Medicaid Provider Spending

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

CAROLINAS PHYSICIANS NETWORK INC

NPI: 1174879670 · MONROE, NC 28112 · Obstetrics Physician · NPI assigned 08/02/2012

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

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

$648K
Total Medicaid Paid
32,402
Total Claims
22,718
Beneficiaries
38
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRISSMILLER, SCOTT (ENTERPRISE EVP)
Parent OrganizationCAROLINAS PHYSICIANS NETWORK INC
NPI Enumeration Date08/02/2012

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 1,452 $40K
2019 2,093 $51K
2020 1,760 $54K
2021 4,018 $101K
2022 7,191 $137K
2023 8,310 $151K
2024 7,578 $115K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,265 2,684 $150K
99199 Unlisted special service, procedure or report 13,553 7,601 $84K
59025 Fetal non-stress test 3,796 2,736 $84K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,197 1,016 $80K
J1050 Injection, medroxyprogesterone acetate, 1 mg 1,322 1,078 $79K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 341 283 $31K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 699 545 $22K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,794 1,431 $21K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 260 213 $21K
S0281 Medical home program, comprehensive care coordination and planning, maintenance of plan 149 120 $14K
81025 2,138 1,729 $13K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 147 121 $12K
99219 172 157 $10K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 485 417 $6K
59430 131 104 $6K
90715 82 66 $3K
99238 Hospital discharge day management, 30 minutes or less 47 41 $3K
90686 117 104 $2K
S0280 Medical home program, comprehensive care coordination and planning, initial plan 61 54 $1K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 14 14 $1K
76801 19 17 $1K
76830 Ultrasound, transvaginal 17 14 $1K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 19 15 $1K
99443 13 13 $543.93
99231 Subsequent hospital care, per day, straightforward or low complexity 17 13 $401.03
36415 Collection of venous blood by venipuncture 176 122 $397.53
99441 18 13 $252.74
90656 16 15 $240.66
99459 17 16 $191.57
Q0111 Wet mounts, including preparations of vaginal, cervical or skin specimens 13 12 $96.12
82950 14 14 $82.68
Q0112 All potassium hydroxide (koh) preparations 13 12 $69.48
3074F 387 317 $0.00
3008F 170 159 $0.00
0500F 34 34 $0.00
1160F 504 448 $0.00
1159F 921 761 $0.00
3078F 264 209 $0.00