Medicaid Provider Spending

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

CAROLINAS PHYSICIANS NETWORK INC

NPI: 1639697790 · DAVIDSON, NC 28036 · Pediatrics Physician · NPI assigned 09/08/2017

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

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

$1.05M
Total Medicaid Paid
76,206
Total Claims
54,850
Beneficiaries
27
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRISSMILLER, SCOTT (ENTERPRISE EVP)
Parent OrganizationCAROLINAS PHYSICIANS NETWORK INC
NPI Enumeration Date09/08/2017

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 979 $36K
2019 1,805 $79K
2020 1,903 $65K
2021 9,056 $161K
2022 16,873 $240K
2023 21,905 $256K
2024 23,685 $217K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8,581 7,331 $521K
99199 Unlisted special service, procedure or report 49,465 31,898 $259K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,113 828 $93K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 743 611 $68K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,004 1,641 $35K
90460 Immunization administration through 18 years of age via any route, first or only component 749 661 $35K
90472 Immunization administration, each additional vaccine (list separately) 613 487 $18K
96110 Developmental screening, with scoring and documentation, per standardized instrument 2,380 1,998 $11K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 67 66 $4K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 34 31 $3K
96127 655 577 $2K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 29 23 $1K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 13 13 $1K
90686 734 654 $508.72
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 18 14 $254.34
92551 157 148 $55.52
99173 230 214 $48.12
1159F 4,170 3,624 $0.00
1160F 2,216 2,043 $0.00
3078F 817 732 $0.00
90670 119 87 $0.00
3074F 839 761 $0.00
3008F 261 256 $0.00
90656 78 73 $0.00
90723 58 37 $0.00
90647 47 30 $0.00
90680 16 12 $0.00