Medicaid Provider Spending

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

CAROLINAS MEDICAL CENTER

NPI: 1699979732 · CHARLOTTE, NC 28204 · Endocrinology, Diabetes & Metabolism Physician · NPI assigned 06/13/2007

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

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

$52.97M
Total Medicaid Paid
709,003
Total Claims
499,744
Beneficiaries
120
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRISSMILLER, SCOTT (ENTERPRISE EVP)
Parent OrganizationCAROLINAS MEDICAL CENTER
NPI Enumeration Date06/13/2007

Related Entities

Other providers sharing the same authorized official: RISSMILLER, SCOTT

ProviderCityStateTotal Paid
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
CHARLOTTE PEDIATRIC CLINIC MATTHEWS NC $1.76M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 112,383 $6.07M
2019 92,897 $6.78M
2020 73,376 $5.52M
2021 99,097 $7.52M
2022 111,446 $9.15M
2023 119,963 $9.74M
2024 99,841 $8.18M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 102,404 91,165 $8.50M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 63,837 55,130 $6.79M
99232 Subsequent hospital care, per day, moderate complexity 92,431 33,271 $4.24M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 67,015 60,174 $3.95M
99215 Prolong outpt/office vis 36,145 29,678 $3.22M
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger 11,679 3,308 $3.17M
99479 Subsequent intensive care, per day, very low birth weight infant 26,367 7,949 $2.40M
99233 Prolong inpt eval add15 m 34,857 13,654 $2.37M
99480 Subsequent intensive care, per day, low birth weight infant 23,663 6,659 $1.98M
99472 Subsequent inpatient pediatric critical care, per day, 2-5 years 6,939 1,777 $1.92M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 14,397 5,914 $1.91M
99460 20,577 18,363 $1.47M
99239 Hospital discharge day management, more than 30 minutes 17,525 14,480 $1.42M
99238 Hospital discharge day management, 30 minutes or less 20,838 18,986 $1.22M
99244 Office or other outpatient consultation, moderate to high complexity 8,858 7,672 $1.21M
99283 Emergency department visit for the evaluation and management, moderate severity 23,027 21,667 $1.02M
99282 Emergency department visit for the evaluation and management, low to moderate severity 21,335 17,666 $685K
99245 3,874 3,311 $598K
95720 3,767 1,939 $449K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12,571 11,114 $426K
95951 2,310 943 $309K
99417 Prolong home eval add 15m 1,999 1,321 $307K
99254 2,283 1,956 $243K
99462 7,127 5,683 $223K
64642 3,405 3,047 $218K
99222 Initial hospital care, per day, moderate complexity 2,052 1,802 $210K
99231 Subsequent hospital care, per day, straightforward or low complexity 8,058 4,434 $209K
99205 Prolong outpt/office vis 1,193 1,068 $192K
64643 2,619 2,266 $158K
95810 Polysomnography; sleep staging with 4 or more additional parameters 1,425 1,254 $157K
99292 1,553 567 $153K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,306 1,157 $150K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 4,603 3,754 $135K
99499 1,020 637 $109K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 1,560 1,428 $104K
99223 Prolong inpt eval add15 m 753 624 $103K
99468 145 116 $91K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 20,965 17,871 $80K
99243 876 822 $71K
76819 Fetal biophysical profile; without non-stress testing 2,321 1,700 $61K
99477 197 151 $54K
99221 680 521 $51K
99442 2,293 1,847 $48K
99443 1,214 969 $45K
95782 477 430 $43K
99309 Subsequent nursing facility care, per day, low to moderate complexity 1,049 301 $42K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 428 357 $41K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 1,047 1,007 $38K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 613 580 $36K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,281 1,144 $28K
59025 Fetal non-stress test 1,375 637 $26K
94375 2,271 1,983 $22K
43762 549 502 $21K
99225 363 97 $18K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 28 26 $18K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 581 459 $15K
94010 1,548 1,386 $13K
99255 113 79 $12K
99471 20 13 $12K
20610 452 381 $12K
99242 228 222 $11K
99356 183 65 $8K
76820 453 274 $8K
99219 72 70 $7K
90837 Psychotherapy, 53 minutes with patient 148 49 $7K
51705 215 182 $6K
95816 280 245 $6K
99464 98 79 $5K
99217 83 83 $5K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,039 965 $5K
99441 514 432 $4K
99236 Prolong inpt eval add15 m 35 13 $4K
91200 298 266 $3K
51797 186 161 $3K
93297 368 345 $3K
99253 61 42 $3K
99220 26 25 $3K
S0280 Medical home program, comprehensive care coordination and planning, initial plan 139 128 $3K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 126 88 $3K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 804 736 $3K
45380 Colonoscopy, flexible; with biopsy, single or multiple 15 12 $3K
81003 1,748 1,554 $2K
52287 29 26 $2K
99235 14 13 $2K
96161 794 728 $2K
93750 120 70 $2K
51784 79 63 $2K
31624 19 14 $2K
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) 886 845 $1K
51741 72 64 $1K
99463 12 12 $1K
96158 41 14 $1K
81001 317 271 $1K
99241 44 44 $1K
99252 36 29 $956.36
0054A 16 12 $910.00
94060 44 41 $871.84
51600 48 37 $806.65
76000 36 24 $737.60
93790 44 42 $583.72
51728 13 13 $527.96
94729 48 48 $414.95
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 21 16 $374.91
94726 24 24 $332.94
51798 53 50 $330.91
95873 41 38 $316.27
95874 41 29 $277.75
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 106 98 $205.68
51700 21 14 $191.14
74430 36 24 $170.68
93272 17 13 $140.00
74420 18 13 $122.32
90686 21 16 $38.03
81002 12 12 $15.75
1159F 167 155 $0.00
G9919 Screening performed and positive and provision of recommendations 30 25 $0.00
1160F 167 155 $0.00
99024 2,045 1,329 $0.00
3008F 67 64 $0.00
3044F 27 26 $0.00