Medicaid Provider Spending

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

CAROLINAS PHYSICIANS NETWORK INC

NPI: 1639425796 · CHARLOTTE, NC 28211 · Sports Medicine (Internal Medicine) Physician · NPI assigned 07/26/2012

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

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

$40K
Total Medicaid Paid
1,102
Total Claims
947
Beneficiaries
11
Codes Billed
2018-03
First Month
2024-11
Last Month

Provider Details

Authorized OfficialRISSMILLER, SCOTT (PRESIDENT)
Parent OrganizationCAROLINAS PHYSICIANS NETWORK INC
NPI Enumeration Date07/26/2012

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 71 $1K
2019 16 $1K
2020 33 $2K
2021 57 $966.06
2022 124 $2K
2023 330 $10K
2024 471 $23K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 260 234 $21K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 197 175 $11K
99244 Office or other outpatient consultation, moderate to high complexity 34 33 $4K
99243 29 28 $3K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 208 176 $661.73
20610 26 12 $384.38
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 67 51 $166.71
J1100 Injection, dexamethasone sodium phosphate, 1 mg 12 12 $12.67
1159F 173 133 $0.00
1160F 59 56 $0.00
3008F 37 37 $0.00