Medicaid Provider Spending

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

CHARLOTTE MEDICAL CLINIC INC

NPI: 1285959767 · CHARLOTTE, NC 28211 · Internal Medicine Physician · NPI assigned 03/29/2010

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

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

$468K
Total Medicaid Paid
39,104
Total Claims
29,319
Beneficiaries
23
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRISSMILLER, SCOTT (ENTERPRISE EVP)
Parent OrganizationCHARLOTTE MEDICAL CLINIC INC
NPI Enumeration Date03/29/2010

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 2,083 $63K
2019 2,046 $98K
2020 240 $11K
2021 2,974 $46K
2022 6,548 $49K
2023 8,746 $72K
2024 16,467 $128K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,767 4,156 $216K
99199 Unlisted special service, procedure or report 30,677 21,950 $155K
99243 482 458 $42K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 623 524 $20K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 104 99 $11K
99244 Office or other outpatient consultation, moderate to high complexity 75 65 $10K
99242 169 155 $9K
95117 178 78 $951.56
0002A 21 13 $807.00
36415 Collection of venous blood by venipuncture 671 594 $795.04
99215 Prolong outpt/office vis 12 12 $787.48
83036 Hemoglobin; glycosylated (A1C) 145 137 $667.69
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 31 16 $319.28
80061 Lipid panel 39 38 $185.13
82962 132 130 $169.55
84443 Thyroid stimulating hormone (TSH) 12 12 $158.78
1159F 331 294 $0.00
1160F 302 270 $0.00
3078F 75 74 $0.00
3079F 14 12 $0.00
3074F 52 52 $0.00
3044F 77 71 $0.00
3008F 115 109 $0.00