Medicaid Provider Spending

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

CAROLINAS PHYSICIANS NETWORK INC

NPI: 1609191121 · ROCK HILL, SC 29732 · Pediatric Cardiology 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

$499K
Total Medicaid Paid
15,340
Total Claims
11,590
Beneficiaries
25
Codes Billed
2018-03
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 43 $1K
2019 26 $878.09
2020 15 $603.76
2021 52 $2K
2022 3,655 $167K
2023 4,105 $158K
2024 7,444 $169K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,943 1,811 $159K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3,652 2,990 $137K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,753 1,547 $115K
99199 Unlisted special service, procedure or report 5,023 2,547 $33K
54150 169 145 $15K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 95 92 $12K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 72 64 $4K
85027 765 681 $4K
59430 26 26 $3K
76830 Ultrasound, transvaginal 39 37 $3K
36415 Collection of venous blood by venipuncture 1,090 976 $3K
99244 Office or other outpatient consultation, moderate to high complexity 24 24 $3K
90715 41 39 $2K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 15 15 $1K
81025 142 139 $1K
99401 27 27 $1K
J1050 Injection, medroxyprogesterone acetate, 1 mg 13 13 $685.90
99251 16 12 $609.82
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 109 100 $366.66
93000 44 41 $359.98
87210 73 71 $253.10
85018 130 118 $225.18
82950 27 25 $88.99
81003 40 38 $78.19
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 12 12 $42.86