Medicaid Provider Spending

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

CAROLINAS PHYSICIANS NETWORK INC

NPI: 1093119513 · ALBEMARLE, NC 28001 · Gynecology Physician · NPI assigned 10/13/2014

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

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

$716K
Total Medicaid Paid
35,040
Total Claims
25,979
Beneficiaries
35
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRISSMILLER, SCOTT (ENTERPRISE EVP)
Parent OrganizationCAROLINAS PHYSICIANS NETWORK INC
NPI Enumeration Date10/13/2014

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 1,159 $30K
2019 981 $38K
2020 677 $39K
2021 3,508 $88K
2022 7,986 $146K
2023 10,777 $224K
2024 9,952 $152K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,691 2,809 $270K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,550 2,062 $122K
99199 Unlisted special service, procedure or report 14,106 9,064 $80K
J1050 Injection, medroxyprogesterone acetate, 1 mg 858 754 $36K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 432 331 $31K
59400 Routine obstetric care including antepartum care, vaginal delivery, and postpartum care 19 13 $26K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 257 218 $25K
S0280 Medical home program, comprehensive care coordination and planning, initial plan 291 263 $15K
76801 174 139 $15K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,049 911 $14K
S0281 Medical home program, comprehensive care coordination and planning, maintenance of plan 126 89 $14K
81025 1,691 1,351 $11K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 145 132 $10K
76830 Ultrasound, transvaginal 106 94 $8K
76819 Fetal biophysical profile; without non-stress testing 126 77 $8K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 482 405 $6K
90715 173 146 $6K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 83 74 $6K
59025 Fetal non-stress test 118 75 $3K
36415 Collection of venous blood by venipuncture 1,330 935 $3K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 15 12 $2K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 34 27 $2K
59430 40 27 $1K
99459 81 79 $775.30
90686 59 51 $744.75
82950 144 125 $704.95
87210 17 12 $55.37
1159F 1,991 1,635 $0.00
1160F 1,119 985 $0.00
3078F 1,404 1,157 $0.00
3074F 1,712 1,403 $0.00
3044F 78 69 $0.00
3008F 282 258 $0.00
99024 245 185 $0.00
0500F 12 12 $0.00