Medicaid Provider Spending

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

CAROLINAS PHYSICIANS NETWORK INC

NPI: 1508892746 · HUNTERSVILLE, NC 28078 · Internal Medicine Physician · NPI assigned 06/22/2006

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

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

$476K
Total Medicaid Paid
10,558
Total Claims
8,852
Beneficiaries
17
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRISSMILLER, SCOTT (ENTERPRISE EVP)
Parent OrganizationCAROLINAS PHYSICIANS NETWORK INC
NPI Enumeration Date06/22/2006

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 371 $17K
2019 733 $38K
2020 331 $20K
2021 1,460 $59K
2022 1,878 $100K
2023 2,796 $118K
2024 2,989 $125K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,269 3,708 $306K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 975 703 $49K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 877 664 $36K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 421 309 $30K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 346 297 $19K
99051 761 660 $16K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 91 76 $10K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 614 531 $8K
99199 Unlisted special service, procedure or report 141 141 $760.00
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 22 15 $348.35
71046 Radiologic examination, chest; 2 views 12 12 $167.12
1159F 690 580 $0.00
1160F 371 332 $0.00
3078F 357 303 $0.00
3074F 504 432 $0.00
3008F 91 75 $0.00
3079F 16 14 $0.00