Medicaid Provider Spending

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

DLP RUTHERFORD PHYSICIAN PRACTICES LLC

NPI: 1912684473 · FOREST CITY, NC 28043 · Rural Health Clinic/Center · NPI assigned 06/28/2023

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

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

$880K
Total Medicaid Paid
57,507
Total Claims
40,378
Beneficiaries
44
Codes Billed
2023-12
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLAWRENCE, CHARLOTTE (SECRETARY)
NPI Enumeration Date06/28/2023

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
2023 3,300 $36K
2024 54,207 $844K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 11,542 6,957 $587K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 707 567 $47K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 691 579 $46K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 816 593 $43K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1,724 1,385 $37K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,694 1,329 $30K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 289 243 $22K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,035 1,588 $19K
90472 Immunization administration, each additional vaccine (list separately) 1,315 1,004 $16K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,016 1,540 $13K
87807 629 528 $7K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,261 4,664 $3K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,332 2,680 $3K
99173 1,612 1,295 $2K
92551 1,664 1,336 $2K
99383 17 13 $1K
96110 Developmental screening, with scoring and documentation, per standardized instrument 195 144 $1K
90619 123 95 $349.08
90677 468 350 $277.08
96127 99 89 $252.07
83655 13 12 $173.44
99199 Unlisted special service, procedure or report 40 40 $107.50
81003 32 25 $99.09
85018 17 17 $59.36
90715 36 27 $47.88
3075F 51 46 $0.00
1036F 4,715 3,001 $0.00
3008F 3,674 2,907 $0.00
90674 31 31 $0.00
3074F 3,913 2,968 $0.00
90680 264 209 $0.00
90697 173 130 $0.00
3079F 234 200 $0.00
90686 81 53 $0.00
90651 53 44 $0.00
90696 36 26 $0.00
3078F 3,757 2,846 $0.00
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) 306 247 $0.00
90661 102 100 $0.00
1160F 549 296 $0.00
90633 100 91 $0.00
3077F 28 27 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 14 12 $0.00
90710 59 44 $0.00