Medicaid Provider Spending

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

CAROLINAS PHYSICIANS NETWORK INC

NPI: 1144239625 · CHARLOTTE, NC 28262 · Obstetrics & Gynecology Physician · NPI assigned 08/05/2006

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

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

$1.35M
Total Medicaid Paid
56,155
Total Claims
38,956
Beneficiaries
41
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRISSMILLER, SCOTT (ENTERPRISE EVP)
Parent OrganizationCAROLINAS PHYSICIANS NETWORK INC
NPI Enumeration Date08/05/2006

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 69 $2K
2019 646 $38K
2020 848 $60K
2021 6,566 $277K
2022 11,157 $309K
2023 15,442 $348K
2024 21,427 $316K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 4,237 3,226 $316K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,179 3,324 $305K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 1,441 1,188 $187K
99199 Unlisted special service, procedure or report 30,723 18,612 $175K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,445 2,736 $170K
76819 Fetal biophysical profile; without non-stress testing 1,627 1,161 $100K
99245 182 130 $26K
99243 141 108 $11K
99244 Office or other outpatient consultation, moderate to high complexity 82 66 $11K
S0280 Medical home program, comprehensive care coordination and planning, initial plan 168 132 $8K
81025 1,108 921 $7K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 82 64 $7K
76830 Ultrasound, transvaginal 68 54 $5K
76820 120 67 $5K
J1050 Injection, medroxyprogesterone acetate, 1 mg 64 53 $3K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 34 28 $2K
99459 194 185 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 58 48 $2K
99385 16 15 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 111 103 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 80 68 $1K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 20 13 $1K
99242 13 12 $726.50
90686 58 56 $711.65
83036 Hemoglobin; glycosylated (A1C) 86 81 $638.89
99401 13 13 $411.50
90715 12 12 $348.99
59430 13 12 $218.32
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 12 12 $175.87
82962 83 80 $173.64
Q0112 All potassium hydroxide (koh) preparations 27 24 $143.68
Q0111 Wet mounts, including preparations of vaginal, cervical or skin specimens 29 24 $107.90
1159F 2,288 1,871 $0.00
1160F 1,607 1,366 $0.00
3078F 1,121 904 $0.00
3074F 1,597 1,295 $0.00
3008F 648 572 $0.00
3044F 119 109 $0.00
3079F 12 12 $0.00
0500F 106 92 $0.00
99024 131 107 $0.00