Medicaid Provider Spending

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

CAROLINAS PHYSICIANS NETWORK INC

NPI: 1124422704 · ALBEMARLE, NC 28001 · Hepatology Physician · NPI assigned 10/10/2014

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

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

$396K
Total Medicaid Paid
7,963
Total Claims
6,543
Beneficiaries
25
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRISSMILLER, SCOTT (ENTERPRISE EVP)
Parent OrganizationCAROLINAS PHYSICIANS NETWORK INC
NPI Enumeration Date10/10/2014

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 534 $23K
2019 539 $26K
2020 911 $40K
2021 1,145 $50K
2022 1,478 $72K
2023 1,937 $99K
2024 1,419 $86K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,258 1,920 $103K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,209 993 $70K
43235 1,098 841 $46K
99244 Office or other outpatient consultation, moderate to high complexity 315 259 $32K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 300 241 $27K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 827 714 $23K
43248 330 250 $22K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 220 162 $18K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 210 176 $15K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 149 121 $8K
99215 Prolong outpt/office vis 110 84 $6K
99254 60 52 $6K
43450 280 216 $6K
99443 169 127 $6K
45380 Colonoscopy, flexible; with biopsy, single or multiple 15 14 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 81 69 $2K
99243 24 24 $1K
99242 28 24 $1K
43249 15 12 $1K
99441 66 49 $842.46
99199 Unlisted special service, procedure or report 136 136 $695.00
99442 18 14 $364.44
1160F 15 15 $0.00
1159F 15 15 $0.00
3008F 15 15 $0.00