Medicaid Provider Spending

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

CAROLINAS PHYSICIANS NETWORK INC

NPI: 1023291960 · CONCORD, NC 28025 · Obstetrics & Gynecology Physician · NPI assigned 12/14/2007

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

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

$733K
Total Medicaid Paid
40,525
Total Claims
28,116
Beneficiaries
36
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRISSMILLER, SCOTT (ENTERPRISE EVP)
Parent OrganizationCAROLINAS PHYSICIANS NETWORK INC
NPI Enumeration Date12/14/2007

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 800 $23K
2019 1,013 $48K
2020 1,144 $65K
2021 5,404 $100K
2022 9,331 $143K
2023 11,705 $183K
2024 11,128 $170K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,158 2,549 $238K
99199 Unlisted special service, procedure or report 24,079 14,672 $143K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,786 2,282 $136K
59400 Routine obstetric care including antepartum care, vaginal delivery, and postpartum care 80 75 $102K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 327 278 $29K
59025 Fetal non-stress test 1,182 719 $25K
S0281 Medical home program, comprehensive care coordination and planning, maintenance of plan 146 100 $15K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 200 177 $15K
81025 1,790 1,420 $10K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 247 226 $3K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 28 26 $3K
S0280 Medical home program, comprehensive care coordination and planning, initial plan 42 36 $2K
0002A 39 26 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 124 89 $2K
90715 49 39 $2K
54150 18 13 $1K
99406 132 101 $1K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 13 12 $1K
59430 85 53 $905.96
J1050 Injection, medroxyprogesterone acetate, 1 mg 14 12 $833.76
0001A 21 12 $716.95
90686 34 32 $545.80
99442 17 16 $492.21
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 24 12 $403.86
99441 16 13 $230.72
85018 103 91 $195.13
36415 Collection of venous blood by venipuncture 59 44 $133.67
82947 12 12 $38.72
3074F 1,134 974 $0.00
3008F 384 353 $0.00
3079F 111 99 $0.00
99024 30 26 $0.00
3044F 168 156 $0.00
1159F 2,146 1,825 $0.00
1160F 1,245 1,124 $0.00
3078F 482 422 $0.00