Medicaid Provider Spending

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

THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY

NPI: 1053805127 · GASTONIA, NC 28054 · Hospice and Palliative Medicine (Internal Medicine) Physician · NPI assigned 06/21/2018

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

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

$231K
Total Medicaid Paid
13,567
Total Claims
9,891
Beneficiaries
12
Codes Billed
2018-08
First Month
2024-11
Last Month

Provider Details

Authorized OfficialRISSMILLER, SCOTT (ENTERPRISE EVP)
Parent OrganizationTHE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
NPI Enumeration Date06/21/2018

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 199 $3K
2019 2,837 $36K
2020 2,043 $23K
2021 2,223 $39K
2022 2,384 $54K
2023 2,059 $35K
2024 1,822 $41K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,651 1,412 $91K
99215 Prolong outpt/office vis 913 669 $69K
80053 Comprehensive metabolic panel 4,176 2,850 $27K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 4,563 3,186 $27K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 178 169 $6K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 59 24 $4K
83735 569 379 $3K
36415 Collection of venous blood by venipuncture 1,234 1,013 $2K
99244 Office or other outpatient consultation, moderate to high complexity 13 13 $2K
83615 162 134 $704.29
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 31 24 $255.78
99199 Unlisted special service, procedure or report 18 18 $95.00