Medicaid Provider Spending

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

THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY

NPI: 1063849420 · CONCORD, NC 28025 · Psychiatry 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

$1.78M
Total Medicaid Paid
28,731
Total Claims
22,386
Beneficiaries
26
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 5,318 $303K
2019 4,759 $289K
2020 3,225 $175K
2021 4,298 $289K
2022 3,834 $274K
2023 3,563 $200K
2024 3,734 $249K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 12,222 10,616 $943K
90837 Psychotherapy, 53 minutes with patient 6,769 4,702 $432K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,708 1,609 $106K
99215 Prolong outpt/office vis 621 500 $57K
90791 Psychiatric diagnostic evaluation 509 431 $47K
90792 Psychiatric diagnostic evaluation with medical services 353 318 $46K
90834 Psychotherapy, 45 minutes with patient 810 597 $33K
99232 Subsequent hospital care, per day, moderate complexity 1,306 392 $27K
96130 192 172 $17K
99308 Subsequent nursing facility care, per day, straightforward 2,324 1,456 $16K
99417 Prolong home eval add 15m 136 102 $13K
99205 Prolong outpt/office vis 98 69 $9K
90832 Psychotherapy, 30 minutes with patient 210 162 $9K
99442 268 235 $7K
96136 143 128 $6K
99443 94 79 $5K
99222 Initial hospital care, per day, moderate complexity 34 24 $2K
99233 Prolong inpt eval add15 m 52 24 $2K
99441 93 89 $1K
99254 12 12 $1K
96101 15 13 $740.02
96127 51 29 $49.11
3074F 32 28 $0.00
1159F 431 378 $0.00
1160F 219 196 $0.00
3078F 29 25 $0.00