Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Carolinas Physicians Network INC

Carolinas Physicians Network INC was paid $59K by Medicaid between Dec 2019 and Dec 2024, across 12 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 80% of everything it billed.

33Billing provider infoCAROLINAS PHYSICIANS NETWORK INC
CHARLOTTE, NC 28277
33aNPI1629625785assigned 08/23/2019
28Total paid$59K
24GClaims1,290
24DCodes billed12
24AFirst – last monthDec 2019 – Dec 2024
Compared with peers

Next to other Internal Medicine Physician providers in North Carolina

Rank by total paid#326 of 616
Median peer was paid$74K
This provider vs. median0.8×

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

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
YearClaimsPaid
201912$291.28
202188$2K
2022250$13K
2023360$17K
2024incomplete580$26K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 80% 672 576 $47K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 10% 123 102 $6K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 4.1% 42 37 $2K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 3.7% 63 46 $2K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 29 22 $410.08
99051 <1% 12 12 $291.28
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 17 12 $197.82
99199 Unlisted special service, procedure or report <1% 19 19 $120.00
1160F 0% 99 89 $0.00
1159F 0% 157 133 $0.00
3078F 0% 32 26 $0.00
3074F 0% 25 24 $0.00

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
Same official

Other billing entities under RISSMILLER, SCOTT

Full network →
ProviderLocationPaid
Carolinas Medical CenterCharlotte, NC$52.97M
Cotswold Family MedicineCharlotte, NC$12.51M
Carolinas Physicians Network INC.Charlotte, NC$8.93M
Carolinas Physicians Network INCGastonia, NC$8.57M
Carolinas Physicians Network INCRock Hill, SC$8.47M
University PediatricsCharlotte, NC$8.22M
Carolinas Medical CenterCharlotte, NC$6.42M
Eastland Urgent CareCharlotte, NC$5.05M
Carolinas Physicians Network INCCharlotte, NC$4.24M
University PediatricsCharlotte, NC$3.22M
Carolinas Physicians Network INCFort Mill, SC$3.04M
Carolinas Physicians Network INCConcord, NC$2.91M
Carolinas Medical CenterCharlotte, NC$2.82M
Charlotte Pediatric ClinicCharlotte, NC$2.46M
Carolinas Physicians Network INCConcord, NC$2.38M
Pediatric Endocrinology & Diabetes SpecialistsCharlotte, NC$2.27M
Carolinas Physicians Network INCCharlotte, NC$2.06M
Carolinas Physicians Network INCKannapolis, NC$1.98M
Arboretum PediatricsCharlotte, NC$1.92M
Carolinas Physicians Network INCCharlotte, NC$1.91M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.