Medicaid Provider Spending

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

DLP WESTERN CAROLINA PHYSICIAN PRACTICES LLC

NPI: 1609281641 · SYLVA, NC 28779 · Family Medicine Physician · NPI assigned 06/28/2014

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

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

$14.16M
Total Medicaid Paid
1,053,824
Total Claims
863,547
Beneficiaries
137
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLAWRENCE, CHARLOTTE (SECRETARY)
NPI Enumeration Date06/28/2014

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 59,450 $1.75M
2019 56,998 $2.06M
2020 44,796 $1.57M
2021 219,505 $2.09M
2022 245,208 $2.31M
2023 229,452 $2.36M
2024 198,415 $2.02M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 76,162 63,912 $4.20M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 82,396 66,091 $3.79M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 14,069 11,561 $1.14M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 11,073 9,369 $948K
99199 Unlisted special service, procedure or report 246,902 242,843 $859K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 5,546 4,384 $449K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 25,884 21,745 $448K
90472 Immunization administration, each additional vaccine (list separately) 15,377 13,028 $380K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 2,542 2,086 $190K
96110 Developmental screening, with scoring and documentation, per standardized instrument 19,418 16,787 $156K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2,512 2,050 $143K
87428 2,006 1,622 $113K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 3,183 2,746 $111K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 8,286 6,980 $105K
99460 1,222 1,009 $88K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,012 871 $86K
99232 Subsequent hospital care, per day, moderate complexity 1,868 630 $77K
99239 Hospital discharge day management, more than 30 minutes 858 791 $68K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 659 583 $67K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 714 558 $60K
90474 3,277 2,890 $59K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,475 1,786 $56K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 1,979 1,685 $53K
99238 Hospital discharge day management, 30 minutes or less 834 616 $47K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 3,532 1,620 $46K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 642 509 $41K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 10,988 8,246 $35K
99215 Prolong outpt/office vis 593 408 $32K
76830 Ultrasound, transvaginal 440 317 $25K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 648 515 $24K
80305 1,671 1,296 $21K
92551 12,234 9,508 $19K
93000 2,026 1,691 $16K
20610 568 441 $16K
D0145 Oral evaluation for a patient under three years of age 420 416 $14K
99462 408 306 $12K
85018 11,438 9,177 $12K
99173 14,599 11,528 $12K
99231 Subsequent hospital care, per day, straightforward or low complexity 482 205 $11K
36415 Collection of venous blood by venipuncture 4,530 3,432 $9K
84703 1,449 887 $8K
81003 4,931 3,608 $8K
D1206 Topical application of fluoride varnish 530 483 $7K
83655 513 448 $7K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 354 254 $6K
95810 Polysomnography; sleep staging with 4 or more additional parameters 62 57 $5K
51798 536 461 $5K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 129 98 $4K
59025 Fetal non-stress test 194 144 $4K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 241 160 $4K
93294 381 331 $4K
99308 Subsequent nursing facility care, per day, straightforward 196 172 $4K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 96 81 $3K
87807 228 181 $3K
90670 5,934 5,387 $2K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 41 25 $2K
93296 218 196 $2K
20611 57 40 $2K
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 381 299 $2K
81025 323 201 $2K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 36 24 $2K
99383 34 16 $2K
99223 Prolong inpt eval add15 m 46 27 $2K
99222 Initial hospital care, per day, moderate complexity 32 30 $2K
S0280 Medical home program, comprehensive care coordination and planning, initial plan 42 38 $2K
94060 256 210 $2K
96127 549 413 $2K
64493 32 27 $1K
73562 104 89 $1K
99381 39 23 $1K
95811 13 12 $1K
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) 521 431 $1K
99442 86 58 $1K
99335 101 51 $1K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 415 330 $1K
90686 4,052 3,451 $1K
90674 1,170 1,024 $999.64
52000 14 12 $955.15
99441 106 76 $918.93
90480 18 12 $784.55
94729 305 260 $747.86
99307 71 66 $718.72
99382 21 14 $696.19
95886 14 13 $679.33
82951 56 29 $621.65
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 68 53 $585.90
93016 73 67 $524.02
73030 35 29 $465.37
90698 3,830 3,508 $438.78
64494 13 13 $430.77
90697 268 245 $426.49
94727 111 97 $390.49
93018 73 67 $372.72
99406 57 40 $339.08
J1030 Injection, methylprednisolone acetate, 40 mg 134 108 $307.44
95117 34 24 $272.52
81001 95 86 $254.94
80053 Comprehensive metabolic panel 28 25 $250.08
99309 Subsequent nursing facility care, per day, low to moderate complexity 17 15 $227.35
73630 16 14 $215.01
99334 13 13 $195.06
97597 25 12 $174.89
92552 748 632 $146.99
85025 Blood count; complete (CBC), automated, and automated differential WBC count 14 12 $105.38
90680 2,927 2,762 $99.97
J1100 Injection, dexamethasone sodium phosphate, 1 mg 140 107 $73.11
96160 39 25 $67.14
J0696 Injection, ceftriaxone sodium, per 250 mg 19 14 $38.21
36416 147 79 $15.95
3074F 36,111 27,050 $1.86
90744 947 867 $0.01
90619 12 12 $0.01
3008F 72,895 54,444 $0.00
3079F 4,636 3,778 $0.00
1126F 36,764 27,547 $0.00
1036F 67,419 48,179 $0.00
3080F 192 152 $0.00
1125F 15,593 12,290 $0.00
3075F 544 454 $0.00
90723 487 475 $0.00
90677 524 506 $0.00
90647 455 430 $0.00
90656 12 12 $0.00
90651 66 52 $0.00
1159F 66,496 46,190 $0.00
1160F 82,227 56,683 $0.00
3078F 32,640 24,574 $0.00
90633 1,016 885 $0.00
3725F 2,817 2,196 $0.00
3077F 1,283 1,086 $0.00
J7610 Albuterol, inhalation solution, compounded product, administered through dme, concentrated form, 1 mg 53 40 $0.00
3288F 161 134 $0.00
90710 622 509 $0.00
90685 320 311 $0.00
90661 133 131 $0.00
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 62 14 $0.00
1100F 13 12 $0.00