Medicaid Provider Spending

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

CAROLINAS PHYSICIANS NETWORK INC

NPI: 1144336587 · CHARLOTTE, NC 28269 · Family Medicine Physician · NPI assigned 08/21/2006

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

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

$1.91M
Total Medicaid Paid
187,885
Total Claims
134,117
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 Date08/21/2006

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
CHARLOTTE PEDIATRIC CLINIC MATTHEWS NC $1.76M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,646 $181K
2019 4,895 $196K
2020 2,744 $107K
2021 18,960 $312K
2022 39,236 $291K
2023 48,464 $356K
2024 67,940 $466K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 12,240 10,416 $765K
99199 Unlisted special service, procedure or report 140,600 93,620 $737K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,637 6,566 $360K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,556 1,229 $23K
36415 Collection of venous blood by venipuncture 2,528 2,128 $4K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 49 42 $4K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 31 30 $3K
0002A 49 31 $2K
90472 Immunization administration, each additional vaccine (list separately) 68 50 $2K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 16 15 $1K
90686 404 350 $1K
0001A 25 19 $1K
83036 Hemoglobin; glycosylated (A1C) 232 203 $1K
90460 Immunization administration through 18 years of age via any route, first or only component 28 28 $1K
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) 281 266 $700.99
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 16 14 $456.18
90656 49 48 $437.73
92551 523 450 $406.26
99441 16 12 $276.40
99442 16 12 $274.08
99173 605 510 $117.19
81025 14 13 $93.68
96160 19 19 $56.10
96110 Developmental screening, with scoring and documentation, per standardized instrument 19 12 $25.47
1160F 3,694 3,269 $0.00
1159F 5,838 4,968 $0.00
3078F 3,394 2,924 $0.00
91300 16 13 $0.00
3077F 16 13 $0.00
3079F 638 558 $0.00
3074F 4,470 3,797 $0.00
3044F 1,622 1,423 $0.00
3008F 1,061 970 $0.00
3075F 33 28 $0.00
91305 65 57 $0.00
91307 17 14 $0.00