Medicaid Provider Spending

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

CAROLINAS PHYSICIANS NETWORK INC

NPI: 1023006707 · CONCORD, NC 28025 · Internal Medicine Physician · NPI assigned 10/07/2005

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

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

$2.91M
Total Medicaid Paid
202,887
Total Claims
150,642
Beneficiaries
44
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRISSMILLER, SCOTT (ENTERPRISE EVP)
Parent OrganizationCAROLINAS PHYSICIANS NETWORK INC
NPI Enumeration Date10/07/2005

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 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
CHARLOTTE PEDIATRIC CLINIC MATTHEWS NC $1.76M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 9,719 $339K
2019 8,726 $389K
2020 5,098 $252K
2021 32,996 $458K
2022 40,854 $461K
2023 49,876 $512K
2024 55,618 $499K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 16,967 14,861 $1.12M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 18,634 16,202 $934K
99199 Unlisted special service, procedure or report 136,173 92,972 $733K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 3,202 2,672 $51K
99215 Prolong outpt/office vis 221 193 $18K
36415 Collection of venous blood by venipuncture 3,578 3,153 $6K
0002A 142 84 $5K
0001A 120 77 $5K
90686 1,115 973 $5K
90472 Immunization administration, each additional vaccine (list separately) 130 115 $4K
99238 Hospital discharge day management, 30 minutes or less 135 100 $4K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 48 37 $3K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 46 28 $3K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 26 24 $2K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 40 37 $2K
99441 92 70 $2K
0072A 51 29 $2K
0054A 20 13 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 19 14 $2K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 21 14 $1K
0071A 21 19 $1K
99233 Prolong inpt eval add15 m 38 14 $1K
90460 Immunization administration through 18 years of age via any route, first or only component 19 14 $1K
0124A 25 13 $975.00
90656 104 100 $929.83
99442 21 17 $650.28
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) 158 148 $369.39
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 55 45 $249.47
81025 24 13 $93.60
96110 Developmental screening, with scoring and documentation, per standardized instrument 15 12 $93.39
96127 16 13 $32.99
99173 23 21 $3.00
1159F 6,734 5,671 $0.00
1160F 3,828 3,394 $0.00
3078F 3,793 3,253 $0.00
91312 28 16 $0.00
91300 27 21 $0.00
3074F 4,777 4,049 $0.00
3008F 1,087 1,038 $0.00
3079F 388 318 $0.00
3044F 586 525 $0.00
91305 142 118 $0.00
91307 113 65 $0.00
3075F 85 77 $0.00