Medicaid Provider Spending

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

CAROLINAS PHYSICIANS NETWORK INC

NPI: 1376898148 · MONROE, NC 28112 · Internal Medicine Physician · NPI assigned 07/18/2012

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

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

$2.57M
Total Medicaid Paid
195,824
Total Claims
147,201
Beneficiaries
34
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRISSMILLER, SCOTT (ENTERPRISE EVP)
Parent OrganizationCAROLINAS PHYSICIANS NETWORK INC
NPI Enumeration Date07/18/2012

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 5,475 $189K
2019 4,958 $269K
2020 2,589 $152K
2021 15,146 $282K
2022 32,937 $346K
2023 44,458 $444K
2024 90,261 $891K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 25,966 22,760 $1.61M
99199 Unlisted special service, procedure or report 127,075 86,494 $662K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,168 4,521 $258K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 855 755 $14K
0002A 182 111 $7K
0001A 148 86 $5K
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) 1,731 1,586 $4K
36415 Collection of venous blood by venipuncture 2,110 1,899 $3K
99442 105 71 $3K
99441 109 79 $2K
90686 334 305 $1K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 23 16 $1K
90460 Immunization administration through 18 years of age via any route, first or only component 18 15 $872.98
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 19 13 $691.30
83036 Hemoglobin; glycosylated (A1C) 99 92 $608.72
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 24 13 $434.48
90656 53 50 $379.74
90472 Immunization administration, each additional vaccine (list separately) 14 13 $351.93
96110 Developmental screening, with scoring and documentation, per standardized instrument 42 40 $288.66
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 15 12 $165.79
81003 13 13 $24.93
92551 32 32 $10.02
99173 65 64 $2.00
3044F 1,544 1,361 $0.00
3008F 2,325 2,126 $0.00
3074F 5,322 4,738 $0.00
3079F 519 468 $0.00
91305 18 16 $0.00
3075F 25 24 $0.00
1160F 8,424 7,492 $0.00
1159F 9,685 8,548 $0.00
3078F 3,704 3,339 $0.00
3077F 14 13 $0.00
91300 44 36 $0.00