Medicaid Provider Spending

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

CAROLINAS PHYSICIANS NETWORK INC

NPI: 1598080012 · LINCOLNTON, NC 28092 · Cardiovascular Disease Physician · NPI assigned 03/29/2010

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

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

$419K
Total Medicaid Paid
13,858
Total Claims
12,120
Beneficiaries
22
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRISSMILLER, SCOTT (ENTERPRISE EVP)
Parent OrganizationCAROLINAS PHYSICIANS NETWORK INC
NPI Enumeration Date03/29/2010

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 2,383 $42K
2019 3,027 $63K
2020 1,280 $50K
2021 1,389 $56K
2022 1,737 $64K
2023 1,962 $69K
2024 2,080 $74K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 3,325 2,988 $189K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,363 2,116 $108K
93000 4,934 4,345 $46K
99215 Prolong outpt/office vis 483 403 $33K
99205 Prolong outpt/office vis 209 157 $22K
99244 Office or other outpatient consultation, moderate to high complexity 43 40 $6K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1,331 1,057 $4K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 30 30 $4K
99358 Prolong nursin fac eval 15m 219 207 $2K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 44 44 $1K
99232 Subsequent hospital care, per day, moderate complexity 41 24 $692.06
36415 Collection of venous blood by venipuncture 517 421 $635.73
99406 76 69 $606.29
93016 58 56 $526.97
93296 42 38 $419.95
93018 44 44 $300.76
99442 21 12 $177.57
93246 14 13 $119.32
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) 18 16 $20.80
80048 Basic metabolic panel (calcium, ionized) 15 12 $19.76
93356 14 13 $16.78
1159F 17 15 $0.00