Medicaid Provider Spending

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

PIEDMONT GYNECOLOGICAL AND OBSTETRICAL ASSOCIATES

NPI: 1609101666 · CHARLOTTE, NC 28278 · Gynecology Physician · NPI assigned 10/08/2009

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

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

$177K
Total Medicaid Paid
13,919
Total Claims
9,557
Beneficiaries
15
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialRISSMILLER, SCOTT (ENTERPRISE EVP)
Parent OrganizationPIEDMONT GYNECOLOGICAL AND OBSTETRICAL ASSOCIATES
NPI Enumeration Date10/08/2009

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 728 $23K
2019 495 $21K
2020 189 $9K
2021 2,266 $73K
2022 3,358 $17K
2023 3,703 $19K
2024 3,180 $15K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99199 Unlisted special service, procedure or report 11,774 7,731 $61K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,394 1,186 $55K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 34 26 $31K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 413 368 $23K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 40 38 $3K
99219 21 14 $2K
59025 Fetal non-stress test 47 38 $1K
90715 14 12 $554.12
99222 Initial hospital care, per day, moderate complexity 12 12 $277.25
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 29 25 $253.47
99441 17 15 $237.65
99232 Subsequent hospital care, per day, moderate complexity 69 56 $149.28
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 19 12 $125.36
81025 15 12 $82.28
81003 21 12 $29.95