Medicaid Provider Spending

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

DLP RUTHERFORD PHYSICIAN PRACTICES LLC

NPI: 1962821322 · FOREST CITY, NC 28043 · Internal Medicine Physician · NPI assigned 04/14/2014

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

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

$7.83M
Total Medicaid Paid
510,493
Total Claims
427,527
Beneficiaries
94
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLAWRENCE, CHARLOTTE (SECRETARY)
NPI Enumeration Date04/14/2014

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 29,558 $980K
2019 33,146 $1.26M
2020 26,521 $910K
2021 102,659 $1.48M
2022 128,379 $1.57M
2023 114,235 $1.26M
2024 75,995 $368K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 71,256 52,456 $3.47M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 15,339 11,373 $859K
99199 Unlisted special service, procedure or report 214,163 210,868 $740K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 6,870 5,165 $559K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 6,198 4,798 $510K
90472 Immunization administration, each additional vaccine (list separately) 10,505 8,143 $308K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 17,839 13,883 $300K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3,515 2,629 $280K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 6,824 5,729 $187K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 6,147 5,138 $75K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 2,665 1,613 $66K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 681 490 $57K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,789 1,424 $38K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1,257 883 $32K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 577 518 $29K
96111 214 213 $22K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 357 239 $21K
96110 Developmental screening, with scoring and documentation, per standardized instrument 2,900 1,857 $21K
96112 180 174 $20K
99231 Subsequent hospital care, per day, straightforward or low complexity 1,222 260 $19K
96127 5,868 3,709 $18K
36415 Collection of venous blood by venipuncture 12,070 8,263 $17K
90670 4,723 3,700 $16K
87807 1,643 1,032 $16K
59025 Fetal non-stress test 625 334 $13K
99238 Hospital discharge day management, 30 minutes or less 290 228 $12K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 164 131 $12K
87428 347 184 $12K
92551 7,741 5,884 $11K
76775 509 408 $10K
81003 5,212 2,636 $8K
81025 1,500 927 $8K
90698 2,312 1,777 $8K
76705 Ultrasound, abdominal, real time with image documentation; limited 372 273 $7K
90710 979 536 $6K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 306 288 $6K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 2,468 1,292 $5K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 78 55 $5K
99173 4,503 3,140 $4K
99460 64 64 $3K
99222 Initial hospital care, per day, moderate complexity 47 26 $3K
81001 2,243 1,638 $3K
83036 Hemoglobin; glycosylated (A1C) 380 297 $2K
99383 16 14 $2K
99232 Subsequent hospital care, per day, moderate complexity 40 15 $2K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 107 83 $2K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 12 12 $1K
90619 75 57 $1K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 17 13 $1K
96161 330 320 $1K
83655 105 65 $1K
90686 3,175 2,615 $1K
99442 79 26 $974.65
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 45 16 $760.93
85018 291 179 $487.44
90697 108 93 $441.98
90633 2,027 1,385 $441.68
90680 2,383 1,858 $292.29
99051 14 13 $264.80
90696 201 102 $230.11
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 17 12 $155.82
90715 159 77 $149.86
88720 27 25 $149.52
97802 37 27 $142.62
90685 501 404 $80.44
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) 14 12 $31.73
90744 780 620 $26.36
87210 25 13 $9.88
3077F 2,338 1,830 $0.00
3078F 8,344 6,060 $0.00
3725F 2,550 1,881 $0.00
3288F 1,025 726 $0.00
1160F 14,273 10,573 $0.00
90648 198 184 $0.00
90700 91 77 $0.00
90649 290 226 $0.00
90707 63 63 $0.00
1100F 136 117 $0.00
0502F 31 25 $0.00
1036F 11,436 7,786 $0.00
3075F 1,459 1,124 $0.00
90674 88 63 $0.00
3008F 13,313 9,903 $0.00
3074F 9,400 6,739 $0.00
90733 273 131 $0.00
1126F 2,798 2,172 $0.00
90716 52 52 $0.00
3079F 4,293 3,199 $0.00
1125F 717 577 $0.00
3080F 766 565 $0.00
99024 26 17 $0.00
1170F 978 678 $0.00
90677 16 16 $0.00
90723 12 12 $0.00