Physician
The Charlotte-Mecklenburg Hospital Authority
The Charlotte-Mecklenburg Hospital Authority was paid $1.50M by Medicaid between Jan 2018 and Dec 2024, across 25 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 50% of everything it billed.
33Billing provider infoTHE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
CONCORD, NC 28025
CONCORD, NC 28025
33aNPI1306273768assigned 10/01/2013
33bProvider typePediatric Pulmonology Physician
28Total paid$1.50M
24GClaims32,130
24DCodes billed25
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Pulmonology Physician providers in North Carolina
Rank by total paid#1 of 6
Median peer was paid$230K
This provider vs. median6.5×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official RISSMILLER, SCOTT controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 3,760 | $155K | |
| 2019 | 3,972 | $214K | |
| 2020 | 2,486 | $146K | |
| 2021 | 4,410 | $198K | |
| 2022 | 4,762 | $266K | |
| 2023 | 7,328 | $296K | |
| 2024incomplete | 5,412 | $221K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 50% | 9,266 | 7,735 | $754K |
| 94010 | 11% | 6,839 | 5,973 | $160K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 9.9% | 1,164 | 996 | $149K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 7.8% | 839 | 674 | $117K |
| 99205 | Prolong outpt/office vis | 5.5% | 550 | 406 | $82K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.2% | 1,536 | 1,344 | $77K |
| 95012 | 5.1% | 5,386 | 4,748 | $77K | |
| 99245 | 3.5% | 314 | 260 | $52K | |
| 94728 | <1% | 342 | 290 | $8K | |
| 94060 | <1% | 178 | 158 | $8K | |
| 99442 | <1% | 162 | 119 | $6K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 157 | 143 | $3K |
13 more codes
| 99441 | <1% | 70 | $2K | |
| 99443 | <1% | 19 | $1K | |
| 94726 | <1% | 43 | $1K | |
| 90686 | <1% | 189 | $173.76 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 14 | $112.28 |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 120 | $24.61 |
| 1159F | 0% | 1,546 | $0.00 | |
| 1160F | 0% | 842 | $0.00 | |
| 3078F | 0% | 1,109 | $0.00 | |
| 3008F | 0% | 223 | $0.00 | |
| 3074F | 0% | 1,151 | $0.00 | |
| 90656 | 0% | 44 | $0.00 | |
| J7611 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg | 0% | 27 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialRISSMILLER, SCOTT (ENTERPRISE EVP)
Parent organizationTHE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.