Medicaid Provider Spending

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

ARBORETUM PEDIATRICS

NPI: 1477582385 · CHARLOTTE, NC 28226 · Pediatrics Physician · NPI assigned 07/02/2006

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

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

$1.92M
Total Medicaid Paid
169,946
Total Claims
122,704
Beneficiaries
40
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRISSMILLER, SCOTT (ENTERPRISE EVP)
Parent OrganizationARBORETUM PEDIATRICS
NPI Enumeration Date07/02/2006

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
CAROLINAS PHYSICIANS NETWORK INC CHARLOTTE NC $1.91M
CHARLOTTE PEDIATRIC CLINIC MATTHEWS NC $1.76M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,018 $140K
2019 4,761 $185K
2020 3,469 $102K
2021 20,393 $276K
2022 38,585 $405K
2023 47,472 $409K
2024 50,248 $402K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 13,514 11,825 $792K
99199 Unlisted special service, procedure or report 106,927 68,013 $576K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,834 1,595 $163K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 6,347 5,317 $109K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 730 578 $60K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 534 432 $48K
90460 Immunization administration through 18 years of age via any route, first or only component 964 880 $45K
90472 Immunization administration, each additional vaccine (list separately) 1,188 994 $37K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 240 194 $21K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 166 130 $14K
96110 Developmental screening, with scoring and documentation, per standardized instrument 2,863 2,473 $10K
96127 2,451 2,084 $9K
0071A 169 105 $6K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 120 97 $5K
0072A 110 71 $5K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 69 63 $4K
0001A 105 66 $4K
0002A 83 55 $3K
92551 2,711 2,343 $3K
90686 2,697 2,295 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 121 107 $1K
99173 3,228 2,781 $928.63
96161 167 139 $430.58
85025 Blood count; complete (CBC), automated, and automated differential WBC count 26 24 $143.84
90656 351 330 $41.45
96160 14 14 $37.56
3078F 4,743 4,216 $0.00
1159F 6,910 6,055 $0.00
1160F 4,147 3,788 $0.00
91308 101 61 $0.00
90670 61 49 $0.00
91300 19 14 $0.00
3074F 4,946 4,399 $0.00
3008F 725 701 $0.00
90677 111 107 $0.00
91307 268 137 $0.00
90680 44 44 $0.00
91305 40 26 $0.00
90723 72 72 $0.00
90647 30 30 $0.00