Medicaid Provider Spending

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

DLP MARQUETTE PHYSICIAN PRACTICES INC

NPI: 1487902995 · MARQUETTE, MI 49855 · Family Medicine Physician · NPI assigned 08/15/2012

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

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

$17.80M
Total Medicaid Paid
389,477
Total Claims
358,483
Beneficiaries
182
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBOWMAN, MONICA (PRESIDENT)
NPI Enumeration Date08/15/2012

Related Entities

Other providers sharing the same authorized official: BOWMAN, MONICA

ProviderCityStateTotal Paid
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
BOURBON PHYSICIAN PRACTICE LLC PARIS KY $266K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 68,630 $2.83M
2019 61,694 $2.54M
2020 52,392 $2.27M
2021 57,066 $2.61M
2022 55,821 $2.71M
2023 53,726 $2.65M
2024 40,148 $2.19M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 63,512 58,669 $4.81M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 60,637 56,559 $3.17M
99283 Emergency department visit for the evaluation and management, moderate severity 15,928 14,648 $915K
99284 Emergency department visit for the evaluation and management, high severity 13,977 12,705 $875K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 6,761 6,701 $642K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 7,402 7,243 $559K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 6,550 6,168 $557K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 6,775 6,520 $464K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 5,546 5,512 $422K
99215 Prolong outpt/office vis 4,267 4,183 $399K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 3,986 3,980 $376K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 4,363 4,353 $372K
99205 Prolong outpt/office vis 2,777 2,743 $328K
99232 Subsequent hospital care, per day, moderate complexity 8,171 2,605 $324K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 5,031 5,004 $319K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 3,394 3,361 $285K
99233 Prolong inpt eval add15 m 4,693 1,408 $276K
99282 Emergency department visit for the evaluation and management, low to moderate severity 4,016 3,837 $209K
99223 Prolong inpt eval add15 m 1,712 1,529 $184K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 18,271 17,864 $179K
99480 Subsequent intensive care, per day, low birth weight infant 1,454 197 $142K
90472 Immunization administration, each additional vaccine (list separately) 8,295 8,075 $141K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 4,053 3,746 $125K
99238 Hospital discharge day management, 30 minutes or less 2,736 2,652 $116K
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger 254 52 $94K
99468 116 115 $93K
99222 Initial hospital care, per day, moderate complexity 1,140 1,068 $85K
90651 2,228 2,209 $84K
17110 1,272 1,111 $80K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,133 1,130 $80K
90460 Immunization administration through 18 years of age via any route, first or only component 4,059 3,808 $73K
90686 9,262 9,233 $65K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 9,774 8,964 $48K
90837 Psychotherapy, 53 minutes with patient 666 470 $47K
96110 Developmental screening, with scoring and documentation, per standardized instrument 4,388 4,301 $41K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 868 864 $40K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 301 144 $36K
J1050 Injection, medroxyprogesterone acetate, 1 mg 461 457 $36K
90715 2,047 2,036 $35K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 4,212 3,643 $34K
99460 633 631 $34K
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 1,362 1,359 $33K
90792 Psychiatric diagnostic evaluation with medical services 159 159 $29K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 598 535 $24K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 548 546 $19K
90632 323 323 $19K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 556 357 $19K
90674 713 709 $19K
45380 Colonoscopy, flexible; with biopsy, single or multiple 156 155 $17K
91320 208 205 $17K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 116 115 $16K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,055 952 $16K
36415 Collection of venous blood by venipuncture 5,061 4,766 $15K
99479 Subsequent intensive care, per day, very low birth weight infant 159 13 $15K
90732 144 144 $15K
90791 Psychiatric diagnostic evaluation 186 185 $13K
96127 4,074 3,953 $13K
90473 1,853 1,808 $13K
0124A 337 334 $12K
51798 1,866 1,830 $12K
95810 Polysomnography; sleep staging with 4 or more additional parameters 154 154 $11K
90480 353 350 $10K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 775 758 $10K
94726 959 904 $10K
99239 Hospital discharge day management, more than 30 minutes 165 161 $10K
99381 112 112 $10K
54150 162 161 $9K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 239 113 $9K
94729 978 920 $9K
90670 3,912 3,887 $9K
99462 364 264 $8K
94060 738 703 $8K
99231 Subsequent hospital care, per day, straightforward or low complexity 313 159 $7K
80305 697 677 $7K
81025 982 964 $6K
90746 99 99 $6K
93320 545 543 $6K
0071A 146 146 $6K
95886 107 105 $5K
99495 53 52 $5K
99383 58 57 $5K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 50 50 $5K
81003 2,808 2,633 $5K
0072A 112 112 $4K
90734 1,114 1,107 $4K
81002 1,576 1,527 $4K
95816 125 120 $4K
90677 119 119 $4K
96160 276 269 $3K
90621 213 212 $3K
99152 455 427 $3K
98926 121 110 $3K
90658 132 132 $3K
0054A 78 78 $3K
90716 1,563 1,559 $3K
90661 129 129 $3K
0004A 61 61 $2K
0081A 59 59 $2K
93325 1,159 1,134 $2K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 47 47 $2K
90707 1,587 1,582 $2K
95908 26 25 $2K
90750 12 12 $2K
0073A 47 47 $2K
96101 16 16 $2K
90656 334 333 $2K
Q3014 Telehealth originating site facility fee 146 72 $2K
90619 468 468 $2K
G0408 Follow-up inpatient consultation, complex, physicians typically spend 35 minutes communicating with the patient via telehealth 24 12 $2K
95251 70 70 $1K
0053A 36 36 $1K
83036 Hemoglobin; glycosylated (A1C) 164 164 $1K
0052A 32 32 $1K
0051A 32 32 $1K
0154A 31 31 $1K
90671 682 678 $999.52
99219 14 13 $991.51
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 40 28 $945.72
43235 13 13 $893.88
99406 112 109 $882.71
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 14 14 $796.18
0001A 23 21 $794.85
0082A 20 20 $750.60
20610 26 24 $696.18
99221 12 12 $640.43
36573 13 12 $630.89
G0008 Administration of influenza virus vaccine 103 103 $568.52
93304 26 26 $568.12
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 90 80 $524.46
85610 134 88 $414.83
99217 12 12 $410.20
99417 Prolong home eval add 15m 28 28 $383.60
J1885 Injection, ketorolac tromethamine, per 15 mg 167 150 $322.39
96367 23 12 $317.34
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 32 26 $307.78
99441 29 27 $292.37
12001 12 12 $289.34
97803 14 14 $222.56
99457 19 19 $195.15
99454 14 14 $183.47
93971 13 12 $162.24
96375 Therapeutic injection; each additional sequential IV push 25 12 $121.20
J1100 Injection, dexamethasone sodium phosphate, 1 mg 138 83 $118.05
93000 13 13 $110.16
98966 2,235 1,489 $94.15
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 15 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) 38 38 $12.80
90647 1,015 998 $0.00
90680 3,240 3,227 $0.00
3074F 3,250 3,090 $0.00
3079F 1,938 1,864 $0.00
1126F 63 62 $0.00
90697 1,215 1,214 $0.00
1125F 1,606 1,483 $0.00
3075F 1,416 1,378 $0.00
98967 581 431 $0.00
90698 1,700 1,699 $0.00
3080F 518 497 $0.00
90696 899 899 $0.00
90723 942 928 $0.00
90744 1,021 1,021 $0.00
91319 30 30 $0.00
90620 58 58 $0.00
1111F 12 12 $0.00
3008F 249 247 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 27 26 $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) 24 24 $0.00
3044F 38 38 $0.00
90688 25 25 $0.00
90381 20 20 $0.00
3077F 1,123 1,074 $0.00
G9002 Coordinated care fee, maintenance rate 543 475 $0.00
90633 2,735 2,724 $0.00
90700 611 605 $0.00
3078F 3,212 3,057 $0.00
90710 528 527 $0.00
1160F 3,239 2,900 $0.00
90461 999 877 $0.00
90685 655 644 $0.00
90380 16 16 $0.00
98968 35 27 $0.00
90649 17 17 $0.00