Medicaid Provider Spending

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

CAROLINAS PHYSICIANS NETWORK INC

NPI: 1639366214 · CHARLOTTE, NC 28227 · Internal Medicine Physician · NPI assigned 09/27/2007

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

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

$1.06M
Total Medicaid Paid
28,985
Total Claims
24,710
Beneficiaries
21
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRISSMILLER, SCOTT (ENTERPRISE EVP)
Parent OrganizationCAROLINAS PHYSICIANS NETWORK INC
NPI Enumeration Date09/27/2007

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
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 1,716 $84K
2019 1,307 $69K
2020 1,576 $44K
2021 5,498 $107K
2022 4,668 $236K
2023 7,304 $261K
2024 6,916 $256K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,653 5,744 $496K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,815 2,270 $142K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 3,081 2,497 $138K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 1,952 1,652 $112K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 668 539 $51K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 234 185 $26K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,071 1,806 $26K
99051 1,044 996 $26K
99199 Unlisted special service, procedure or report 3,311 3,311 $18K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,628 915 $16K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 197 137 $5K
71046 Radiologic examination, chest; 2 views 85 82 $1K
87807 17 14 $212.23
81003 84 76 $158.19
3074F 1,115 948 $0.00
3079F 30 25 $0.00
3044F 83 78 $0.00
3008F 139 127 $0.00
3078F 1,050 892 $0.00
1160F 964 890 $0.00
1159F 1,764 1,526 $0.00