Medicaid Provider Spending

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

CAROLINAS PHYSICIANS NETWORK INC

NPI: 1033637178 · KANNAPOLIS, NC 28083 · Pediatrics Physician · NPI assigned 09/08/2017

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

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

$7.33M
Total Medicaid Paid
416,502
Total Claims
314,535
Beneficiaries
65
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRISSMILLER, SCOTT (ENTERPRISE EVP)
Parent OrganizationCAROLINAS PHYSICIANS NETWORK INC
NPI Enumeration Date09/08/2017

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 27,172 $773K
2019 24,587 $896K
2020 20,407 $747K
2021 54,433 $1.18M
2022 86,056 $1.32M
2023 98,902 $1.31M
2024 104,945 $1.10M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 39,639 34,022 $2.37M
99199 Unlisted special service, procedure or report 217,982 144,761 $1.12M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 11,947 9,193 $977K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 7,265 6,121 $622K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,024 6,049 $604K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3,674 3,270 $339K
90460 Immunization administration through 18 years of age via any route, first or only component 6,058 5,295 $293K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 13,827 11,300 $236K
90472 Immunization administration, each additional vaccine (list separately) 7,621 6,224 $227K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,556 1,240 $135K
D0145 Oral evaluation for a patient under three years of age 2,190 2,042 $69K
96110 Developmental screening, with scoring and documentation, per standardized instrument 11,793 9,989 $58K
99244 Office or other outpatient consultation, moderate to high complexity 221 188 $31K
D1206 Topical application of fluoride varnish 2,188 2,041 $31K
96127 8,305 7,097 $31K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,912 1,719 $24K
90474 1,391 1,117 $23K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 380 347 $23K
99051 871 750 $20K
99215 Prolong outpt/office vis 137 109 $16K
99242 171 131 $11K
97803 400 275 $8K
90651 220 195 $7K
97802 250 187 $6K
99245 32 28 $6K
90686 5,763 4,932 $5K
99443 109 55 $5K
80061 Lipid panel 288 257 $4K
92551 4,140 3,701 $4K
99243 50 37 $3K
99460 51 40 $3K
90734 204 180 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 60 54 $2K
83655 168 142 $2K
99238 Hospital discharge day management, 30 minutes or less 39 36 $2K
99173 5,037 4,489 $2K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 365 333 $1K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 16 15 $1K
0071A 19 12 $936.00
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 19 18 $926.64
81003 560 499 $627.35
90677 634 620 $521.62
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 13 13 $496.07
87807 29 25 $392.59
83036 Hemoglobin; glycosylated (A1C) 35 25 $306.58
90853 Group psychotherapy (other than of a multiple-family group) 15 15 $289.25
90670 4,991 4,097 $213.80
90647 2,977 2,529 $133.96
90656 541 524 $101.59
90633 746 633 $101.05
90715 44 41 $86.76
90680 2,577 2,103 $86.30
90723 3,415 2,804 $82.35
36416 216 167 $31.60
1160F 8,929 8,178 $0.00
1159F 15,094 13,128 $0.00
3078F 4,860 4,347 $0.00
90707 27 24 $0.00
90700 19 12 $0.00
90685 42 20 $0.00
3074F 5,177 4,637 $0.00
3044F 360 349 $0.00
3008F 1,769 1,727 $0.00
91307 34 14 $0.00
90716 16 13 $0.00