Medicaid Provider Spending

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

CAROLINAS PHYSICIANS NETWORK INC

NPI: 1215573423 · CHARLOTTE, NC 28211 · Internal Medicine Physician · NPI assigned 11/22/2019

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

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

$1.05M
Total Medicaid Paid
14,236
Total Claims
10,913
Beneficiaries
15
Codes Billed
2020-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRISSMILLER, SCOTT (ENTERPRISE EVP)
Parent OrganizationCAROLINAS PHYSICIANS NETWORK INC
NPI Enumeration Date11/22/2019

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
2020 366 $31K
2021 1,459 $81K
2022 2,025 $161K
2023 4,706 $363K
2024 5,680 $418K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99244 Office or other outpatient consultation, moderate to high complexity 3,199 2,557 $420K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 3,165 2,549 $302K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,975 2,562 $243K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 236 166 $29K
99243 191 165 $20K
95117 2,581 1,269 $20K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 337 291 $19K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 105 75 $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) 35 34 $103.41
1160F 453 417 $0.00
1159F 639 559 $0.00
3078F 94 81 $0.00
3074F 148 123 $0.00
3008F 27 26 $0.00
J2357 Injection, omalizumab, 5 mg 51 39 $0.00