Medicaid Provider Spending

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

CAROLINAS PHYSICIANS NETWORK INC

NPI: 1043441918 · HARRISBURG, NC 28075 · Family Medicine Physician · NPI assigned 07/27/2009

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

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

$1.28M
Total Medicaid Paid
116,886
Total Claims
80,355
Beneficiaries
26
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRISSMILLER, SCOTT (ENTERPRISE EVP)
Parent OrganizationCAROLINAS PHYSICIANS NETWORK INC
NPI Enumeration Date07/27/2009

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 2,922 $107K
2019 2,982 $145K
2020 1,665 $75K
2021 11,939 $183K
2022 25,684 $246K
2023 30,428 $250K
2024 41,266 $276K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99199 Unlisted special service, procedure or report 92,611 59,554 $497K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,014 5,094 $398K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6,879 5,817 $358K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,190 1,003 $20K
0002A 46 34 $2K
0001A 52 31 $2K
90686 408 364 $2K
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) 411 372 $1K
0071A 21 17 $996.51
36415 Collection of venous blood by venipuncture 499 422 $738.14
90472 Immunization administration, each additional vaccine (list separately) 13 12 $470.35
99441 17 14 $370.23
85025 Blood count; complete (CBC), automated, and automated differential WBC count 60 53 $311.84
90656 12 12 $115.61
92551 86 79 $5.00
99173 87 79 $4.00
1159F 3,038 2,603 $0.00
1160F 1,764 1,612 $0.00
3078F 1,183 1,024 $0.00
91300 21 15 $0.00
3074F 1,771 1,514 $0.00
3008F 531 497 $0.00
3044F 59 51 $0.00
91307 48 28 $0.00
3079F 31 27 $0.00
91305 34 27 $0.00