Physician
DLP Western Carolina Physician Practices LLC
DLP Western Carolina Physician Practices LLC was paid $14.16M by Medicaid between Jan 2018 and Dec 2024, across 137 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 30% of everything it billed.
33Billing provider infoDLP WESTERN CAROLINA PHYSICIAN PRACTICES LLC
SYLVA, NC 28779
SYLVA, NC 28779
33aNPI1609281641assigned 06/28/2014
33bProvider typeFamily Medicine Physician
28Total paid$14.16M
24GClaims1,053,824
24DCodes billed137
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in North Carolina
Rank by total paid#4 of 960
Median peer was paid$135K
This provider vs. median105×
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 LAWRENCE, CHARLOTTE controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
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
| Year | Claims | 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 | |
| 2024incomplete | 198,415 | $2.02M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 30% | 76,162 | 63,912 | $4.20M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 27% | 82,396 | 66,091 | $3.79M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.0% | 14,069 | 11,561 | $1.14M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.7% | 11,073 | 9,369 | $948K |
| 99199 | Unlisted special service, procedure or report | 6.1% | 246,902 | 242,843 | $859K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.2% | 5,546 | 4,384 | $449K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3.2% | 25,884 | 21,745 | $448K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 2.7% | 15,377 | 13,028 | $380K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 1.3% | 2,542 | 2,086 | $190K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.1% | 19,418 | 16,787 | $156K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.0% | 2,512 | 2,050 | $143K |
| 87428 | <1% | 2,006 | 1,622 | $113K |
125 more codes
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 3,183 | $111K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 8,286 | $105K |
| 99460 | <1% | 1,222 | $88K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 1,012 | $86K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 1,868 | $77K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 858 | $68K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 659 | $67K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 714 | $60K |
| 90474 | <1% | 3,277 | $59K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,475 | $56K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 1,979 | $53K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 834 | $47K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 3,532 | $46K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 642 | $41K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 10,988 | $35K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 593 | $32K |
| 76830 | Ultrasound, transvaginal | <1% | 440 | $25K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 648 | $24K |
| 80305 | <1% | 1,671 | $21K | |
| 92551 | <1% | 12,234 | $19K | |
| 93000 | <1% | 2,026 | $16K | |
| 20610 | <1% | 568 | $16K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 420 | $14K |
| 99462 | <1% | 408 | $12K | |
| 85018 | <1% | 11,438 | $12K | |
| 99173 | <1% | 14,599 | $12K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 482 | $11K |
| 36415 | Collection of venous blood by venipuncture | <1% | 4,530 | $9K |
| 84703 | <1% | 1,449 | $8K | |
| 81003 | <1% | 4,931 | $8K | |
| D1206 | Topical application of fluoride varnish | <1% | 530 | $7K |
| 83655 | <1% | 513 | $7K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 354 | $6K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 62 | $5K |
| 51798 | <1% | 536 | $5K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 129 | $4K |
| 59025 | Fetal non-stress test | <1% | 194 | $4K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 241 | $4K |
| 93294 | <1% | 381 | $4K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 196 | $4K |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 96 | $3K |
| 87807 | <1% | 228 | $3K | |
| 90670 | <1% | 5,934 | $2K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 41 | $2K |
| 93296 | <1% | 218 | $2K | |
| 20611 | <1% | 57 | $2K | |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 381 | $2K |
| 81025 | <1% | 323 | $2K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 36 | $2K |
| 99383 | <1% | 34 | $2K | |
| 99223 | Prolong inpt eval add15 m | <1% | 46 | $2K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 32 | $2K |
| S0280 | Medical home program, comprehensive care coordination and planning, initial plan | <1% | 42 | $2K |
| 94060 | <1% | 256 | $2K | |
| 96127 | <1% | 549 | $2K | |
| 64493 | <1% | 32 | $1K | |
| 73562 | <1% | 104 | $1K | |
| 99381 | <1% | 39 | $1K | |
| 95811 | <1% | 13 | $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) | <1% | 521 | $1K |
| 99442 | <1% | 86 | $1K | |
| 99335 | <1% | 101 | $1K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 415 | $1K |
| 90686 | <1% | 4,052 | $1K | |
| 90674 | <1% | 1,170 | $999.64 | |
| 52000 | <1% | 14 | $955.15 | |
| 99441 | <1% | 106 | $918.93 | |
| 90480 | <1% | 18 | $784.55 | |
| 94729 | <1% | 305 | $747.86 | |
| 99307 | <1% | 71 | $718.72 | |
| 99382 | <1% | 21 | $696.19 | |
| 95886 | <1% | 14 | $679.33 | |
| 82951 | <1% | 56 | $621.65 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 68 | $585.90 |
| 93016 | <1% | 73 | $524.02 | |
| 73030 | <1% | 35 | $465.37 | |
| 90698 | <1% | 3,830 | $438.78 | |
| 64494 | <1% | 13 | $430.77 | |
| 90697 | <1% | 268 | $426.49 | |
| 94727 | <1% | 111 | $390.49 | |
| 93018 | <1% | 73 | $372.72 | |
| 99406 | <1% | 57 | $339.08 | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 134 | $307.44 |
| 95117 | <1% | 34 | $272.52 | |
| 81001 | <1% | 95 | $254.94 | |
| 80053 | Comprehensive metabolic panel | <1% | 28 | $250.08 |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 17 | $227.35 |
| 73630 | <1% | 16 | $215.01 | |
| 99334 | <1% | 13 | $195.06 | |
| 97597 | <1% | 25 | $174.89 | |
| 92552 | <1% | 748 | $146.99 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 14 | $105.38 |
| 90680 | <1% | 2,927 | $99.97 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 140 | $73.11 |
| 96160 | <1% | 39 | $67.14 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 19 | $38.21 |
| 36416 | <1% | 147 | $15.95 | |
| 3074F | <1% | 36,111 | $1.86 | |
| 90744 | <1% | 947 | $0.01 | |
| 90619 | <1% | 12 | $0.01 | |
| 3008F | 0% | 72,895 | $0.00 | |
| 3079F | 0% | 4,636 | $0.00 | |
| 1126F | 0% | 36,764 | $0.00 | |
| 1036F | 0% | 67,419 | $0.00 | |
| 3080F | 0% | 192 | $0.00 | |
| 1125F | 0% | 15,593 | $0.00 | |
| 3075F | 0% | 544 | $0.00 | |
| 90723 | 0% | 487 | $0.00 | |
| 90677 | 0% | 524 | $0.00 | |
| 90647 | 0% | 455 | $0.00 | |
| 90656 | 0% | 12 | $0.00 | |
| 90651 | 0% | 66 | $0.00 | |
| 1159F | 0% | 66,496 | $0.00 | |
| 1160F | 0% | 82,227 | $0.00 | |
| 3078F | 0% | 32,640 | $0.00 | |
| 90633 | 0% | 1,016 | $0.00 | |
| 3725F | 0% | 2,817 | $0.00 | |
| 3077F | 0% | 1,283 | $0.00 | |
| J7610 | Albuterol, inhalation solution, compounded product, administered through dme, concentrated form, 1 mg | 0% | 53 | $0.00 |
| 3288F | 0% | 161 | $0.00 | |
| 90710 | 0% | 622 | $0.00 | |
| 90685 | 0% | 320 | $0.00 | |
| 90661 | 0% | 133 | $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 | 0% | 62 | $0.00 |
| 1100F | 0% | 13 | $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 officialLAWRENCE, CHARLOTTE (SECRETARY)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.