Physician
Carolinas Physicians Network INC
Carolinas Physicians Network INC was paid $499K by Medicaid between Mar 2018 and Dec 2024, across 25 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 32% of everything it billed.
33Billing provider infoCAROLINAS PHYSICIANS NETWORK INC
ROCK HILL, SC 29732
ROCK HILL, SC 29732
33aNPI1609191121assigned 03/29/2010
33bProvider typePediatric Cardiology Physician
28Total paid$499K
24GClaims15,340
24DCodes billed25
24AFirst – last monthMar 2018 – Dec 2024
Compared with peers
Next to other Pediatric Cardiology Physician providers in South Carolina
Rank by total paid#1 of 12
Median peer was paid$5K
This provider vs. median104×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official RISSMILLER, SCOTT controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 43 | $1K | |
| 2019 | 26 | $878.09 | |
| 2020 | 15 | $603.76 | |
| 2021 | 52 | $2K | |
| 2022 | 3,655 | $167K | |
| 2023 | 4,105 | $158K | |
| 2024incomplete | 7,444 | $169K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 32% | 1,943 | 1,811 | $159K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 27% | 3,652 | 2,990 | $137K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 23% | 1,753 | 1,547 | $115K |
| 99199 | Unlisted special service, procedure or report | 6.6% | 5,023 | 2,547 | $33K |
| 54150 | 3.1% | 169 | 145 | $15K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 2.3% | 95 | 92 | $12K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 72 | 64 | $4K |
| 85027 | <1% | 765 | 681 | $4K | |
| 59430 | <1% | 26 | 26 | $3K | |
| 76830 | Ultrasound, transvaginal | <1% | 39 | 37 | $3K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,090 | 976 | $3K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 24 | 24 | $3K |
13 more codes
| 90715 | <1% | 41 | $2K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 15 | $1K |
| 81025 | <1% | 142 | $1K | |
| 99401 | <1% | 27 | $1K | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 13 | $685.90 |
| 99251 | <1% | 16 | $609.82 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 109 | $366.66 |
| 93000 | <1% | 44 | $359.98 | |
| 87210 | <1% | 73 | $253.10 | |
| 85018 | <1% | 130 | $225.18 | |
| 82950 | <1% | 27 | $88.99 | |
| 81003 | <1% | 40 | $78.19 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 12 | $42.86 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialRISSMILLER, SCOTT (ENTERPRISE EVP)
Parent organizationCAROLINAS PHYSICIANS NETWORK INC
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.