Medicaid Provider Spending

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

CAROLINAS PHYSICIANS NETWORK INC

NPI: 1699023648 · CHARLOTTE, NC 28277 · Pediatric Adolescent Medicine Physician · NPI assigned 08/23/2012

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

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

$645K
Total Medicaid Paid
47,857
Total Claims
36,194
Beneficiaries
29
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRISSMILLER, SCOTT (ENTERPRISE EVP)
Parent OrganizationCAROLINAS PHYSICIANS NETWORK INC
NPI Enumeration Date08/23/2012

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 2,431 $68K
2019 1,936 $86K
2020 1,559 $50K
2021 5,047 $79K
2022 9,653 $104K
2023 12,329 $130K
2024 14,902 $128K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,925 3,418 $243K
99199 Unlisted special service, procedure or report 30,165 20,616 $150K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,345 1,159 $114K
90460 Immunization administration through 18 years of age via any route, first or only component 877 800 $37K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,454 1,268 $24K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 215 161 $14K
90472 Immunization administration, each additional vaccine (list separately) 417 354 $13K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 110 97 $10K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 106 99 $10K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,832 1,591 $7K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 133 121 $6K
96127 1,098 973 $5K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 72 66 $5K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 414 383 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 124 100 $1K
0071A 22 18 $987.40
92551 332 317 $678.11
90686 920 850 $546.18
99173 694 612 $310.82
3074F 333 306 $0.00
90656 88 83 $0.00
90647 15 12 $0.00
3008F 185 174 $0.00
90677 12 12 $0.00
1159F 1,601 1,376 $0.00
3078F 316 291 $0.00
1160F 1,000 896 $0.00
90670 37 26 $0.00
99177 15 15 $0.00