Medicaid Provider Spending

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

THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY

NPI: 1528495108 · CONCORD, NC 28025 · Endocrinology, Diabetes & Metabolism Physician · NPI assigned 09/27/2013

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

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

$487K
Total Medicaid Paid
11,017
Total Claims
9,568
Beneficiaries
23
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRISSMILLER, SCOTT (ENTERPRISE EVP)
Parent OrganizationTHE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
NPI Enumeration Date09/27/2013

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 1,348 $47K
2019 1,191 $64K
2020 810 $45K
2021 851 $58K
2022 1,416 $81K
2023 2,184 $82K
2024 3,217 $110K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,078 6,431 $399K
99232 Subsequent hospital care, per day, moderate complexity 539 143 $27K
99215 Prolong outpt/office vis 358 331 $26K
99244 Office or other outpatient consultation, moderate to high complexity 90 66 $10K
95251 268 249 $6K
83036 Hemoglobin; glycosylated (A1C) 746 692 $5K
99233 Prolong inpt eval add15 m 49 14 $3K
99443 88 60 $2K
99442 75 52 $2K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 176 169 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 22 18 $2K
99254 13 12 $2K
99231 Subsequent hospital care, per day, straightforward or low complexity 35 12 $870.82
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 28 28 $59.71
82962 12 12 $11.56
1159F 490 420 $0.00
1160F 330 301 $0.00
3078F 105 86 $0.00
3046F 28 28 $0.00
2028F 69 61 $0.00
3008F 230 219 $0.00
3074F 175 151 $0.00
3079F 13 13 $0.00