Medicaid Provider Spending

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

CAROLINAS PHYSICIANS NETWORK INC

NPI: 1497256143 · GASTONIA, NC 28054 · Internal Medicine Physician · NPI assigned 02/27/2018

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

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

$1.32M
Total Medicaid Paid
33,754
Total Claims
27,381
Beneficiaries
21
Codes Billed
2018-05
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRISSMILLER, SCOTT (ENTERPRISE EVP)
Parent OrganizationCAROLINAS PHYSICIANS NETWORK INC
NPI Enumeration Date02/27/2018

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 492 $21K
2019 2,611 $133K
2020 3,757 $132K
2021 6,252 $242K
2022 6,869 $325K
2023 6,728 $228K
2024 7,045 $236K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,644 6,103 $392K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,738 4,146 $358K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2,501 1,950 $183K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 3,579 2,605 $153K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 1,489 1,271 $87K
99051 2,571 2,175 $57K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,786 2,351 $35K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 2,791 1,777 $30K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 195 174 $22K
71046 Radiologic examination, chest; 2 views 44 44 $681.17
81003 253 216 $492.78
99199 Unlisted special service, procedure or report 31 31 $200.00
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 13 12 $112.77
1159F 1,989 1,745 $0.00
1160F 1,296 1,196 $0.00
3078F 762 647 $0.00
3008F 126 117 $0.00
3074F 892 770 $0.00
3079F 26 25 $0.00
3044F 14 12 $0.00
2010F 14 14 $0.00