Medicaid Provider Spending

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

CAROLINAS PHYSICIANS NETWORK INC

NPI: 1023440898 · SHELBY, NC 28150 · Cardiovascular Disease Physician · NPI assigned 08/05/2013

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

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

$571K
Total Medicaid Paid
25,132
Total Claims
21,329
Beneficiaries
29
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRISSMILLER, SCOTT (ENTERPRISE EVP)
Parent OrganizationCAROLINAS PHYSICIANS NETWORK INC
NPI Enumeration Date08/05/2013

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 3,465 $52K
2019 4,085 $82K
2020 2,720 $60K
2021 2,977 $96K
2022 3,380 $89K
2023 4,040 $90K
2024 4,465 $101K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 6,990 6,105 $291K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,162 3,795 $186K
93000 4,879 4,406 $43K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 6,656 4,929 $22K
93294 505 477 $5K
99244 Office or other outpatient consultation, moderate to high complexity 45 41 $5K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 426 328 $4K
93296 182 166 $2K
93922 60 54 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 17 15 $2K
93978 16 12 $1K
99215 Prolong outpt/office vis 20 17 $1K
93016 93 88 $995.55
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 43 40 $988.60
85610 469 344 $859.75
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 16 15 $825.64
93018 94 89 $711.73
93280 83 69 $693.66
93308 16 14 $444.85
99442 24 15 $375.83
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) 147 141 $338.90
99358 Prolong nursin fac eval 15m 12 12 $183.68
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 30 26 $179.45
93325 15 13 $149.09
93321 16 14 $131.89
99406 15 12 $127.53
93242 17 14 $85.31
1159F 42 39 $0.00
1160F 42 39 $0.00