Medicaid Provider Spending

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

THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY

NPI: 1265869846 · MIDLAND, NC 28107 · Family Medicine Physician · NPI assigned 09/27/2013

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

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

$610K
Total Medicaid Paid
55,643
Total Claims
38,514
Beneficiaries
13
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRISSMILLER, SCOTT (ENTERPRISE EVP)
Parent OrganizationTHE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
NPI Enumeration Date09/27/2013

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 1,631 $62K
2019 1,428 $79K
2020 602 $31K
2021 5,757 $85K
2022 13,653 $133K
2023 17,049 $145K
2024 15,523 $76K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99199 Unlisted special service, procedure or report 45,655 30,052 $243K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,955 3,299 $196K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,716 2,388 $165K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 154 134 $3K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 21 15 $966.96
99441 42 25 $552.81
90686 104 94 $481.70
36415 Collection of venous blood by venipuncture 271 238 $407.70
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 14 12 $155.43
3078F 542 462 $0.00
1160F 179 148 $0.00
1159F 1,190 978 $0.00
3074F 800 669 $0.00