Medicaid Provider Spending

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

CAROLINAS PHYSICIANS NETWORK INC

NPI: 1003242876 · CHARLOTTE, NC 28210 · Infectious Disease Physician · NPI assigned 09/24/2013

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

Authorized official RISSMILLER, SCOTT controls 20+ related entities in our dataset. Read more

$1.17M
Total Medicaid Paid
28,177
Total Claims
13,623
Beneficiaries
29
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRISSMILLER, SCOTT (ENTERPRISE EVP)
Parent OrganizationCAROLINAS PHYSICIANS NETWORK INC
NPI Enumeration Date09/24/2013

Related Entities

Other providers sharing the same authorized official: RISSMILLER, SCOTT

ProviderCityStateTotal Paid
CAROLINAS MEDICAL CENTER CHARLOTTE NC $52.97M
COTSWOLD FAMILY MEDICINE CHARLOTTE NC $12.51M
CAROLINAS PHYSICIANS NETWORK INC. CHARLOTTE NC $8.93M
CAROLINAS PHYSICIANS NETWORK INC GASTONIA NC $8.57M
CAROLINAS PHYSICIANS NETWORK INC ROCK HILL SC $8.47M
UNIVERSITY PEDIATRICS CHARLOTTE NC $8.22M
CAROLINAS MEDICAL CENTER CHARLOTTE NC $6.42M
EASTLAND URGENT CARE CHARLOTTE NC $5.05M
CAROLINAS PHYSICIANS NETWORK INC CHARLOTTE NC $4.24M
UNIVERSITY PEDIATRICS CHARLOTTE NC $3.22M
CAROLINAS PHYSICIANS NETWORK INC FORT MILL SC $3.04M
CAROLINAS PHYSICIANS NETWORK INC CONCORD NC $2.91M
CAROLINAS MEDICAL CENTER CHARLOTTE NC $2.82M
CHARLOTTE PEDIATRIC CLINIC CHARLOTTE NC $2.46M
CAROLINAS PHYSICIANS NETWORK INC CONCORD NC $2.38M
PEDIATRIC ENDOCRINOLOGY & DIABETES SPECIALISTS CHARLOTTE NC $2.27M
CAROLINAS PHYSICIANS NETWORK INC CHARLOTTE NC $2.06M
CAROLINAS PHYSICIANS NETWORK INC KANNAPOLIS NC $1.98M
ARBORETUM PEDIATRICS CHARLOTTE NC $1.92M
CAROLINAS PHYSICIANS NETWORK INC CHARLOTTE NC $1.91M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,110 $72K
2019 3,606 $130K
2020 2,791 $129K
2021 4,793 $173K
2022 4,949 $201K
2023 5,363 $253K
2024 4,565 $209K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99232 Subsequent hospital care, per day, moderate complexity 18,251 6,175 $714K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,615 2,324 $161K
99254 742 651 $80K
99233 Prolong inpt eval add15 m 1,072 484 $53K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 652 463 $42K
J1745 Injection, infliximab, excludes biosimilar, 10 mg 16 12 $36K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1,072 568 $29K
96415 529 364 $11K
99215 Prolong outpt/office vis 83 70 $8K
96375 Therapeutic injection; each additional sequential IV push 466 273 $6K
90750 88 71 $5K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 116 103 $5K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 441 377 $5K
99231 Subsequent hospital care, per day, straightforward or low complexity 255 150 $4K
90686 196 165 $3K
99199 Unlisted special service, procedure or report 436 436 $2K
90732 16 14 $1K
99222 Initial hospital care, per day, moderate complexity 17 16 $1K
90472 Immunization administration, each additional vaccine (list separately) 76 61 $795.12
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 265 172 $515.81
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 15 14 $172.33
36415 Collection of venous blood by venipuncture 73 67 $139.69
3077F 30 26 $0.00
1160F 154 135 $0.00
1159F 285 246 $0.00
3078F 33 29 $0.00
3044F 130 112 $0.00
3079F 14 12 $0.00
3074F 39 33 $0.00