Medicaid Provider Spending

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

CAROLINAS PHYSICIANS NETWORK INC

NPI: 1487096426 · KINGS MOUNTAIN, NC 28086 · Obstetrics & Gynecology Physician · NPI assigned 07/18/2013

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

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

$727K
Total Medicaid Paid
45,310
Total Claims
30,709
Beneficiaries
35
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRISSMILLER, SCOTT (ENTERPRISE EVP)
Parent OrganizationCAROLINAS PHYSICIANS NETWORK INC
NPI Enumeration Date07/18/2013

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 1,214 $31K
2019 2,274 $60K
2020 2,368 $74K
2021 5,660 $122K
2022 11,249 $149K
2023 12,397 $177K
2024 10,148 $114K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6,409 5,169 $312K
99199 Unlisted special service, procedure or report 24,732 13,887 $143K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,358 1,120 $100K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 424 329 $32K
81025 4,141 3,343 $26K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 212 194 $21K
J1050 Injection, medroxyprogesterone acetate, 1 mg 380 320 $17K
S0280 Medical home program, comprehensive care coordination and planning, initial plan 267 244 $13K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 152 120 $11K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 688 551 $10K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 109 77 $8K
76830 Ultrasound, transvaginal 106 82 $8K
S0281 Medical home program, comprehensive care coordination and planning, maintenance of plan 60 50 $8K
36415 Collection of venous blood by venipuncture 2,074 1,677 $4K
76801 33 29 $3K
96127 903 756 $3K
82950 289 247 $2K
85018 561 475 $1K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 14 13 $947.64
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 68 62 $850.05
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 24 16 $560.80
99459 52 44 $495.55
81003 180 150 $331.07
Q0111 Wet mounts, including preparations of vaginal, cervical or skin specimens 96 73 $307.55
90686 21 20 $281.35
Q0112 All potassium hydroxide (koh) preparations 32 31 $167.61
81002 48 38 $141.75
87210 75 62 $64.16
3074F 388 318 $0.00
3008F 175 158 $0.00
0500F 35 35 $0.00
59430 16 12 $0.00
1159F 614 517 $0.00
1160F 346 304 $0.00
3078F 228 186 $0.00