Medicaid Provider Spending

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

NPI: 1295766079 · HUNTERSVILLE, NC 28078 · Pediatrics Physician · NPI assigned 07/06/2006

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

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

$1.54M
Total Medicaid Paid
114,954
Total Claims
81,925
Beneficiaries
38
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRISSMILLER, SCOTT (ENTERPRISE EVP)
Parent OrganizationSOUTH LAKE PEDIATRICS
NPI Enumeration Date07/06/2006

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 3,359 $123K
2019 3,896 $190K
2020 1,956 $74K
2021 14,573 $194K
2022 26,204 $290K
2023 30,480 $345K
2024 34,486 $322K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 8,665 7,531 $536K
99199 78,058 49,443 $421K
99214 2,292 2,043 $203K
90460 2,269 2,035 $99K
99392 710 645 $67K
99391 706 584 $64K
90471 2,822 2,459 $52K
99393 415 374 $39K
90472 435 363 $13K
99394 114 102 $11K
96127 1,625 1,446 $6K
87502 83 81 $5K
96110 1,407 1,246 $5K
0072A 58 48 $3K
99212 72 60 $3K
0071A 57 42 $2K
0002A 103 46 $2K
87880 126 113 $2K
92551 1,686 1,478 $2K
0001A 42 20 $1K
90686 2,113 1,838 $1K
99173 948 825 $408.07
96161 81 71 $266.01
90656 306 283 $21.90
85018 13 12 $5.84
3074F 877 798 $0.00
90647 116 103 $0.00
3008F 458 448 $0.00
90680 64 55 $0.00
90723 82 70 $0.00
90677 130 121 $0.00
91307 167 93 $0.00
1159F 4,216 3,722 $0.00
1160F 2,540 2,336 $0.00
3078F 839 764 $0.00
90670 199 177 $0.00
99177 40 38 $0.00
91300 20 12 $0.00