluation <1% 186 $13K
96127 <1% 4,074 $13K
90473 <1% 1,853 $13K
0124A <1% 337 $12K
51798 <1% 1,866 $12K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 154 $11K
90480 <1% 353 $10K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 775 $10K
94726 <1% 959 $10K
99239 Hospital discharge day management, more than 30 minutes <1% 165 $10K
99381 <1% 112 $10K
54150 <1% 162 $9K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 239 $9K
94729 <1% 978 $9K
90670 <1% 3,912 $9K
99462 <1% 364 $8K
94060 <1% 738 $8K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 313 $7K
80305 <1% 697 $7K
81025 <1% 982 $6K
90746 <1% 99 $6K
93320 <1% 545 $6K
0071A <1% 146 $6K
95886 <1% 107 $5K
99495 <1% 53 $5K
99383 <1% 58 $5K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 50 $5K
81003 <1% 2,808 $5K
0072A <1% 112 $4K
90734 <1% 1,114 $4K
81002 <1% 1,576 $4K
95816 <1% 125 $4K
90677 <1% 119 $4K
96160 <1% 276 $3K
90621 <1% 213 $3K
99152 <1% 455 $3K
98926 <1% 121 $3K
90658 <1% 132 $3K
0054A <1% 78 $3K
90716 <1% 1,563 $3K
90661 <1% 129 $3K
0004A <1% 61 $2K
0081A <1% 59 $2K
93325 <1% 1,159 $2K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 47 $2K
90707 <1% 1,587 $2K
95908 <1% 26 $2K
90750 <1% 12 $2K
0073A <1% 47 $2K
96101 <1% 16 $2K
90656 <1% 334 $2K
Q3014 Telehealth originating site facility fee <1% 146 $2K
90619 <1% 468 $2K
G0408 Follow-up inpatient consultation, complex, physicians typically spend 35 minutes communicating with the patient via telehealth <1% 24 $2K
95251 <1% 70 $1K
0053A <1% 36 $1K
83036 Hemoglobin; glycosylated (A1C) <1% 164 $1K
0052A <1% 32 $1K
0051A <1% 32 $1K
0154A <1% 31 $1K
90671 <1% 682 $999.52
99219 <1% 14 $991.51
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 40 $945.72
43235 <1% 13 $893.88
99406 <1% 112 $882.71
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 14 $796.18
0001A <1% 23 $794.85
0082A <1% 20 $750.60
20610 <1% 26 $696.18
99221 <1% 12 $640.43
36573 <1% 13 $630.89
G0008 Administration of influenza virus vaccine <1% 103 $568.52
93304 <1% 26 $568.12
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 90 $524.46
85610 <1% 134 $414.83
99217 <1% 12 $410.20
99417 Prolong home eval add 15m <1% 28 $383.60
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 167 $322.39
96367 <1% 23 $317.34
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 32 $307.78
99441 <1% 29 $292.37
12001 <1% 12 $289.34
97803 <1% 14 $222.56
99457 <1% 19 $195.15
99454 <1% 14 $183.47
93971 <1% 13 $162.24
96375 Therapeutic injection; each additional sequential IV push <1% 25 $121.20
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 138 $118.05
93000 <1% 13 $110.16
98966 <1% 2,235 $94.15
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 15 $71.25
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) <1% 38 $12.80
90647 0% 1,015 $0.00
90680 0% 3,240 $0.00
3074F 0% 3,250 $0.00
3079F 0% 1,938 $0.00
1126F 0% 63 $0.00
90697 0% 1,215 $0.00
1125F 0% 1,606 $0.00
3075F 0% 1,416 $0.00
98967 0% 581 $0.00
90698 0% 1,700 $0.00
3080F 0% 518 $0.00
90696 0% 899 $0.00
90723 0% 942 $0.00
90744 0% 1,021 $0.00
91319 0% 30 $0.00
90620 0% 58 $0.00
1111F 0% 12 $0.00
3008F 0% 249 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 0% 27 $0.00
G0296 Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making) 0% 24 $0.00
3044F 0% 38 $0.00
90688 0% 25 $0.00
90381 0% 20 $0.00
3077F 0% 1,123 $0.00
G9002 Coordinated care fee, maintenance rate 0% 543 $0.00
90633 0% 2,735 $0.00
90700 0% 611 $0.00
3078F 0% 3,212 $0.00
90710 0% 528 $0.00
1160F 0% 3,239 $0.00
90461 0% 999 $0.00
90685 0% 655 $0.00
90380 0% 16 $0.00
98968 0% 35 $0.00
90649 0% 17 $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.

From NPPES

Who's on the registration

Authorized officialBOWMAN, MONICA (PRESIDENT)
Same official

Other billing entities under BOWMAN, MONICA

Full network →
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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.