Medicaid Provider Spending

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

CAROLINAS PHYSICIANS NETWORK INC

NPI: 1477891810 · MOORESVILLE, NC 28117 · Internal Medicine Physician · NPI assigned 01/18/2013

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

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

$457K
Total Medicaid Paid
11,294
Total Claims
8,966
Beneficiaries
16
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRISSMILLER, SCOTT (ENTERPRISE EVP)
Parent OrganizationCAROLINAS PHYSICIANS NETWORK INC
NPI Enumeration Date01/18/2013

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 471 $20K
2019 1,066 $53K
2020 1,653 $48K
2021 2,355 $84K
2022 1,796 $92K
2023 1,843 $76K
2024 2,110 $85K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,110 2,449 $159K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,523 1,290 $107K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 721 585 $56K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 878 634 $36K
99051 1,522 1,303 $33K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 484 415 $28K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,334 870 $14K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,015 833 $12K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 94 87 $11K
71046 Radiologic examination, chest; 2 views 43 42 $600.12
99199 Unlisted special service, procedure or report 48 48 $275.00
1159F 291 225 $0.00
3078F 37 30 $0.00
1160F 82 68 $0.00
3074F 94 73 $0.00
3008F 18 14 $0.00