Medicaid Provider Spending

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

COTSWOLD FAMILY MEDICINE

NPI: 1083642169 · CHARLOTTE, NC 28211 · Family Medicine 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

$12.51M
Total Medicaid Paid
1,317,013
Total Claims
1,208,908
Beneficiaries
24
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRISSMILLER, SCOTT (ENTERPRISE EVP)
Parent OrganizationCOTSWOLD FAMILY MEDICINE
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
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
CHARLOTTE PEDIATRIC CLINIC MATTHEWS NC $1.76M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,536 $63K
2019 1,880 $77K
2020 940 $43K
2021 64,738 $596K
2022 367,437 $3.14M
2023 464,981 $4.26M
2024 414,501 $4.32M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99199 Unlisted special service, procedure or report 1,299,970 1,194,019 $12.03M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,487 5,632 $386K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,098 944 $48K
99215 Prolong outpt/office vis 365 338 $23K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 607 523 $9K
36415 Collection of venous blood by venipuncture 1,295 1,183 $2K
90686 252 224 $1K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 17 12 $935.04
99441 60 40 $807.29
0002A 17 13 $663.89
99442 19 12 $492.21
90472 Immunization administration, each additional vaccine (list separately) 14 12 $449.90
90656 40 39 $411.99
92551 110 100 $24.42
99173 115 101 $10.00
3074F 1,289 1,101 $0.00
3044F 418 377 $0.00
3008F 418 385 $0.00
91307 44 25 $0.00
3079F 76 66 $0.00
G0008 Administration of influenza virus vaccine 12 12 $0.00
1159F 2,011 1,723 $0.00
3078F 1,078 934 $0.00
1160F 1,201 1,093 $0.00