Medicaid Provider Spending

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

CAROLINAS PHYSICIANS NETWORK INC

NPI: 1619582343 · CHARLOTTE, NC 28216 · Pediatrics Physician · NPI assigned 09/10/2020

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

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

$3.89M
Total Medicaid Paid
204,925
Total Claims
156,704
Beneficiaries
56
Codes Billed
2020-12
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRISSMILLER, SCOTT (ENTERPRISE EVP)
Parent OrganizationCAROLINAS PHYSICIANS NETWORK INC
NPI Enumeration Date09/10/2020

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
2020 19 $1K
2021 19,502 $551K
2022 31,691 $823K
2023 58,280 $1.19M
2024 95,433 $1.33M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12,869 10,663 $815K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 7,836 5,953 $672K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 5,040 4,346 $493K
99199 Unlisted special service, procedure or report 94,630 62,787 $479K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,611 3,800 $424K
90460 Immunization administration through 18 years of age via any route, first or only component 6,433 5,730 $320K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,723 2,336 $258K
90472 Immunization administration, each additional vaccine (list separately) 3,664 2,950 $121K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 6,239 5,009 $109K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 646 556 $67K
96110 Developmental screening, with scoring and documentation, per standardized instrument 6,413 5,612 $21K
90474 920 769 $16K
90677 1,653 1,614 $16K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 187 168 $11K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 202 172 $9K
96127 2,461 2,080 $9K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 699 557 $9K
99383 78 67 $9K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 178 148 $7K
96161 1,681 1,304 $4K
0071A 118 61 $4K
99384 29 24 $3K
0072A 65 43 $3K
83655 189 180 $3K
90651 351 306 $2K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 434 350 $2K
90670 2,717 2,134 $1K
80061 Lipid panel 54 42 $875.01
0001A 26 16 $776.80
90734 106 89 $451.84
88720 88 68 $405.71
92552 380 370 $341.29
90686 2,216 1,845 $326.22
90723 2,925 2,505 $302.15
99173 962 890 $291.89
96160 89 81 $276.76
92551 257 243 $258.00
90680 2,214 1,921 $190.42
85018 283 272 $149.55
90633 1,162 1,033 $110.86
90715 28 27 $89.36
90647 2,743 2,345 $88.05
90656 782 746 $80.12
90700 42 41 $34.50
36416 202 149 $15.80
99177 274 267 $2.61
1160F 6,372 5,849 $0.00
1159F 10,572 9,153 $0.00
3078F 3,844 3,435 $0.00
90707 424 363 $0.00
90710 34 27 $0.00
3074F 3,996 3,576 $0.00
3008F 1,226 1,191 $0.00
90696 32 25 $0.00
90716 402 344 $0.00
91307 124 72 $0.00