Medicaid Provider Spending

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

CAROLINAS PHYSICIANS NETWORK INC

NPI: 1164724100 · MINT HILL, NC 28227 · Sports Medicine (Family Medicine) Physician · NPI assigned 11/24/2010

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

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

$1.06M
Total Medicaid Paid
107,626
Total Claims
75,929
Beneficiaries
19
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRISSMILLER, SCOTT (ENTERPRISE EVP)
Parent OrganizationCAROLINAS PHYSICIANS NETWORK INC
NPI Enumeration Date11/24/2010

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 2,567 $87K
2019 2,127 $95K
2020 838 $46K
2021 9,332 $124K
2022 21,504 $190K
2023 28,982 $222K
2024 42,276 $298K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99199 Unlisted special service, procedure or report 84,989 56,297 $444K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,937 5,178 $370K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,258 4,522 $240K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 327 246 $5K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 16 13 $1K
36415 Collection of venous blood by venipuncture 696 633 $1K
90460 Immunization administration through 18 years of age via any route, first or only component 15 15 $450.31
90472 Immunization administration, each additional vaccine (list separately) 18 12 $306.75
90686 61 55 $255.00
90656 18 12 $59.24
81003 19 19 $22.16
1159F 3,165 2,732 $0.00
1160F 2,176 1,934 $0.00
3078F 1,839 1,587 $0.00
3008F 593 524 $0.00
3074F 2,285 1,952 $0.00
3044F 99 92 $0.00
3079F 101 94 $0.00
90651 14 12 $0.00