Medicaid Provider Spending

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

THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY

NPI: 1033546403 · CONCORD, NC 28025 · Developmental - Behavioral Pediatrics Physician · NPI assigned 10/01/2013

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

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

$2.08M
Total Medicaid Paid
29,988
Total Claims
26,369
Beneficiaries
30
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRISSMILLER, SCOTT (ENTERPRISE EVP)
Parent OrganizationTHE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
NPI Enumeration Date10/01/2013

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 3,345 $233K
2019 6,214 $429K
2020 3,713 $260K
2021 3,935 $314K
2022 3,960 $296K
2023 4,511 $283K
2024 4,310 $261K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 11,508 10,827 $932K
99215 Prolong outpt/office vis 4,236 3,949 $460K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,055 3,791 $235K
90837 Psychotherapy, 53 minutes with patient 2,685 1,621 $152K
99245 335 326 $62K
90791 Psychiatric diagnostic evaluation 710 583 $59K
96112 380 323 $36K
90847 Family psychotherapy with the patient present, 50 minutes 473 355 $29K
99205 Prolong outpt/office vis 210 172 $28K
90834 Psychotherapy, 45 minutes with patient 428 314 $19K
99443 299 207 $15K
99417 Prolong home eval add 15m 75 68 $11K
99442 316 220 $11K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 133 76 $10K
96110 Developmental screening, with scoring and documentation, per standardized instrument 775 694 $6K
90853 Group psychotherapy (other than of a multiple-family group) 152 62 $3K
96127 397 252 $2K
96116 62 37 $2K
99244 Office or other outpatient consultation, moderate to high complexity 13 12 $2K
90832 Psychotherapy, 30 minutes with patient 48 27 $1K
99441 78 48 $1K
90849 20 12 $466.88
99199 Unlisted special service, procedure or report 47 47 $250.00
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) 327 322 $233.94
90785 31 13 $83.06
3078F 404 372 $0.00
1159F 847 761 $0.00
1160F 428 401 $0.00
3074F 451 416 $0.00
3008F 65 61 $0.00