Medicaid Provider Spending

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

SOUTH CHARLOTTE PRIMARY CARE

NPI: 1619904430 · CHARLOTTE, NC 28226 · Family Medicine Physician · NPI assigned 06/27/2006

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

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

$217K
Total Medicaid Paid
23,397
Total Claims
15,959
Beneficiaries
15
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRISSMILLER, SCOTT (ENTERPRISE EVP)
Parent OrganizationSOUTH CHARLOTTE PRIMARY CARE
NPI Enumeration Date06/27/2006

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 1,674 $56K
2019 82 $4K
2020 14 $1K
2021 2,734 $26K
2022 6,269 $41K
2023 5,677 $33K
2024 6,947 $57K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99199 Unlisted special service, procedure or report 20,517 13,618 $109K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,116 975 $70K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 686 573 $30K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 336 217 $4K
90472 Immunization administration, each additional vaccine (list separately) 69 43 $2K
96110 Developmental screening, with scoring and documentation, per standardized instrument 141 96 $761.03
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 43 40 $536.94
96127 97 65 $276.25
36415 Collection of venous blood by venipuncture 68 59 $132.30
90686 24 13 $16.55
99173 16 14 $1.00
92551 15 12 $1.00
1160F 111 97 $0.00
1159F 127 109 $0.00
3008F 31 28 $0.00