Medicaid Provider Spending

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

CAROLINAS MEDICAL CENTER

NPI: 1255775029 · CHARLOTTE, NC 28211 · Internal Medicine Physician · NPI assigned 04/24/2013

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

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

$661K
Total Medicaid Paid
70,727
Total Claims
49,289
Beneficiaries
21
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRISSMILLER, SCOTT (ENTERPRISE EVP)
Parent OrganizationCAROLINAS MEDICAL CENTER
NPI Enumeration Date04/24/2013

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 2,254 $76K
2019 2,342 $99K
2020 2,020 $56K
2021 2,862 $58K
2022 5,730 $62K
2023 9,979 $71K
2024 45,540 $239K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99199 Unlisted special service, procedure or report 60,101 41,321 $314K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,289 3,098 $139K
99254 772 717 $92K
99442 2,279 1,661 $35K
99242 456 299 $14K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 715 516 $13K
99253 120 115 $11K
99252 276 189 $10K
99223 Prolong inpt eval add15 m 77 64 $7K
99243 137 96 $5K
99232 Subsequent hospital care, per day, moderate complexity 92 39 $5K
99245 94 80 $4K
99221 52 52 $3K
99222 Initial hospital care, per day, moderate complexity 56 54 $3K
99441 212 131 $1K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 305 236 $1K
99215 Prolong outpt/office vis 12 12 $916.54
99244 Office or other outpatient consultation, moderate to high complexity 31 19 $673.74
99406 575 515 $421.58
83036 Hemoglobin; glycosylated (A1C) 33 33 $251.37
82962 43 42 $69.36