Medicaid Provider Spending

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

CAROLINAS PHYSICIANS NETWORK INC

NPI: 1649611823 · SHELBY, NC 28152 · Obstetrics & Gynecology Physician · NPI assigned 07/16/2013

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

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

$278K
Total Medicaid Paid
18,634
Total Claims
12,691
Beneficiaries
24
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRISSMILLER, SCOTT (ENTERPRISE EVP)
Parent OrganizationCAROLINAS PHYSICIANS NETWORK INC
NPI Enumeration Date07/16/2013

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 465 $13K
2019 983 $19K
2020 699 $26K
2021 1,948 $44K
2022 3,804 $54K
2023 5,599 $69K
2024 5,136 $54K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,118 3,195 $185K
99199 Unlisted special service, procedure or report 9,737 5,572 $57K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 136 112 $10K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 105 81 $7K
81025 1,033 799 $6K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 62 44 $4K
S0281 Medical home program, comprehensive care coordination and planning, maintenance of plan 24 24 $3K
36415 Collection of venous blood by venipuncture 889 747 $2K
76801 16 13 $1K
96127 333 274 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 43 40 $510.00
S0280 Medical home program, comprehensive care coordination and planning, initial plan 12 12 $400.00
82950 59 51 $261.74
59430 19 13 $253.34
90686 15 13 $198.60
85018 13 12 $29.20
1159F 695 571 $0.00
1160F 358 327 $0.00
3078F 292 233 $0.00
3074F 433 345 $0.00
3008F 94 92 $0.00
0500F 59 40 $0.00
3079F 55 49 $0.00
3044F 34 32 $0.00