Medicaid Provider Spending

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

CAROLINAS MEDICAL CENTER

NPI: 1063567428 · CHARLOTTE, NC 28208 · Adolescent Medicine (Family Medicine) Physician · NPI assigned 01/24/2007

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

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

$2.82M
Total Medicaid Paid
273,156
Total Claims
194,013
Beneficiaries
17
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRISSMILLER, SCOTT (ENTERPRISE EVP)
Parent OrganizationCAROLINAS MEDICAL CENTER
NPI Enumeration Date01/24/2007

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
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
CHARLOTTE PEDIATRIC CLINIC MATTHEWS NC $1.76M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 6,918 $219K
2019 6,394 $259K
2020 3,410 $118K
2021 27,630 $357K
2022 61,219 $525K
2023 68,890 $598K
2024 98,695 $743K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99199 Unlisted special service, procedure or report 235,900 161,654 $1.22M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 23,793 20,696 $1.19M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8,788 7,677 $333K
99442 1,286 1,011 $31K
99441 1,141 928 $14K
99215 Prolong outpt/office vis 102 99 $7K
99232 Subsequent hospital care, per day, moderate complexity 79 24 $4K
99443 54 52 $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) 783 727 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 18 15 $2K
99238 Hospital discharge day management, 30 minutes or less 36 36 $1K
0051A 21 13 $975.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 278 243 $690.65
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 122 104 $311.68
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 614 595 $205.68
96160 72 70 $153.62
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 69 69 $0.00