Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Carolinas Physicians Network INC

Carolinas Physicians Network INC was paid $186K by Medicaid between Jan 2018 and Dec 2024, across 7 billing codes. Its largest line is 93306, Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete — 76% of everything it billed.

33Billing provider infoCAROLINAS PHYSICIANS NETWORK INC
CHARLOTTE, NC 28262
33aNPI1477878890assigned 03/29/2010
28Total paid$186K
24GClaims4,893
24DCodes billed7
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Cardiovascular Disease Physician providers in North Carolina

Rank by total paid#34 of 109
Median peer was paid$58K
This provider vs. median3.2×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official RISSMILLER, SCOTT controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$2.0K$4.0K$6.0K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
20181,003$26K
2019713$21K
2020434$15K
2021430$21K
2022408$21K
2023695$36K
2024incomplete1,210$44K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 76% 3,071 2,760 $141K
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 21% 961 928 $39K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1.4% 27 24 $3K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1.0% 532 427 $2K
93000 <1% 109 104 $868.11
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) <1% 179 170 $426.77
93356 0% 14 14 $0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialRISSMILLER, SCOTT (ENTERPRISE EVP)
Parent organizationCAROLINAS PHYSICIANS NETWORK INC
Same official

Other billing entities under RISSMILLER, SCOTT

Full network →
ProviderLocationPaid
Carolinas Medical CenterCharlotte, NC$52.97M
Cotswold Family MedicineCharlotte, NC$12.51M
Carolinas Physicians Network INC.Charlotte, NC$8.93M
Carolinas Physicians Network INCGastonia, NC$8.57M
Carolinas Physicians Network INCRock Hill, SC$8.47M
University PediatricsCharlotte, NC$8.22M
Carolinas Medical CenterCharlotte, NC$6.42M
Eastland Urgent CareCharlotte, NC$5.05M
Carolinas Physicians Network INCCharlotte, NC$4.24M
University PediatricsCharlotte, NC$3.22M
Carolinas Physicians Network INCFort Mill, SC$3.04M
Carolinas Physicians Network INCConcord, NC$2.91M
Carolinas Medical CenterCharlotte, NC$2.82M
Charlotte Pediatric ClinicCharlotte, NC$2.46M
Carolinas Physicians Network INCConcord, NC$2.38M
Pediatric Endocrinology & Diabetes SpecialistsCharlotte, NC$2.27M
Carolinas Physicians Network INCCharlotte, NC$2.06M
Carolinas Physicians Network INCKannapolis, NC$1.98M
Arboretum PediatricsCharlotte, NC$1.92M
Carolinas Physicians Network INCCharlotte, NC$1.91M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.