Medicaid Provider Spending

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

CAROLINAS PHYSICIANS NETWORK INC

NPI: 1134474059 · INDIAN TRAIL, NC 28079 · Sports Medicine (Family Medicine) Physician · NPI assigned 07/17/2012

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

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

$1.34M
Total Medicaid Paid
94,636
Total Claims
72,059
Beneficiaries
36
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRISSMILLER, SCOTT (ENTERPRISE EVP)
Parent OrganizationCAROLINAS PHYSICIANS NETWORK INC
NPI Enumeration Date07/17/2012

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 3,001 $104K
2019 2,397 $100K
2020 1,227 $60K
2021 7,460 $156K
2022 15,382 $209K
2023 24,003 $265K
2024 41,166 $447K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 14,053 11,849 $924K
99199 Unlisted special service, procedure or report 50,126 33,456 $259K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,391 1,963 $113K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 903 716 $13K
99442 276 224 $9K
99215 Prolong outpt/office vis 51 49 $5K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 39 36 $3K
36415 Collection of venous blood by venipuncture 1,448 1,229 $2K
90686 352 274 $2K
99443 37 25 $1K
90472 Immunization administration, each additional vaccine (list separately) 53 38 $1K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 22 16 $1K
0072A 16 16 $1K
0052A 31 16 $892.30
0004A 14 12 $811.25
0001A 23 14 $809.47
90656 52 49 $442.45
91305 45 23 $380.96
99422 29 15 $240.90
99423 38 17 $214.43
81003 112 88 $163.68
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 13 12 $155.43
92551 135 106 $129.01
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) 13 13 $33.42
99173 127 94 $32.84
1159F 6,987 6,167 $0.00
1160F 5,538 5,008 $0.00
3078F 4,110 3,672 $0.00
91300 33 26 $0.00
3008F 1,785 1,683 $0.00
3079F 441 395 $0.00
3074F 5,076 4,512 $0.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 16 13 $0.00
3044F 212 198 $0.00
3075F 12 12 $0.00
91307 27 23 $0.00