Physician
Carolinas Physicians Network INC
Carolinas Physicians Network INC was paid $741K by Medicaid between Feb 2019 and Dec 2024, across 24 billing codes. Its largest line is 76816, Ultrasound, pregnant uterus, real time with image documentation, follow-up — 27% of everything it billed.
33Billing provider infoCAROLINAS PHYSICIANS NETWORK INC
HUNTERSVILLE, NC 28078
HUNTERSVILLE, NC 28078
33aNPI1518405257assigned 02/02/2017
33bProvider typeInternal Medicine Physician
28Total paid$741K
24GClaims21,704
24DCodes billed24
24AFirst – last monthFeb 2019 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in North Carolina
Rank by total paid#104 of 616
Median peer was paid$74K
This provider vs. median10.0×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official RISSMILLER, SCOTT controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 1,167 | $21K | |
| 2020 | 670 | $13K | |
| 2021 | 2,968 | $36K | |
| 2022 | 1,136 | $21K | |
| 2023 | 3,135 | $130K | |
| 2024incomplete | 12,628 | $521K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 27% | 3,589 | 2,854 | $201K |
| 76819 | Fetal biophysical profile; without non-stress testing | 16% | 2,442 | 1,919 | $119K |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | 15% | 5,702 | 3,507 | $110K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 14% | 970 | 780 | $107K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 9.7% | 1,133 | 935 | $72K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.3% | 1,395 | 1,167 | $62K |
| 76820 | 2.0% | 528 | 321 | $15K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.8% | 328 | 134 | $13K |
| 99199 | Unlisted special service, procedure or report | 1.7% | 1,797 | 1,727 | $13K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 177 | 133 | $7K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 78 | 54 | $6K |
| 59025 | Fetal non-stress test | <1% | 329 | 147 | $6K |
12 more codes
| 99243 | <1% | 45 | $3K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 64 | $2K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 249 | $2K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 46 | $2K |
| 82962 | <1% | 343 | $787.53 | |
| 81002 | <1% | 126 | $321.35 | |
| 3044F | 0% | 159 | $0.00 | |
| 3074F | 0% | 543 | $0.00 | |
| 3008F | 0% | 201 | $0.00 | |
| 1159F | 0% | 580 | $0.00 | |
| 3078F | 0% | 300 | $0.00 | |
| 1160F | 0% | 580 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialRISSMILLER, SCOTT (ENTERPRISE EVP)
Parent organizationCAROLINAS PHYSICIANS NETWORK INC
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.