Medicaid Provider Spending

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

CAROLINAS MEDICAL CENTER

NPI: 1356689996 · CHARLOTTE, NC 28211 · Psychiatry Physician · NPI assigned 01/16/2013

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

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

$16.61M
Total Medicaid Paid
311,450
Total Claims
168,558
Beneficiaries
56
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRISSMILLER, SCOTT (ENTERPRISE EVP)
Parent OrganizationCAROLINAS MEDICAL CENTER
NPI Enumeration Date01/16/2013

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 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
2024 59,287 $3.88M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 65,666 49,598 $4.09M
99232 Subsequent hospital care, per day, moderate complexity 92,169 25,533 $3.72M
90837 Psychotherapy, 53 minutes with patient 38,867 18,315 $2.41M
99233 Prolong inpt eval add15 m 28,127 9,463 $1.90M
99245 4,343 3,367 $521K
99239 Hospital discharge day management, more than 30 minutes 4,834 3,852 $332K
99215 Prolong outpt/office vis 3,916 2,973 $307K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 9,404 6,402 $305K
99223 Prolong inpt eval add15 m 2,866 2,119 $298K
99284 Emergency department visit for the evaluation and management, high severity 4,074 3,296 $294K
99244 Office or other outpatient consultation, moderate to high complexity 2,453 2,130 $289K
99443 7,066 6,301 $287K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 6,294 4,751 $242K
99225 5,861 3,287 $201K
90792 Psychiatric diagnostic evaluation with medical services 1,769 1,419 $197K
90834 Psychotherapy, 45 minutes with patient 3,234 1,877 $131K
99254 1,313 1,067 $128K
90832 Psychotherapy, 30 minutes with patient 4,750 2,713 $117K
99243 1,850 1,412 $115K
90791 Psychiatric diagnostic evaluation 1,200 1,004 $100K
99220 914 802 $100K
99217 1,789 1,619 $94K
99222 Initial hospital care, per day, moderate complexity 798 635 $58K
99231 Subsequent hospital care, per day, straightforward or low complexity 2,517 1,011 $56K
99253 1,078 749 $55K
99199 Unlisted special service, procedure or report 6,841 6,832 $44K
99442 2,431 2,077 $43K
99219 522 463 $41K
99283 Emergency department visit for the evaluation and management, moderate severity 651 530 $25K
99238 Hospital discharge day management, 30 minutes or less 440 362 $22K
99255 152 124 $19K
90846 Family psychotherapy without the patient present, 50 minutes 172 127 $11K
99226 304 180 $10K
99224 474 234 $9K
90847 Family psychotherapy with the patient present, 50 minutes 114 80 $7K
90836 153 121 $7K
99242 80 75 $5K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 46 38 $5K
99252 118 85 $4K
99417 Prolong home eval add 15m 33 25 $3K
99221 78 51 $3K
99441 225 204 $3K
99406 689 555 $2K
99218 48 38 $2K
90853 Group psychotherapy (other than of a multiple-family group) 21 18 $739.18
G0426 Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth 54 52 $585.46
99282 Emergency department visit for the evaluation and management, low to moderate severity 12 12 $348.35
G0407 Follow-up inpatient consultation, intermediate, physicians typically spend 25 minutes communicating with the patient via telehealth 21 12 $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) 13 13 $9.45
3074F 79 76 $0.00
3008F 49 47 $0.00
3044F 64 48 $0.00
3079F 13 13 $0.00
1160F 157 146 $0.00
1159F 180 162 $0.00
3078F 64 63 $0.00