Medicaid Provider Spending

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

CAROLINAS PHYSICIANS NETWORK INC

NPI: 1578958773 · SHELBY, NC 28150 · Geriatric Medicine (Internal Medicine) Physician · NPI assigned 04/03/2015

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

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

$255K
Total Medicaid Paid
15,895
Total Claims
11,629
Beneficiaries
16
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRISSMILLER, SCOTT (ENTERPRISE EVP)
Parent OrganizationCAROLINAS PHYSICIANS NETWORK INC
NPI Enumeration Date04/03/2015

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 1,231 $20K
2019 988 $32K
2020 455 $23K
2021 1,464 $33K
2022 2,848 $42K
2023 3,508 $40K
2024 5,401 $65K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,044 3,429 $193K
99199 Unlisted special service, procedure or report 9,162 5,861 $52K
99215 Prolong outpt/office vis 59 57 $4K
99232 Subsequent hospital care, per day, moderate complexity 79 39 $3K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 39 34 $2K
36415 Collection of venous blood by venipuncture 1,034 894 $1K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 110 92 $520.08
81003 41 27 $52.63
83036 Hemoglobin; glycosylated (A1C) 13 12 $35.91
1160F 368 339 $0.00
1159F 623 548 $0.00
3078F 147 133 $0.00
3074F 116 108 $0.00
3008F 33 31 $0.00
3044F 14 12 $0.00
G0008 Administration of influenza virus vaccine 13 13 $0.00