Medicaid Provider Spending

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

DLP MARIA PARHAM PHYSICIAN PRACTICES, LLC

NPI: 1932485943 · HENDERSON, NC 27536 · Family Medicine Physician · NPI assigned 10/24/2011

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

Authorized official BOWMAN, MONICA controls 20+ related entities in our dataset. Read more

$80K
Total Medicaid Paid
7,861
Total Claims
4,635
Beneficiaries
16
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialBOWMAN, MONICA (PRESIDENT)
NPI Enumeration Date10/24/2011

Related Entities

Other providers sharing the same authorized official: BOWMAN, MONICA

ProviderCityStateTotal Paid
DLP MARQUETTE PHYSICIAN PRACTICES INC MARQUETTE MI $17.80M
CLARK REGIONAL PHYSICIAN PRACTICES, LLC WINCHESTER KY $9.45M
KENTUCKY MSO, LLC GEORGETOWN KY $6.59M
CLARK REGIONAL PHYSICIAN PRACTICES LLC WINCHESTER KY $2.97M
PINELAKE PHYSICIAN PRACTICE, LLC MAYFIELD KY $2.26M
PORTAGE PHYSICIAN PRACTICES INC HANCOCK MI $1.63M
SPRING VIEW PHYSICIAN PRACTICES, LLC LEBANON KY $1.39M
COLORADO PLAINS PHYSICIAN PRACTICES LLC FORT MORGAN CO $1.28M
SPRING VIEW PHYSICIAN PRACTICES, LLC LEBANON KY $1.27M
NORTHWEST ALABAMA EMERGENCY MEDICINE LLC FLORENCE AL $1.24M
DLP MARIA PARHAM PHYSICIAN PRACTICES, LLC HENDERSON NC $897K
BOURBON PHYSICIAN PRACTICE LLC PARIS KY $847K
PORTAGE PHYSICIAN PRACTICES INC. HOUGHTON MI $763K
DLP CONEMAUGH PHYSICIAN PRACTICES LLC ROARING SPRING PA $761K
LAKE CUMBERLAND PHYSICIAN PRACTICES, LLC SOMERSET KY $529K
KENTUCKY MSO LLC GEORGETOWN KY $406K
RCCH TRIOS PHYSICIANS LLC KENNEWICK WA $401K
NATIONAL PARK CARDIOLOGY SERVICES, LLC HOT SPRINGS AR $341K
LAKE CUMBERLAND PHYSICIAN PRACTICES, LLC SOMERSET KY $331K
KENTUCKY MSO LLC GEORGETOWN KY $282K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 299 $5K
2019 717 $5K
2020 903 $3K
2021 954 $11K
2022 1,336 $23K
2023 1,896 $17K
2024 1,756 $16K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,953 1,019 $41K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,497 816 $18K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,622 735 $7K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 113 89 $6K
97597 672 311 $5K
11043 37 26 $2K
99199 Unlisted special service, procedure or report 120 120 $670.00
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 57 41 $444.15
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 14 12 $357.48
1036F 357 292 $0.00
1126F 656 512 $0.00
3008F 287 254 $0.00
3074F 102 82 $0.00
3077F 79 64 $0.00
3078F 211 183 $0.00
1160F 84 79 $0.00