Medicaid Provider Spending

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

THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY

NPI: 1588091904 · CONCORD, NC 28025 · Pediatrics Physician · NPI assigned 09/30/2013

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

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

$8.06M
Total Medicaid Paid
463,734
Total Claims
352,948
Beneficiaries
63
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 Date09/30/2013

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 25,694 $838K
2019 26,928 $1.04M
2020 22,742 $866K
2021 59,679 $1.25M
2022 100,906 $1.43M
2023 113,428 $1.41M
2024 114,357 $1.23M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 41,901 36,744 $2.62M
99199 Unlisted special service, procedure or report 238,138 153,504 $1.23M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,765 6,991 $715K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 8,330 6,620 $713K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 7,127 6,238 $654K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 6,151 5,580 $575K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 22,275 19,452 $415K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 3,823 3,371 $381K
90472 Immunization administration, each additional vaccine (list separately) 11,597 10,039 $354K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 1,122 1,084 $71K
96110 Developmental screening, with scoring and documentation, per standardized instrument 12,136 10,731 $56K
99051 2,015 1,827 $49K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,788 2,606 $37K
90460 Immunization administration through 18 years of age via any route, first or only component 948 888 $31K
90474 1,565 1,330 $28K
96127 5,263 4,657 $21K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 438 413 $17K
0071A 262 172 $11K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 2,492 2,314 $10K
0072A 213 153 $10K
90686 7,208 6,504 $8K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 147 131 $6K
92551 7,065 6,474 $6K
90651 529 452 $6K
0002A 119 77 $5K
0001A 118 67 $5K
85027 643 595 $5K
90734 552 480 $4K
99173 10,273 9,375 $3K
99422 118 63 $3K
36415 Collection of venous blood by venipuncture 629 589 $2K
0052A 15 12 $975.00
90677 496 487 $782.43
90670 4,032 3,465 $729.60
87807 55 38 $611.70
D0145 Oral evaluation for a patient under three years of age 14 13 $449.15
81003 219 195 $424.09
88720 39 25 $211.48
96161 56 53 $198.46
D1206 Topical application of fluoride varnish 14 13 $198.25
82962 69 63 $182.10
90680 1,764 1,520 $112.34
90723 2,422 2,077 $108.55
90633 785 677 $64.44
90647 2,360 2,035 $62.36
36416 625 506 $44.24
3078F 8,855 7,989 $0.00
1159F 15,574 13,713 $0.00
90710 15 14 $0.00
1160F 9,107 8,351 $0.00
99177 12 12 $0.00
90715 40 37 $0.00
91308 114 59 $0.00
90685 20 19 $0.00
91300 23 19 $0.00
3008F 2,281 2,192 $0.00
3074F 9,366 8,444 $0.00
90696 33 27 $0.00
3079F 247 228 $0.00
90656 695 677 $0.00
91307 384 237 $0.00
3044F 181 176 $0.00
91305 72 54 $0.00