Medicaid Provider Spending

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

CAROLINAS PHYSICIANS NETWORK INC

NPI: 1023328309 · LINCOLNTON, NC 28092 · Gynecology Physician · NPI assigned 10/20/2010

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

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

$673K
Total Medicaid Paid
33,666
Total Claims
22,760
Beneficiaries
35
Codes Billed
2018-01
First Month
2024-08
Last Month

Provider Details

Authorized OfficialRISSMILLER, SCOTT (ENTERPRISE EVP)
Parent OrganizationCAROLINAS PHYSICIANS NETWORK INC
NPI Enumeration Date10/20/2010

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 4,193 $97K
2019 3,956 $110K
2020 2,609 $100K
2021 5,978 $119K
2022 10,539 $210K
2023 4,599 $27K
2024 1,792 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,379 3,437 $201K
99199 Unlisted special service, procedure or report 12,753 6,950 $73K
59025 Fetal non-stress test 1,765 1,198 $50K
59400 Routine obstetric care including antepartum care, vaginal delivery, and postpartum care 31 26 $49K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 640 585 $47K
S0281 Medical home program, comprehensive care coordination and planning, maintenance of plan 351 247 $39K
S0280 Medical home program, comprehensive care coordination and planning, initial plan 669 553 $27K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 281 240 $27K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 320 248 $20K
J1050 Injection, medroxyprogesterone acetate, 1 mg 561 403 $19K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 818 484 $18K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 248 192 $16K
81025 2,701 1,999 $16K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,294 918 $15K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 192 165 $14K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 138 96 $10K
36415 Collection of venous blood by venipuncture 4,076 3,070 $7K
76830 Ultrasound, transvaginal 70 59 $6K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 749 585 $5K
85027 751 598 $4K
59430 77 54 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 159 142 $2K
99442 40 35 $1K
76813 15 12 $1K
83036 Hemoglobin; glycosylated (A1C) 134 89 $857.99
90715 26 25 $803.31
87210 178 156 $701.72
90686 38 32 $446.85
82950 31 30 $156.88
80053 Comprehensive metabolic panel 13 13 $93.99
96127 19 13 $60.83
1159F 39 28 $0.00
98966 57 38 $0.00
3074F 37 26 $0.00
99024 16 14 $0.00