Medicaid Provider Spending

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

CAROLINAS PHYSICIANS NETWORK INC

NPI: 1356880801 · CHARLOTTE, NC 28204 · Pediatric Urology Physician · NPI assigned 02/16/2017

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

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

$1.19M
Total Medicaid Paid
15,016
Total Claims
13,290
Beneficiaries
12
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRISSMILLER, SCOTT (ENTERPRISE EVP)
Parent OrganizationCAROLINAS PHYSICIANS NETWORK INC
NPI Enumeration Date02/16/2017

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 458 $42K
2019 649 $55K
2020 1,009 $90K
2021 4,829 $193K
2022 2,440 $222K
2023 2,867 $306K
2024 2,764 $282K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99243 4,492 3,825 $407K
99244 Office or other outpatient consultation, moderate to high complexity 1,535 1,338 $204K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,615 2,312 $140K
54161 443 375 $112K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,422 1,193 $105K
54150 440 353 $99K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 737 643 $55K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 428 357 $45K
99199 Unlisted special service, procedure or report 2,704 2,704 $23K
99024 15 15 $0.00
1160F 84 81 $0.00
1159F 101 94 $0.00