Medicaid Provider Spending

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

CHARLOTTE PEDIATRIC CLINIC

NPI: 1194052761 · CHARLOTTE, NC 28211 · Pediatrics Physician · NPI assigned 11/03/2009

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

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

$1.69M
Total Medicaid Paid
135,789
Total Claims
99,972
Beneficiaries
42
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRISSMILLER, SCOTT (ENTERPRISE EVP)
Parent OrganizationCHARLOTTE PEDIATRIC CLINIC
NPI Enumeration Date11/03/2009

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 2,365 $63K
2019 2,931 $94K
2020 2,547 $78K
2021 17,257 $254K
2022 28,835 $320K
2023 36,148 $410K
2024 45,706 $467K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 9,120 7,577 $523K
99199 Unlisted special service, procedure or report 95,851 66,242 $480K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,649 2,200 $227K
90460 Immunization administration through 18 years of age via any route, first or only component 2,653 2,330 $129K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,478 1,210 $117K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 3,957 3,118 $65K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 581 494 $52K
90472 Immunization administration, each additional vaccine (list separately) 995 754 $28K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 162 150 $14K
96110 Developmental screening, with scoring and documentation, per standardized instrument 4,311 3,640 $14K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 190 166 $7K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 102 89 $6K
0001A 150 80 $5K
96127 1,303 1,128 $5K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 59 42 $4K
0002A 159 71 $4K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 63 32 $2K
90686 1,848 1,572 $881.04
0071A 14 12 $773.14
0072A 21 12 $455.00
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 17 14 $393.12
96161 169 134 $350.83
90677 391 373 $295.84
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) 87 84 $289.64
99401 18 15 $268.10
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 19 13 $207.76
92551 110 90 $146.19
87081 20 13 $104.58
90656 380 356 $64.41
99173 180 155 $23.54
99177 70 61 $7.75
3074F 407 362 $0.00
90723 243 227 $0.00
3008F 459 444 $0.00
91307 76 40 $0.00
90680 180 174 $0.00
90647 128 115 $0.00
1160F 2,511 2,336 $0.00
1159F 4,026 3,535 $0.00
3078F 388 350 $0.00
90670 231 150 $0.00
90633 13 12 $0.00