Medicaid Provider Spending

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

CAROLINAS PHYSICIANS NETWORK INC

NPI: 1023397874 · BELMONT, NC 28012 · Internal Medicine Physician · NPI assigned 08/11/2011

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

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

$901K
Total Medicaid Paid
19,473
Total Claims
16,256
Beneficiaries
17
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRISSMILLER, SCOTT (ENTERPRISE EVP)
Parent OrganizationCAROLINAS PHYSICIANS NETWORK INC
NPI Enumeration Date08/11/2011

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 1,877 $93K
2019 1,741 $96K
2020 1,069 $62K
2021 3,230 $140K
2022 4,282 $217K
2023 3,674 $146K
2024 3,600 $147K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,663 4,946 $428K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,015 2,324 $160K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 2,341 1,742 $101K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 970 808 $55K
99051 2,194 1,990 $51K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 433 359 $48K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 458 341 $34K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,588 1,322 $19K
99199 Unlisted special service, procedure or report 365 365 $3K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 19 15 $306.04
71046 Radiologic examination, chest; 2 views 17 16 $174.54
3074F 492 404 $0.00
3008F 32 27 $0.00
2010F 15 13 $0.00
1159F 998 835 $0.00
3078F 389 319 $0.00
1160F 484 430 $0.00