Medicaid Provider Spending

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

PEDIATRIC ENDOCRINOLOGY & DIABETES SPECIALISTS

NPI: 1679582134 · CHARLOTTE, NC 28211 · Pediatric Endocrinology Physician · NPI assigned 08/05/2006

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

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

$2.27M
Total Medicaid Paid
46,193
Total Claims
41,632
Beneficiaries
27
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRISSMILLER, SCOTT (ENTERPRISE EVP)
Parent OrganizationPEDIATRIC ENDOCRINOLOGY & DIABETES SPECIALISTS
NPI Enumeration Date08/05/2006

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
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
CHARLOTTE PEDIATRIC CLINIC MATTHEWS NC $1.76M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 6,591 $258K
2019 6,398 $299K
2020 4,531 $260K
2021 6,333 $375K
2022 7,025 $379K
2023 7,572 $349K
2024 7,743 $347K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 16,508 14,968 $1.45M
99244 Office or other outpatient consultation, moderate to high complexity 2,156 1,781 $323K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,351 2,090 $140K
99215 Prolong outpt/office vis 933 816 $115K
83036 Hemoglobin; glycosylated (A1C) 10,931 9,811 $114K
95251 1,995 1,798 $50K
99245 179 172 $33K
36415 Collection of venous blood by venipuncture 4,702 4,346 $12K
99442 213 188 $10K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 60 45 $8K
99443 33 32 $2K
81003 945 907 $2K
99441 78 67 $2K
99243 21 12 $1K
82962 369 342 $962.75
96127 70 70 $278.90
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 12 12 $205.52
77072 25 25 $165.90
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 61 60 $122.54
36416 642 466 $68.63
3074F 1,015 927 $0.00
3008F 195 186 $0.00
90656 12 12 $0.00
1159F 1,260 1,156 $0.00
3078F 637 581 $0.00
1160F 777 750 $0.00
3046F 13 12 $0.00