Medicaid Provider Spending

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

CAROLINAS PHYSICIANS NETWORK INC

NPI: 1013232438 · HICKORY, NC 28602 · Pediatric Cardiology Physician · NPI assigned 03/29/2010

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

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

$1.59M
Total Medicaid Paid
18,645
Total Claims
15,833
Beneficiaries
15
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRISSMILLER, SCOTT (ENTERPRISE EVP)
Parent OrganizationCAROLINAS PHYSICIANS NETWORK INC
NPI Enumeration Date03/29/2010

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 1,780 $134K
2019 2,202 $182K
2020 1,746 $144K
2021 2,390 $215K
2022 3,753 $331K
2023 3,638 $311K
2024 3,136 $271K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1,811 1,568 $341K
99244 Office or other outpatient consultation, moderate to high complexity 2,218 1,710 $322K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 1,498 1,285 $230K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,180 1,731 $191K
99243 1,421 1,264 $145K
93320 1,478 1,271 $81K
93000 4,810 4,095 $71K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 421 377 $60K
93325 1,541 1,321 $56K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 748 717 $46K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 429 411 $43K
99441 50 45 $1K
99215 Prolong outpt/office vis 13 12 $1K
99442 14 13 $736.97
93225 13 13 $340.20