Medicaid Provider Spending

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

CAROLINAS PHYSICIANS NETWORK INC

NPI: 1497762686 · CHARLOTTE, NC 28269 · Internal Medicine Physician · NPI assigned 08/01/2006

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

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

$838K
Total Medicaid Paid
22,669
Total Claims
18,813
Beneficiaries
24
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRISSMILLER, SCOTT (ENTERPRISE EVP)
Parent OrganizationCAROLINAS PHYSICIANS NETWORK INC
NPI Enumeration Date08/01/2006

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 1,680 $82K
2019 2,252 $116K
2020 2,602 $82K
2021 2,510 $73K
2022 3,257 $158K
2023 5,384 $175K
2024 4,984 $152K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,108 4,465 $370K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,300 2,672 $161K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,707 1,350 $73K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 983 835 $55K
99051 2,256 2,017 $52K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 448 368 $50K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 572 470 $40K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 2,011 1,332 $22K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 766 644 $9K
99199 Unlisted special service, procedure or report 133 133 $1K
99215 Prolong outpt/office vis 14 13 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 29 20 $906.75
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 13 13 $773.26
71046 Radiologic examination, chest; 2 views 31 30 $471.22
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 49 26 $259.86
81003 58 51 $94.84
3074F 1,093 894 $0.00
3008F 125 113 $0.00
3044F 30 29 $0.00
3079F 31 29 $0.00
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 47 25 $0.00
1160F 1,136 1,025 $0.00
1159F 1,851 1,556 $0.00
3078F 878 703 $0.00