Medicaid Provider Spending

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

THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY

NPI: 1326472812 · CONCORD, NC 28025 · Sports Medicine (Internal Medicine) Physician · NPI assigned 09/03/2013

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

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

$422K
Total Medicaid Paid
24,936
Total Claims
17,726
Beneficiaries
21
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 Date09/03/2013

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 2,517 $65K
2019 1,159 $51K
2020 667 $35K
2021 2,935 $62K
2022 4,861 $90K
2023 5,823 $80K
2024 6,974 $40K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,843 4,372 $253K
99199 Unlisted special service, procedure or report 16,181 10,489 $95K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,500 1,236 $52K
99232 Subsequent hospital care, per day, moderate complexity 458 154 $10K
99238 Hospital discharge day management, 30 minutes or less 151 125 $3K
99231 Subsequent hospital care, per day, straightforward or low complexity 246 94 $3K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 273 218 $3K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 17 12 $2K
99441 91 55 $1K
90686 53 42 $370.95
99217 15 12 $232.74
83036 Hemoglobin; glycosylated (A1C) 15 12 $131.79
36415 Collection of venous blood by venipuncture 70 62 $56.70
82962 30 27 $37.57
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 17 14 $36.21
3074F 197 162 $0.00
G0008 Administration of influenza virus vaccine 32 32 $0.00
3079F 14 14 $0.00
3078F 142 113 $0.00
1159F 579 469 $0.00
1160F 12 12 $0.00