Medicaid Provider Spending

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

CAROLINAS PHYSICIANS NETWORK INC

NPI: 1477100683 · CHARLOTTE, NC 28262 · Internal Medicine Physician · NPI assigned 08/22/2019

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

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

$897K
Total Medicaid Paid
20,902
Total Claims
17,226
Beneficiaries
24
Codes Billed
2019-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRISSMILLER, SCOTT (ENTERPRISE EVP)
Parent OrganizationCAROLINAS PHYSICIANS NETWORK INC
NPI Enumeration Date08/22/2019

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
2019 338 $22K
2020 1,470 $87K
2021 4,869 $197K
2022 3,724 $207K
2023 2,834 $143K
2024 7,667 $242K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,237 4,121 $259K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,750 2,362 $209K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,793 1,400 $133K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 3,033 2,233 $123K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 1,043 921 $60K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 500 440 $58K
99051 1,118 861 $20K
99215 Prolong outpt/office vis 129 119 $12K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 908 806 $11K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 150 108 $4K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 236 179 $4K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 70 44 $3K
81003 327 287 $640.24
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 34 29 $429.95
71046 Radiologic examination, chest; 2 views 18 17 $236.70
J1100 Injection, dexamethasone sodium phosphate, 1 mg 13 12 $8.65
3074F 508 476 $0.00
3008F 352 330 $0.00
2010F 27 25 $0.00
3044F 93 87 $0.00
3079F 61 57 $0.00
1160F 951 882 $0.00
3078F 362 340 $0.00
1159F 1,189 1,090 $0.00