Medicaid Provider Spending

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

CAROLINAS PHYSICIANS NETWORK INC

NPI: 1578965570 · KINGS MOUNTAIN, NC 28086 · Ophthalmology Physician · NPI assigned 09/22/2014

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

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

$127K
Total Medicaid Paid
4,713
Total Claims
4,019
Beneficiary Records
10
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialRISSMILLER, SCOTT (ENTERPRISE EVP)
Parent OrganizationCAROLINAS PHYSICIANS NETWORK INC
NPI Enumeration Date09/22/2014

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 953 $24K
2019 923 $23K
2020 514 $14K
2021 610 $17K
2022 489 $16K
2023 531 $14K
2024 693 $20K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,466 1,242 $67K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,023 1,715 $45K
92133 688 624 $11K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 31 28 $2K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 19 19 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 29 26 $462.84
99199 Unlisted special service, procedure or report 26 26 $140.00
1159F 157 128 $0.00
1160F 79 66 $0.00
99024 195 145 $0.00