Medicaid Provider Spending

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

CAROLINAS MEDICAL CENTER

NPI: 1619013562 · CHARLOTTE, NC 28213 · Internal Medicine Physician · NPI assigned 01/29/2007

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

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

$6.42M
Total Medicaid Paid
578,807
Total Claims
405,305
Beneficiaries
30
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRISSMILLER, SCOTT (ENTERPRISE EVP)
Parent OrganizationCAROLINAS MEDICAL CENTER
NPI Enumeration Date01/29/2007

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
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
CHARLOTTE PEDIATRIC CLINIC MATTHEWS NC $1.76M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 19,983 $535K
2019 17,602 $615K
2020 13,684 $425K
2021 69,056 $972K
2022 142,459 $1.27M
2023 143,911 $1.26M
2024 172,112 $1.35M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99199 Unlisted special service, procedure or report 473,994 313,168 $2.47M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 26,870 23,875 $1.69M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 38,517 33,444 $1.67M
99215 Prolong outpt/office vis 1,698 1,504 $114K
59430 1,250 1,157 $99K
99442 2,259 1,735 $63K
S0281 Medical home program, comprehensive care coordination and planning, maintenance of plan 558 476 $62K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,312 1,969 $44K
99443 938 745 $40K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 5,219 4,695 $24K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 7,332 6,826 $23K
99401 1,160 969 $21K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 5,771 5,407 $19K
S0280 Medical home program, comprehensive care coordination and planning, initial plan 383 345 $17K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2,685 2,459 $12K
99381 490 415 $10K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 82 59 $9K
99232 Subsequent hospital care, per day, moderate complexity 141 136 $8K
99441 525 402 $7K
96161 5,934 5,014 $6K
59025 Fetal non-stress test 259 139 $5K
99238 Hospital discharge day management, 30 minutes or less 97 94 $5K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 87 77 $4K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 65 48 $4K
0054A 27 20 $2K
99231 Subsequent hospital care, per day, straightforward or low complexity 34 31 $1K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 47 32 $898.22
76801 13 12 $364.91
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 17 12 $200.50
96160 43 40 $44.88