Medicaid Provider Spending

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

CAROLINAS PHYSICIANS NETWORK INC

NPI: 1366522369 · CHARLOTTE, NC 28216 · Internal Medicine Physician · NPI assigned 10/16/2006

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

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

$1.37M
Total Medicaid Paid
34,030
Total Claims
28,379
Beneficiaries
25
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRISSMILLER, SCOTT (ENTERPRISE EVP)
Parent OrganizationCAROLINAS PHYSICIANS NETWORK INC
NPI Enumeration Date10/16/2006

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 3,238 $151K
2019 3,989 $186K
2020 2,138 $108K
2021 4,948 $212K
2022 5,816 $280K
2023 7,343 $219K
2024 6,558 $218K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,341 6,375 $535K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,337 5,891 $369K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 3,611 2,736 $155K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 1,585 1,303 $90K
99051 3,435 2,989 $75K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 534 462 $58K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 685 510 $50K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,477 2,153 $30K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 174 124 $5K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 172 123 $3K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 20 14 $1K
99215 Prolong outpt/office vis 14 14 $1K
81003 493 426 $970.75
71046 Radiologic examination, chest; 2 views 68 67 $936.39
81025 91 80 $602.47
87807 18 12 $197.96
99199 Unlisted special service, procedure or report 12 12 $102.12
1160F 1,199 1,091 $0.00
1159F 2,168 1,832 $0.00
3078F 1,097 906 $0.00
3074F 1,287 1,071 $0.00
3079F 67 56 $0.00
3008F 92 88 $0.00
3044F 37 28 $0.00
2010F 16 16 $0.00