Medicaid Provider Spending

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

CAROLINAS PHYSICIANS NETWORK INC

NPI: 1518405257 · HUNTERSVILLE, NC 28078 · Internal Medicine Physician · NPI assigned 02/02/2017

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

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

$741K
Total Medicaid Paid
21,704
Total Claims
16,453
Beneficiaries
24
Codes Billed
2019-02
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRISSMILLER, SCOTT (ENTERPRISE EVP)
Parent OrganizationCAROLINAS PHYSICIANS NETWORK INC
NPI Enumeration Date02/02/2017

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
2019 1,167 $21K
2020 670 $13K
2021 2,968 $36K
2022 1,136 $21K
2023 3,135 $130K
2024 12,628 $521K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 3,589 2,854 $201K
76819 Fetal biophysical profile; without non-stress testing 2,442 1,919 $119K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 5,702 3,507 $110K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 970 780 $107K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,133 935 $72K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,395 1,167 $62K
76820 528 321 $15K
99232 Subsequent hospital care, per day, moderate complexity 328 134 $13K
99199 Unlisted special service, procedure or report 1,797 1,727 $13K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 177 133 $7K
99244 Office or other outpatient consultation, moderate to high complexity 78 54 $6K
59025 Fetal non-stress test 329 147 $6K
99243 45 39 $3K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 64 59 $2K
83036 Hemoglobin; glycosylated (A1C) 249 232 $2K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 46 36 $2K
82962 343 283 $787.53
81002 126 107 $321.35
3044F 159 139 $0.00
3074F 543 462 $0.00
3008F 201 168 $0.00
1159F 580 495 $0.00
3078F 300 260 $0.00
1160F 580 495 $0.00