Medicaid Provider Spending

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

CAROLINAS PHYSICIANS NETWORK INC

NPI: 1598080087 · MONROE, NC 28112 · Clinical Cardiac Electrophysiology 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

$287K
Total Medicaid Paid
11,004
Total Claims
9,595
Beneficiaries
16
Codes Billed
2018-01
First Month
2024-11
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 1,878 $34K
2019 1,556 $40K
2020 667 $19K
2021 887 $30K
2022 2,101 $55K
2023 1,854 $51K
2024 2,061 $57K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,859 3,564 $154K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 3,009 2,734 $99K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 127 111 $12K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 2,342 1,889 $8K
93000 472 435 $4K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 337 188 $3K
93295 51 51 $2K
99232 Subsequent hospital care, per day, moderate complexity 36 19 $1K
99244 Office or other outpatient consultation, moderate to high complexity 13 13 $1K
99442 74 60 $1K
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) 339 314 $665.91
93296 47 44 $523.70
85610 232 122 $346.95
93294 31 26 $290.76
99443 17 13 $245.43
99441 18 12 $131.27