Medicaid Provider Spending

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

UNIVERSITY PEDIATRICS

NPI: 1073541124 · CHARLOTTE, NC 28262 · Pediatrics Physician · NPI assigned 06/29/2006

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

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

$8.22M
Total Medicaid Paid
574,441
Total Claims
422,405
Beneficiaries
59
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRISSMILLER, SCOTT (ENTERPRISE EVP)
Parent OrganizationUNIVERSITY PEDIATRICS
NPI Enumeration Date06/29/2006

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
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
CHARLOTTE PEDIATRIC CLINIC MATTHEWS NC $1.76M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 25,520 $665K
2019 29,309 $863K
2020 30,392 $822K
2021 83,975 $1.28M
2022 127,669 $1.56M
2023 133,595 $1.52M
2024 143,981 $1.52M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99199 Unlisted special service, procedure or report 321,302 207,317 $1.75M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 24,044 21,204 $1.48M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 17,514 14,378 $1.44M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 12,499 10,292 $1.09M
90472 Immunization administration, each additional vaccine (list separately) 15,745 12,932 $479K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 24,903 20,358 $422K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,264 3,825 $384K
90460 Immunization administration through 18 years of age via any route, first or only component 7,299 6,359 $365K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3,818 3,307 $352K
96110 Developmental screening, with scoring and documentation, per standardized instrument 24,855 20,908 $109K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,000 850 $95K
90474 4,865 3,931 $82K
96127 6,589 5,686 $24K
D0145 Oral evaluation for a patient under three years of age 762 700 $22K
83655 1,426 1,221 $19K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 390 308 $14K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 325 264 $14K
96161 4,382 3,665 $12K
0071A 260 169 $11K
D1206 Topical application of fluoride varnish 764 702 $10K
92551 9,239 8,001 $9K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 166 137 $9K
0001A 124 72 $5K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1,865 1,633 $4K
80061 Lipid panel 291 229 $4K
99173 10,238 8,873 $3K
90686 7,426 6,356 $3K
90651 189 145 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 185 178 $3K
0072A 48 34 $2K
99442 32 28 $2K
99381 16 12 $1K
90734 151 122 $951.17
90670 9,849 7,917 $944.38
90723 8,171 6,813 $646.34
90680 6,937 5,748 $386.56
90677 2,262 2,162 $283.70
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 13 12 $208.52
90647 7,754 6,511 $200.88
90633 3,087 2,494 $132.78
90656 802 776 $102.02
90715 14 12 $77.86
36416 859 651 $75.10
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) 26 26 $55.70
99177 39 38 $7.83
1159F 11,055 9,843 $0.00
90710 32 30 $0.00
1160F 6,761 6,290 $0.00
90707 211 177 $0.00
3078F 3,680 3,349 $0.00
90700 181 143 $0.00
G9919 Screening performed and positive and provision of recommendations 66 60 $0.00
90685 20 19 $0.00
3074F 3,827 3,472 $0.00
91307 257 151 $0.00
3008F 1,442 1,414 $0.00
90696 13 13 $0.00
91305 22 19 $0.00
90716 85 69 $0.00