Medicaid Provider Spending

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

CAROLINAS PHYSICIANS NETWORK INC

NPI: 1588673636 · CHARLOTTE, NC 28212 · Family Medicine Physician · NPI assigned 08/07/2006

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

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

$1.18M
Total Medicaid Paid
145,104
Total Claims
100,707
Beneficiaries
38
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRISSMILLER, SCOTT (ENTERPRISE EVP)
Parent OrganizationCAROLINAS PHYSICIANS NETWORK INC
NPI Enumeration Date08/07/2006

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 2,742 $67K
2019 2,253 $78K
2020 1,115 $36K
2021 11,649 $158K
2022 29,345 $211K
2023 35,149 $249K
2024 62,851 $380K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99199 Unlisted special service, procedure or report 123,187 81,803 $637K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,204 3,661 $290K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,398 2,821 $154K
99215 Prolong outpt/office vis 292 247 $27K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,352 1,114 $24K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 80 71 $7K
90472 Immunization administration, each additional vaccine (list separately) 160 137 $6K
0072A 114 83 $5K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 54 50 $5K
36415 Collection of venous blood by venipuncture 2,074 1,731 $4K
0002A 82 60 $4K
99442 81 61 $3K
0001A 56 40 $2K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 31 26 $2K
0071A 50 35 $2K
90460 Immunization administration through 18 years of age via any route, first or only component 42 38 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 51 51 $2K
0004A 25 16 $921.16
90686 317 274 $550.70
90656 127 120 $535.42
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) 350 324 $519.37
83036 Hemoglobin; glycosylated (A1C) 89 83 $517.02
81003 166 154 $299.69
99401 16 16 $233.26
92551 238 195 $101.98
90633 32 28 $33.52
3044F 566 519 $20.00
99173 259 214 $17.02
1159F 2,199 1,934 $0.00
3078F 1,270 1,117 $0.00
1160F 1,534 1,394 $0.00
91300 57 43 $0.00
3074F 1,574 1,381 $0.00
3079F 260 237 $0.00
3008F 542 514 $0.00
3075F 13 13 $0.00
91307 136 87 $0.00
91305 26 15 $0.00