Medicaid Provider Spending

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

CAROLINAS PHYSICIANS NETWORK INC

NPI: 1588818512 · FOREST CITY, NC 28043 · Critical Care Medicine (Internal Medicine) Physician · NPI assigned 11/04/2008

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

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

$1.62M
Total Medicaid Paid
87,662
Total Claims
66,470
Beneficiaries
44
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRISSMILLER, SCOTT (ENTERPRISE EVP)
Parent OrganizationCAROLINAS PHYSICIANS NETWORK INC
NPI Enumeration Date11/04/2008

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 7,615 $218K
2019 6,954 $230K
2020 3,842 $161K
2021 6,302 $198K
2022 14,367 $222K
2023 17,854 $238K
2024 30,728 $351K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 15,083 13,442 $769K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8,931 8,017 $307K
99199 Unlisted special service, procedure or report 45,345 28,879 $261K
95810 Polysomnography; sleep staging with 4 or more additional parameters 214 204 $81K
95811 181 177 $80K
99244 Office or other outpatient consultation, moderate to high complexity 337 325 $36K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,938 1,556 $18K
99243 154 147 $12K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 117 102 $10K
85027 1,603 1,433 $8K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 59 37 $5K
36415 Collection of venous blood by venipuncture 4,193 3,724 $5K
90686 513 431 $4K
99205 Prolong outpt/office vis 32 29 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 232 190 $2K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 44 43 $2K
43235 50 41 $2K
99442 78 52 $2K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 307 279 $2K
83036 Hemoglobin; glycosylated (A1C) 167 153 $1K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 21 12 $772.20
99441 57 39 $672.19
94060 26 25 $538.20
80061 Lipid panel 53 53 $461.39
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) 136 122 $422.14
80053 Comprehensive metabolic panel 103 95 $346.71
90656 18 15 $281.98
84443 Thyroid stimulating hormone (TSH) 40 39 $281.40
80048 Basic metabolic panel (calcium, ionized) 99 94 $275.63
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 16 14 $268.49
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 18 17 $146.04
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 971 808 $133.27
81003 32 28 $69.31
84450 15 15 $41.34
3075F 123 113 $0.00
3044F 285 254 $0.00
3008F 590 548 $0.00
3074F 763 686 $0.00
G0008 Administration of influenza virus vaccine 87 85 $0.00
3079F 201 192 $0.00
1160F 1,432 1,307 $0.00
3078F 866 764 $0.00
1159F 2,104 1,856 $0.00
84460 28 28 $0.00