Medicaid Provider Spending

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

CAROLINAS MEDICAL CENTER

NPI: 1073754131 · CHARLOTTE, NC 28207 · Sports Medicine (Internal Medicine) Physician · NPI assigned 03/18/2009

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

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

$1.17M
Total Medicaid Paid
62,357
Total Claims
39,446
Beneficiaries
15
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRISSMILLER, SCOTT (EVP & CHIEF PHYSICIAN EXECUTIVE)
Parent OrganizationCAROLINAS MEDICAL CENTER
NPI Enumeration Date03/18/2009

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 3,022 $94K
2019 2,854 $125K
2020 1,796 $85K
2021 8,184 $131K
2022 10,364 $184K
2023 13,673 $259K
2024 22,464 $296K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99232 Subsequent hospital care, per day, moderate complexity 9,016 3,332 $367K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 8,181 7,158 $333K
99199 Unlisted special service, procedure or report 39,411 25,620 $232K
99233 Prolong inpt eval add15 m 3,304 1,283 $172K
99215 Prolong outpt/office vis 525 472 $28K
99223 Prolong inpt eval add15 m 232 165 $16K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 617 506 $15K
99443 68 46 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 23 16 $1K
99238 Hospital discharge day management, 30 minutes or less 80 68 $1K
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) 751 697 $1K
99231 Subsequent hospital care, per day, straightforward or low complexity 44 16 $1K
99239 Hospital discharge day management, more than 30 minutes 34 24 $1K
99442 45 28 $749.60
99441 26 15 $121.86