Medicaid Provider Spending

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

DLP HAYWOOD REGIONAL MEDICAL CENTER LLC.

NPI: 1811158215 · CLYDE, NC 28721 · General Acute Care Hospital · NPI assigned 06/19/2008

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

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

$8.78M
Total Medicaid Paid
222,450
Total Claims
186,513
Beneficiaries
108
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLAWRENCE, CHARLOTTE (SECRETARY)
NPI Enumeration Date06/19/2008

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 34,243 $928K
2019 32,404 $882K
2020 20,008 $434K
2021 27,522 $1.03M
2022 33,637 $1.59M
2023 41,144 $1.96M
2024 33,492 $1.95M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 14,280 11,826 $2.39M
99284 Emergency department visit for the evaluation and management, high severity 11,578 9,925 $1.30M
99283 Emergency department visit for the evaluation and management, moderate severity 14,276 12,200 $1.26M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 25,187 21,151 $669K
87428 6,434 5,803 $472K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 9,213 7,894 $256K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 7,721 6,463 $221K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 1,565 1,279 $207K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,774 5,983 $157K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 9,624 8,256 $141K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 1,655 1,390 $135K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 18,860 16,419 $132K
80053 Comprehensive metabolic panel 16,070 13,905 $121K
97597 1,303 582 $93K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3,540 2,980 $90K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 5,916 5,042 $89K
96361 Intravenous infusion, hydration; each additional hour 3,340 2,806 $86K
71046 Radiologic examination, chest; 2 views 3,483 2,917 $85K
87631 953 826 $73K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 3,509 3,028 $72K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1,396 1,295 $58K
71045 Radiologic examination, chest; single view 1,483 1,203 $46K
87081 4,968 4,457 $42K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 1,842 452 $41K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 3,179 2,577 $40K
96375 Therapeutic injection; each additional sequential IV push 983 746 $30K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 1,287 900 $29K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 1,265 887 $29K
80306 744 638 $27K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 1,051 879 $26K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 809 692 $26K
87086 Culture, bacterial; quantitative colony count, urine 2,830 2,286 $25K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 905 706 $22K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1,256 1,006 $21K
83690 2,768 2,334 $18K
81001 5,652 4,775 $17K
74177 Computed tomography, abdomen and pelvis; with contrast material 31 26 $16K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 172 87 $15K
84484 1,808 1,439 $15K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 1,780 1,375 $13K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 617 557 $13K
J7030 Infusion, normal saline solution , 1000 cc 3,318 2,904 $12K
97530 Therapeutic activities, direct patient contact, each 15 minutes 163 48 $11K
88305 Level IV - Surgical pathology, gross and microscopic examination 190 183 $10K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 242 233 $10K
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 419 365 $9K
84702 758 598 $7K
87807 427 377 $7K
74176 Computed tomography, abdomen and pelvis; without contrast material 21 16 $6K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 84 71 $6K
99281 Emergency department visit for the evaluation and management, self-limited or minor 150 121 $6K
70450 Computed tomography, head or brain; without contrast material 55 49 $5K
83735 872 646 $5K
87070 473 435 $5K
81003 1,960 1,749 $4K
36415 Collection of venous blood by venipuncture 1,894 1,553 $4K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 92 75 $4K
J1885 Injection, ketorolac tromethamine, per 15 mg 1,158 970 $4K
84703 422 371 $3K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 167 164 $3K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 147 131 $3K
82962 734 683 $3K
J2405 Injection, ondansetron hydrochloride, per 1 mg 1,032 838 $3K
80061 Lipid panel 141 131 $2K
J2704 Injection, propofol, 10 mg 627 585 $2K
88142 119 89 $2K
99201 181 174 $2K
J7120 Ringers lactate infusion, up to 1000 cc 657 614 $2K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 70 58 $2K
93970 14 12 $1K
80055 44 37 $1K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 35 12 $1K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 12 12 $1K
83036 Hemoglobin; glycosylated (A1C) 85 77 $1K
87186 88 63 $846.00
86803 46 39 $834.62
86780 41 33 $712.94
84443 Thyroid stimulating hormone (TSH) 60 51 $643.10
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 438 392 $579.57
87653 14 14 $548.45
72110 12 12 $532.55
87899 28 25 $463.99
82565 124 118 $460.69
80048 Basic metabolic panel (calcium, ionized) 55 53 $452.71
82105 12 12 $373.51
84145 15 15 $337.87
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 14 12 $299.20
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 547 468 $294.25
81025 42 40 $267.92
82951 14 12 $237.84
86787 15 12 $192.60
86702 16 12 $167.50
J3490 Unclassified drugs 173 111 $144.30
86308 15 14 $128.53
86701 16 12 $126.48
85610 64 63 $115.60
83605 66 12 $99.69
J1030 Injection, methylprednisolone acetate, 40 mg 57 41 $90.81
85652 29 28 $53.86
85651 31 28 $49.66
85730 12 12 $15.70
84450 67 62 $7.48
84460 68 63 $0.55
82746 16 13 $0.00
A9270 Non-covered item or service 137 117 $0.00
82607 16 13 $0.00
80305 217 154 $0.00
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 15 14 $0.00