Physician
Carolinas Medical Center
Carolinas Medical Center was paid $52.97M by Medicaid between Jan 2018 and Dec 2024, across 120 billing codes. Its largest line is 99284, emergency room visit (serious) — 16% of everything it billed.
33Billing provider infoCAROLINAS MEDICAL CENTER
CHARLOTTE, NC 28204
CHARLOTTE, NC 28204
33aNPI1699979732assigned 06/13/2007
33bProvider typeEndocrinology, Diabetes & Metabolism Physician
28Total paid$52.97M
24GClaims709,003
24DCodes billed120
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Endocrinology, Diabetes & Metabolism Physician providers in North Carolina
Rank by total paid#1 of 49
Median peer was paid$33K
This provider vs. median1,619×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official RISSMILLER, SCOTT controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | 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 | |
| 2024incomplete | 99,841 | $8.18M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 16% | 102,404 | 91,165 | $8.50M |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 13% | 63,837 | 55,130 | $6.79M |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 8.0% | 92,431 | 33,271 | $4.24M |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 7.5% | 67,015 | 60,174 | $3.95M |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 6.1% | 36,145 | 29,678 | $3.22M |
| 99469 | Subsequent inpatient neonatal critical care, per day, 28 days or younger | 6.0% | 11,679 | 3,308 | $3.17M |
| 99479 | Subsequent intensive care, per day, very low birth weight infant | 4.5% | 26,367 | 7,949 | $2.40M |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 4.5% | 34,857 | 13,654 | $2.37M |
| 99480 | Subsequent intensive care, per day, low birth weight infant | 3.7% | 23,663 | 6,659 | $1.98M |
| 99472 | Subsequent inpatient pediatric critical care, per day, 2-5 years | 3.6% | 6,939 | 1,777 | $1.92M |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 3.6% | 14,397 | 5,914 | $1.91M |
| 99460 | 2.8% | 20,577 | 18,363 | $1.47M |
108 more codes
| 99239 | Hospital discharge day management, more than 30 minutes | 2.7% | 17,525 | $1.42M |
| 99238 | Hospital discharge day management, 30 minutes or less | 2.3% | 20,838 | $1.22M |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 2.3% | 8,858 | $1.21M |
| 99283 | Emergency room visit (moderate) | 1.9% | 23,027 | $1.02M |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 1.3% | 21,335 | $685K |
| 99245 | 1.1% | 3,874 | $598K | |
| 95720 | <1% | 3,767 | $449K | |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 12,571 | $426K |
| 95951 | <1% | 2,310 | $309K | |
| 99417 | Prolong home eval add 15m | <1% | 1,999 | $307K |
| 99254 | <1% | 2,283 | $243K | |
| 99462 | <1% | 7,127 | $223K | |
| 64642 | <1% | 3,405 | $218K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 2,052 | $210K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 8,058 | $209K |
| 99205 | Prolong outpt/office vis | <1% | 1,193 | $192K |
| 64643 | <1% | 2,619 | $158K | |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 1,425 | $157K |
| 99292 | <1% | 1,553 | $153K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 1,306 | $150K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 4,603 | $135K |
| 99499 | <1% | 1,020 | $109K | |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | <1% | 1,560 | $104K |
| 99223 | Prolong inpt eval add15 m | <1% | 753 | $103K |
| 99468 | <1% | 145 | $91K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 20,965 | $80K |
| 99243 | <1% | 876 | $71K | |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 2,321 | $61K |
| 99477 | <1% | 197 | $54K | |
| 99221 | <1% | 680 | $51K | |
| 99442 | <1% | 2,293 | $48K | |
| 99443 | <1% | 1,214 | $45K | |
| 95782 | <1% | 477 | $43K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 1,049 | $42K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 428 | $41K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 1,047 | $38K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 613 | $36K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,281 | $28K |
| 59025 | Fetal non-stress test | <1% | 1,375 | $26K |
| 94375 | <1% | 2,271 | $22K | |
| 43762 | <1% | 549 | $21K | |
| 99225 | <1% | 363 | $18K | |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | <1% | 28 | $18K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 581 | $15K |
| 94010 | <1% | 1,548 | $13K | |
| 99255 | <1% | 113 | $12K | |
| 99471 | <1% | 20 | $12K | |
| 20610 | <1% | 452 | $12K | |
| 99242 | <1% | 228 | $11K | |
| 99356 | <1% | 183 | $8K | |
| 76820 | <1% | 453 | $8K | |
| 99219 | <1% | 72 | $7K | |
| 90837 | Psychotherapy session, about an hour | <1% | 148 | $7K |
| 51705 | <1% | 215 | $6K | |
| 95816 | <1% | 280 | $6K | |
| 99464 | <1% | 98 | $5K | |
| 99217 | <1% | 83 | $5K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 1,039 | $5K |
| 99441 | <1% | 514 | $4K | |
| 99236 | Prolong inpt eval add15 m | <1% | 35 | $4K |
| 91200 | <1% | 298 | $3K | |
| 51797 | <1% | 186 | $3K | |
| 93297 | <1% | 368 | $3K | |
| 99253 | <1% | 61 | $3K | |
| 99220 | <1% | 26 | $3K | |
| S0280 | Medical home program, comprehensive care coordination and planning, initial plan | <1% | 139 | $3K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 126 | $3K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 804 | $3K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 15 | $3K |
| 81003 | <1% | 1,748 | $2K | |
| 52287 | <1% | 29 | $2K | |
| 99235 | <1% | 14 | $2K | |
| 96161 | <1% | 794 | $2K | |
| 93750 | <1% | 120 | $2K | |
| 51784 | <1% | 79 | $2K | |
| 31624 | <1% | 19 | $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) | <1% | 886 | $1K |
| 51741 | <1% | 72 | $1K | |
| 99463 | <1% | 12 | $1K | |
| 96158 | <1% | 41 | $1K | |
| 81001 | <1% | 317 | $1K | |
| 99241 | <1% | 44 | $1K | |
| 99252 | <1% | 36 | $956.36 | |
| 0054A | <1% | 16 | $910.00 | |
| 94060 | <1% | 44 | $871.84 | |
| 51600 | <1% | 48 | $806.65 | |
| 76000 | <1% | 36 | $737.60 | |
| 93790 | <1% | 44 | $583.72 | |
| 51728 | <1% | 13 | $527.96 | |
| 94729 | <1% | 48 | $414.95 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 21 | $374.91 |
| 94726 | <1% | 24 | $332.94 | |
| 51798 | <1% | 53 | $330.91 | |
| 95873 | <1% | 41 | $316.27 | |
| 95874 | <1% | 41 | $277.75 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 106 | $205.68 |
| 51700 | <1% | 21 | $191.14 | |
| 74430 | <1% | 36 | $170.68 | |
| 93272 | <1% | 17 | $140.00 | |
| 74420 | <1% | 18 | $122.32 | |
| 90686 | <1% | 21 | $38.03 | |
| 81002 | <1% | 12 | $15.75 | |
| 1159F | 0% | 167 | $0.00 | |
| G9919 | Screening performed and positive and provision of recommendations | 0% | 30 | $0.00 |
| 1160F | 0% | 167 | $0.00 | |
| 99024 | 0% | 2,045 | $0.00 | |
| 3008F | 0% | 67 | $0.00 | |
| 3044F | 0% | 27 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialRISSMILLER, SCOTT (ENTERPRISE EVP)
Parent organizationCAROLINAS MEDICAL CENTER
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.