Medicaid Provider Spending

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

CAROLINAS PHYSICIANS NETWORK INC

NPI: 1518197458 · KANNAPOLIS, NC 28081 · Family Medicine Physician · NPI assigned 07/24/2009

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

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

$1.98M
Total Medicaid Paid
160,870
Total Claims
114,997
Beneficiaries
34
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRISSMILLER, SCOTT (ENTERPRISE EVP)
Parent OrganizationCAROLINAS PHYSICIANS NETWORK INC
NPI Enumeration Date07/24/2009

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
ARBORETUM PEDIATRICS CHARLOTTE NC $1.92M
CAROLINAS PHYSICIANS NETWORK INC CHARLOTTE NC $1.91M
CHARLOTTE PEDIATRIC CLINIC MATTHEWS NC $1.76M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,518 $181K
2019 4,961 $221K
2020 2,517 $115K
2021 16,131 $282K
2022 35,025 $378K
2023 42,957 $377K
2024 53,761 $423K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 13,503 11,722 $694K
99199 Unlisted special service, procedure or report 117,907 77,506 $625K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 8,315 7,311 $561K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,883 2,401 $46K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 110 76 $9K
99442 178 134 $6K
90686 1,057 913 $5K
90472 Immunization administration, each additional vaccine (list separately) 193 149 $5K
0001A 124 75 $5K
0002A 85 58 $4K
99215 Prolong outpt/office vis 32 25 $2K
36415 Collection of venous blood by venipuncture 1,367 1,202 $2K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 39 24 $2K
83036 Hemoglobin; glycosylated (A1C) 318 283 $2K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 314 288 $2K
0004A 30 27 $2K
99443 13 13 $903.91
90656 115 109 $851.24
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 22 14 $526.99
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 47 38 $498.50
99441 23 12 $331.08
92551 75 71 $153.77
96110 Developmental screening, with scoring and documentation, per standardized instrument 14 12 $93.39
99173 92 83 $8.03
3078F 2,455 2,153 $0.00
1159F 4,574 4,005 $0.00
1160F 2,586 2,393 $0.00
91300 23 22 $0.00
3074F 3,033 2,655 $0.00
3044F 463 424 $0.00
3079F 90 80 $0.00
3008F 673 636 $0.00
91307 27 12 $0.00
91305 90 71 $0.00