Medicaid Provider Spending

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

EASTRIDGE FAMILY MEDICINE

NPI: 1477589158 · GASTONIA, NC 28054 · Family Medicine Physician · NPI assigned 06/24/2006

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

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

$642K
Total Medicaid Paid
47,323
Total Claims
35,227
Beneficiaries
20
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRISSMILLER, SCOTT (ENTERPRISE EVP)
Parent OrganizationEASTRIDGE FAMILY MEDICINE
NPI Enumeration Date06/24/2006

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 1,554 $41K
2019 1,761 $58K
2020 988 $39K
2021 4,143 $73K
2022 8,843 $126K
2023 11,723 $128K
2024 18,311 $178K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,075 4,462 $272K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,738 4,956 $203K
99199 Unlisted special service, procedure or report 28,409 18,651 $161K
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) 672 621 $1K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 15 12 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 41 39 $992.70
36415 Collection of venous blood by venipuncture 633 574 $861.06
99441 45 32 $780.42
0072A 20 12 $634.18
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 43 39 $544.61
90656 30 26 $325.01
90686 28 24 $278.15
81003 31 24 $50.38
1159F 2,361 2,064 $0.00
3078F 847 734 $0.00
1160F 1,409 1,271 $0.00
3074F 1,350 1,171 $0.00
3008F 285 263 $0.00
3079F 112 98 $0.00
3044F 179 154 $0.00