Medicaid Provider Spending

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

THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY

NPI: 1053748426 · HARRISBURG, NC 28075 · 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

$2.24M
Total Medicaid Paid
137,134
Total Claims
98,744
Beneficiaries
49
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 4,399 $159K
2019 5,479 $239K
2020 4,946 $170K
2021 18,149 $359K
2022 27,574 $431K
2023 31,764 $425K
2024 44,823 $453K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12,424 10,704 $758K
99199 Unlisted special service, procedure or report 75,900 46,060 $414K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,597 3,954 $414K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 7,676 6,563 $138K
90472 Immunization administration, each additional vaccine (list separately) 3,454 2,952 $108K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,156 885 $97K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,001 809 $86K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 751 663 $71K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 563 487 $25K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 337 318 $20K
99215 Prolong outpt/office vis 158 135 $20K
96110 Developmental screening, with scoring and documentation, per standardized instrument 3,784 3,217 $16K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,097 982 $14K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 145 108 $14K
96127 2,732 2,345 $10K
0072A 170 97 $6K
0071A 138 87 $5K
0002A 98 67 $4K
92551 3,566 3,094 $4K
0001A 90 49 $3K
99051 87 82 $2K
90686 2,189 1,873 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 16 13 $679.28
90460 Immunization administration through 18 years of age via any route, first or only component 16 15 $594.07
90651 14 12 $515.96
D0145 Oral evaluation for a patient under three years of age 16 13 $449.15
99173 1,360 1,209 $297.40
80061 Lipid panel 19 12 $250.17
90474 16 12 $236.17
D1206 Topical application of fluoride varnish 19 13 $198.25
90656 286 264 $183.11
96161 14 12 $48.74
85025 Blood count; complete (CBC), automated, and automated differential WBC count 27 25 $37.29
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) 31 29 $33.42
36415 Collection of venous blood by venipuncture 16 12 $31.24
99177 61 49 $26.10
36416 63 42 $3.16
3074F 1,493 1,364 $0.00
90647 60 50 $0.00
3008F 432 417 $0.00
90723 36 28 $0.00
90680 15 12 $0.00
91307 295 145 $0.00
90677 12 12 $0.00
1160F 3,274 2,980 $0.00
90670 281 237 $0.00
3078F 1,466 1,339 $0.00
1159F 5,552 4,823 $0.00
91308 131 74 $0.00