Physician
Carolinas Medical Center
Carolinas Medical Center was paid $16.61M by Medicaid between Jan 2018 and Dec 2024, across 56 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 25% of everything it billed.
33Billing provider infoCAROLINAS MEDICAL CENTER
CHARLOTTE, NC 28211
CHARLOTTE, NC 28211
33aNPI1356689996assigned 01/16/2013
33bProvider typePsychiatry Physician
28Total paid$16.61M
24GClaims311,450
24DCodes billed56
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Psychiatry Physician providers in North Carolina
Rank by total paid#2 of 165
Median peer was paid$187K
This provider vs. median89×
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 | 37,954 | $1.81M | |
| 2019 | 36,122 | $1.88M | |
| 2020 | 33,639 | $1.58M | |
| 2021 | 41,470 | $1.78M | |
| 2022 | 40,023 | $2.36M | |
| 2023 | 62,955 | $3.31M | |
| 2024incomplete | 59,287 | $3.88M |
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 | 25% | 65,666 | 49,598 | $4.09M |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 22% | 92,169 | 25,533 | $3.72M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 15% | 38,867 | 18,315 | $2.41M |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 11% | 28,127 | 9,463 | $1.90M |
| 99245 | 3.1% | 4,343 | 3,367 | $521K | |
| 99239 | Hospital discharge day management, more than 30 minutes | 2.0% | 4,834 | 3,852 | $332K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.8% | 3,916 | 2,973 | $307K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.8% | 9,404 | 6,402 | $305K |
| 99223 | Prolong inpt eval add15 m | 1.8% | 2,866 | 2,119 | $298K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 1.8% | 4,074 | 3,296 | $294K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 1.7% | 2,453 | 2,130 | $289K |
| 99443 | 1.7% | 7,066 | 6,301 | $287K |
44 more codes
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 1.5% | 6,294 | $242K |
| 99225 | 1.2% | 5,861 | $201K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | 1.2% | 1,769 | $197K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 3,234 | $131K |
| 99254 | <1% | 1,313 | $128K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 4,750 | $117K |
| 99243 | <1% | 1,850 | $115K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 1,200 | $100K |
| 99220 | <1% | 914 | $100K | |
| 99217 | <1% | 1,789 | $94K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 798 | $58K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 2,517 | $56K |
| 99253 | <1% | 1,078 | $55K | |
| 99199 | Unlisted special service, procedure or report | <1% | 6,841 | $44K |
| 99442 | <1% | 2,431 | $43K | |
| 99219 | <1% | 522 | $41K | |
| 99283 | Emergency room visit (moderate) | <1% | 651 | $25K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 440 | $22K |
| 99255 | <1% | 152 | $19K | |
| 90846 | Family psychotherapy without the patient present, 50 minutes | <1% | 172 | $11K |
| 99226 | <1% | 304 | $10K | |
| 99224 | <1% | 474 | $9K | |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 114 | $7K |
| 90836 | <1% | 153 | $7K | |
| 99242 | <1% | 80 | $5K | |
| 99285 | Emergency room visit (most serious) | <1% | 46 | $5K |
| 99252 | <1% | 118 | $4K | |
| 99417 | Prolong home eval add 15m | <1% | 33 | $3K |
| 99221 | <1% | 78 | $3K | |
| 99441 | <1% | 225 | $3K | |
| 99406 | <1% | 689 | $2K | |
| 99218 | <1% | 48 | $2K | |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 21 | $739.18 |
| G0426 | Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth | <1% | 54 | $585.46 |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 12 | $348.35 |
| G0407 | Follow-up inpatient consultation, intermediate, physicians typically spend 25 minutes communicating with the patient via telehealth | <1% | 21 | $82.39 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 13 | $9.45 |
| 3074F | 0% | 79 | $0.00 | |
| 3008F | 0% | 49 | $0.00 | |
| 3044F | 0% | 64 | $0.00 | |
| 3079F | 0% | 13 | $0.00 | |
| 1160F | 0% | 157 | $0.00 | |
| 1159F | 0% | 180 | $0.00 | |
| 3078F | 0% | 64 | $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 organizationCAROLINAS MEDICAL CENTER
| 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.