DLP Rutherford Physician Practices LLC
DLP Rutherford Physician Practices LLC was paid $7.83M by Medicaid between Jan 2018 and Dec 2024, across 94 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 44% of everything it billed.
FOREST CITY, NC 28043
Next to other Internal Medicine Physician providers in North Carolina
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | 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 | |
| 2024incomplete | 75,995 | $368K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 44% | 71,256 | 52,456 | $3.47M |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 11% | 15,339 | 11,373 | $859K |
| 99199 | Unlisted special service, procedure or report | 9.5% | 214,163 | 210,868 | $740K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.1% | 6,870 | 5,165 | $559K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.5% | 6,198 | 4,798 | $510K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 3.9% | 10,505 | 8,143 | $308K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3.8% | 17,839 | 13,883 | $300K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.6% | 3,515 | 2,629 | $280K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.4% | 6,824 | 5,729 | $187K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 6,147 | 5,138 | $75K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 2,665 | 1,613 | $66K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 681 | 490 | $57K |
82 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,789 | $38K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 1,257 | $32K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 577 | $29K |
| 96111 | <1% | 214 | $22K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 357 | $21K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 2,900 | $21K |
| 96112 | <1% | 180 | $20K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 1,222 | $19K |
| 96127 | <1% | 5,868 | $18K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 12,070 | $17K |
| 90670 | <1% | 4,723 | $16K | |
| 87807 | <1% | 1,643 | $16K | |
| 59025 | Fetal non-stress test | <1% | 625 | $13K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 290 | $12K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 164 | $12K |
| 87428 | <1% | 347 | $12K | |
| 92551 | <1% | 7,741 | $11K | |
| 76775 | <1% | 509 | $10K | |
| 81003 | <1% | 5,212 | $8K | |
| 81025 | <1% | 1,500 | $8K | |
| 90698 | <1% | 2,312 | $8K | |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 372 | $7K |
| 90710 | <1% | 979 | $6K | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 306 | $6K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 2,468 | $5K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 78 | $5K |
| 99173 | <1% | 4,503 | $4K | |
| 99460 | <1% | 64 | $3K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 47 | $3K |
| 81001 | <1% | 2,243 | $3K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 380 | $2K |
| 99383 | <1% | 16 | $2K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 40 | $2K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 107 | $2K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 12 | $1K |
| 90619 | <1% | 75 | $1K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 17 | $1K |
| 96161 | <1% | 330 | $1K | |
| 83655 | <1% | 105 | $1K | |
| 90686 | <1% | 3,175 | $1K | |
| 99442 | <1% | 79 | $974.65 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 45 | $760.93 |
| 85018 | <1% | 291 | $487.44 | |
| 90697 | <1% | 108 | $441.98 | |
| 90633 | <1% | 2,027 | $441.68 | |
| 90680 | <1% | 2,383 | $292.29 | |
| 99051 | <1% | 14 | $264.80 | |
| 90696 | <1% | 201 | $230.11 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 17 | $155.82 |
| 90715 | <1% | 159 | $149.86 | |
| 88720 | <1% | 27 | $149.52 | |
| 97802 | <1% | 37 | $142.62 | |
| 90685 | <1% | 501 | $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) | <1% | 14 | $31.73 |
| 90744 | <1% | 780 | $26.36 | |
| 87210 | <1% | 25 | $9.88 | |
| 3077F | 0% | 2,338 | $0.00 | |
| 3078F | 0% | 8,344 | $0.00 | |
| 3725F | 0% | 2,550 | $0.00 | |
| 3288F | 0% | 1,025 | $0.00 | |
| 1160F | 0% | 14,273 | $0.00 | |
| 90648 | 0% | 198 | $0.00 | |
| 90700 | 0% | 91 | $0.00 | |
| 90649 | 0% | 290 | $0.00 | |
| 90707 | 0% | 63 | $0.00 | |
| 1100F | 0% | 136 | $0.00 | |
| 0502F | 0% | 31 | $0.00 | |
| 1036F | 0% | 11,436 | $0.00 | |
| 3075F | 0% | 1,459 | $0.00 | |
| 90674 | 0% | 88 | $0.00 | |
| 3008F | 0% | 13,313 | $0.00 | |
| 3074F | 0% | 9,400 | $0.00 | |
| 90733 | 0% | 273 | $0.00 | |
| 1126F | 0% | 2,798 | $0.00 | |
| 90716 | 0% | 52 | $0.00 | |
| 3079F | 0% | 4,293 | $0.00 | |
| 1125F | 0% | 717 | $0.00 | |
| 3080F | 0% | 766 | $0.00 | |
| 99024 | 0% | 26 | $0.00 | |
| 1170F | 0% | 978 | $0.00 | |
| 90677 | 0% | 16 | $0.00 | |
| 90723 | 0% | 12 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.