Medicaid Provider Spending

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

THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY

NPI: 1396172516 · CONCORD, NC 28025 · Pediatric Endocrinology Physician · NPI assigned 10/02/2013

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

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

$1.84M
Total Medicaid Paid
18,968
Total Claims
16,393
Beneficiaries
29
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRISSMILLER, SCOTT (ENTERPRISE EVP)
Parent OrganizationTHE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
NPI Enumeration Date10/02/2013

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 2,272 $235K
2019 2,071 $237K
2020 1,408 $168K
2021 2,102 $206K
2022 2,162 $194K
2023 4,329 $406K
2024 4,624 $391K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,723 5,251 $405K
95720 2,615 1,786 $347K
99215 Prolong outpt/office vis 2,986 2,739 $289K
99244 Office or other outpatient consultation, moderate to high complexity 1,529 1,430 $228K
99245 836 758 $149K
95951 593 358 $134K
95812 1,266 1,144 $51K
99219 552 457 $49K
99222 Initial hospital care, per day, moderate complexity 517 455 $49K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 773 714 $37K
99238 Hospital discharge day management, 30 minutes or less 368 335 $19K
99217 279 250 $16K
99205 Prolong outpt/office vis 93 79 $13K
99255 90 66 $11K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 117 87 $10K
99233 Prolong inpt eval add15 m 155 73 $9K
99443 98 81 $6K
99221 64 53 $5K
99239 Hospital discharge day management, more than 30 minutes 39 37 $3K
64643 28 25 $1K
99232 Subsequent hospital care, per day, moderate complexity 24 13 $1K
95718 15 12 $1K
64642 12 12 $1K
99442 28 26 $1K
95816 17 13 $698.04
99441 15 15 $385.00
1160F 31 29 $0.00
1159F 61 53 $0.00
3008F 44 42 $0.00