Medicaid Provider Spending

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

CAROLINAS PHYSICIANS NETWORK INC

NPI: 1265711956 · LINCOLNTON, NC 28092 · Pediatric Sports Medicine Physician · NPI assigned 08/11/2011

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

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

$3.84M
Total Medicaid Paid
185,702
Total Claims
142,707
Beneficiaries
61
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRISSMILLER, SCOTT (ENTERPRISE EVP)
Parent OrganizationCAROLINAS PHYSICIANS NETWORK INC
NPI Enumeration Date08/11/2011

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 11,578 $303K
2019 11,517 $386K
2020 12,056 $377K
2021 25,043 $596K
2022 40,006 $765K
2023 42,661 $721K
2024 42,841 $693K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14,258 11,502 $843K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 8,996 7,463 $805K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 6,291 5,094 $503K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 5,364 4,324 $439K
99199 Unlisted special service, procedure or report 68,715 44,523 $360K
90472 Immunization administration, each additional vaccine (list separately) 5,101 4,217 $174K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 7,538 6,246 $134K
90460 Immunization administration through 18 years of age via any route, first or only component 2,564 2,336 $132K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,139 1,013 $105K
D0145 Oral evaluation for a patient under three years of age 1,846 1,609 $60K
96110 Developmental screening, with scoring and documentation, per standardized instrument 10,110 8,650 $47K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 759 685 $46K
99215 Prolong outpt/office vis 274 228 $34K
90474 1,877 1,602 $34K
D1206 Topical application of fluoride varnish 1,842 1,606 $27K
96127 4,819 4,136 $19K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,186 1,014 $14K
83655 1,032 806 $13K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 76 66 $7K
90677 690 684 $7K
99381 70 50 $6K
96161 1,734 1,547 $5K
85027 849 636 $5K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 95 88 $5K
87807 278 227 $4K
92551 3,097 2,696 $3K
99244 Office or other outpatient consultation, moderate to high complexity 14 12 $2K
54150 14 13 $2K
36415 Collection of venous blood by venipuncture 560 464 $1K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 183 116 $1K
99173 3,117 2,733 $747.73
88720 162 82 $692.61
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 19 15 $682.06
90686 2,029 1,765 $496.96
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 14 13 $423.66
85018 568 482 $412.57
85025 Blood count; complete (CBC), automated, and automated differential WBC count 84 70 $287.40
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 15 14 $165.99
81003 55 45 $101.75
1160F 3,125 2,724 $96.19
1159F 5,001 4,040 $96.19
90633 1,383 1,117 $89.84
90656 216 202 $41.02
99177 116 104 $36.54
90672 13 13 $23.64
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 163 101 $4.37
90723 3,212 2,798 $2.36
90647 3,181 2,728 $0.00
3008F 648 612 $0.00
90680 2,758 2,398 $0.00
3074F 1,415 1,155 $0.00
90716 824 672 $0.00
90651 12 12 $0.00
90696 19 15 $0.00
94760 43 36 $0.00
36416 21 13 $0.00
3078F 1,381 1,125 $0.00
90670 3,759 3,172 $0.00
90707 812 658 $0.00
G9919 Screening performed and positive and provision of recommendations 77 63 $0.00
90700 89 77 $0.00