Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NC › Charlotte › NPI 1053668012
Physician

Carolinas Physicians Network INC

Carolinas Physicians Network INC was paid $23K by Medicaid between Aug 2021 and Dec 2024, across 10 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 35% of everything it billed.

33Billing provider infoCAROLINAS PHYSICIANS NETWORK INC
CHARLOTTE, NC 28269
33aNPI1053668012assigned 08/09/2012
28Total paid$23K
24GClaims1,930
24DCodes billed10
24AFirst – last monthAug 2021 – Dec 2024
Compared with peers

Next to other Sports Medicine (Internal Medicine) Physician providers in North Carolina

Rank by total paid#8 of 11
Median peer was paid$36K
This provider vs. median0.7×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official RISSMILLER, SCOTT controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$2.0K$4.0K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
2021560$3K
2022114$4K
2023204$1K
2024incomplete1,052$15K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 35% 135 126 $8K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 26% 177 152 $6K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 25% 66 55 $6K
99199 Unlisted special service, procedure or report 12% 560 560 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1.5% 14 13 $358.95
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml <1% 19 12 $6.96
3008F 0% 150 133 $0.00
3044F 0% 93 80 $0.00
1159F 0% 416 341 $0.00
1160F 0% 300 260 $0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialRISSMILLER, SCOTT (ENTERPRISE EVP)
Parent organizationCAROLINAS PHYSICIANS NETWORK INC
Same official

Other billing entities under RISSMILLER, SCOTT

Full network →
ProviderLocationPaid
Carolinas Medical CenterCharlotte, NC$52.97M
Cotswold Family MedicineCharlotte, NC$12.51M
Carolinas Physicians Network INC.Charlotte, NC$8.93M
Carolinas Physicians Network INCGastonia, NC$8.57M
Carolinas Physicians Network INCRock Hill, SC$8.47M
University PediatricsCharlotte, NC$8.22M
Carolinas Medical CenterCharlotte, NC$6.42M
Eastland Urgent CareCharlotte, NC$5.05M
Carolinas Physicians Network INCCharlotte, NC$4.24M
University PediatricsCharlotte, NC$3.22M
Carolinas Physicians Network INCFort Mill, SC$3.04M
Carolinas Physicians Network INCConcord, NC$2.91M
Carolinas Medical CenterCharlotte, NC$2.82M
Charlotte Pediatric ClinicCharlotte, NC$2.46M
Carolinas Physicians Network INCConcord, NC$2.38M
Pediatric Endocrinology & Diabetes SpecialistsCharlotte, NC$2.27M
Carolinas Physicians Network INCCharlotte, NC$2.06M
Carolinas Physicians Network INCKannapolis, NC$1.98M
Arboretum PediatricsCharlotte, NC$1.92M
Carolinas Physicians Network INCCharlotte, NC$1.91M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.