Medicaid Provider Spending

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

DLP SWAIN COUNTY HOSPITAL, LLC

NPI: 1689780249 · BRYSON CITY, NC 28713 · Critical Access Hospital · NPI assigned 08/23/2006

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

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

$3.94M
Total Medicaid Paid
63,945
Total Claims
51,712
Beneficiaries
72
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLAWRENCE, CHARLOTTE (SECRETARY)
NPI Enumeration Date08/23/2006

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 13,483 $609K
2019 12,688 $509K
2020 6,651 $256K
2021 7,850 $472K
2022 7,903 $705K
2023 8,020 $699K
2024 7,350 $689K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 9,678 8,138 $1.44M
99284 Emergency department visit for the evaluation and management, high severity 4,763 3,881 $964K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 11,786 9,603 $458K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 1,482 1,222 $364K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 3,174 2,596 $168K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 4,925 2,470 $71K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 2,260 1,844 $57K
99282 Emergency department visit for the evaluation and management, low to moderate severity 554 504 $49K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 169 145 $43K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,784 1,522 $33K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 462 404 $29K
80053 Comprehensive metabolic panel 3,123 2,608 $22K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,224 989 $22K
0202U Oncology (prostate), multianalyte, gene expression profiling 122 98 $20K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 2,932 2,440 $19K
87070 1,258 1,186 $15K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 431 380 $15K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 618 536 $13K
71045 Radiologic examination, chest; single view 180 150 $12K
99281 Emergency department visit for the evaluation and management, self-limited or minor 189 167 $11K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 873 739 $11K
99173 957 786 $10K
92552 790 676 $10K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 358 281 $10K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,710 1,507 $9K
90472 Immunization administration, each additional vaccine (list separately) 863 750 $7K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 575 524 $7K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 470 302 $7K
96375 Therapeutic injection; each additional sequential IV push 58 52 $5K
96361 Intravenous infusion, hydration; each additional hour 112 90 $4K
36415 Collection of venous blood by venipuncture 1,446 1,254 $3K
71046 Radiologic examination, chest; 2 views 59 38 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 99 90 $3K
80306 251 205 $2K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 35 25 $2K
87807 120 104 $2K
80061 Lipid panel 102 96 $2K
84443 Thyroid stimulating hormone (TSH) 78 72 $1K
99215 Prolong outpt/office vis 25 25 $1K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 48 30 $1K
83036 Hemoglobin; glycosylated (A1C) 115 104 $1K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 72 51 $1K
81001 428 361 $1K
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 48 44 $924.86
90686 508 396 $877.72
87430 58 52 $671.16
90474 57 57 $529.53
90698 218 205 $445.20
85730 111 96 $443.91
J1030 Injection, methylprednisolone acetate, 40 mg 36 36 $382.87
84484 49 44 $318.76
85610 116 101 $300.65
82553 46 41 $273.41
J1885 Injection, ketorolac tromethamine, per 15 mg 62 52 $272.37
83880 12 12 $253.80
84439 15 15 $217.63
82550 47 42 $170.31
85018 1,288 1,008 $121.15
83655 16 12 $105.56
84703 13 12 $93.60
87088 18 12 $85.27
86140 19 15 $77.40
83735 16 14 $66.80
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 20 13 $52.41
J2405 Injection, ondansetron hydrochloride, per 1 mg 16 12 $30.46
J7510 Prednisolone oral, per 5 mg 15 13 $30.44
81003 14 13 $16.80
90680 57 57 $0.00
90744 12 12 $0.00
90670 254 237 $0.00
90633 29 27 $0.00
90685 17 17 $0.00