Medicaid Provider Spending

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

CAROLINAS PHYSICIANS NETWORK INC

NPI: 1477814622 · SALISBURY, NC 28147 · Internal Medicine Physician · NPI assigned 06/05/2012

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

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

$1.22M
Total Medicaid Paid
29,949
Total Claims
24,256
Beneficiaries
22
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRISSMILLER, SCOTT (ENTERPRISE EVP)
Parent OrganizationCAROLINAS PHYSICIANS NETWORK INC
NPI Enumeration Date06/05/2012

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 1,186 $54K
2019 1,920 $107K
2020 1,830 $117K
2021 5,487 $207K
2022 4,949 $245K
2023 7,040 $254K
2024 7,537 $232K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,284 5,659 $348K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,779 4,103 $332K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2,758 2,128 $187K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 3,049 2,210 $120K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 1,353 1,118 $71K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 626 540 $67K
99051 2,896 2,435 $61K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,698 1,398 $20K
99199 Unlisted special service, procedure or report 497 497 $3K
99215 Prolong outpt/office vis 19 18 $2K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 70 46 $1K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 24 12 $997.44
71046 Radiologic examination, chest; 2 views 65 64 $966.60
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 76 57 $920.18
81003 391 311 $658.97
3078F 814 666 $104.95
1160F 906 792 $104.95
1159F 1,390 1,161 $104.95
3074F 1,002 825 $104.95
3008F 204 176 $0.00
3079F 32 26 $0.00
3044F 16 14 $0.00