Medicaid Provider Spending

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

CAROLINAS PHYSICIANS NETWORK INC

NPI: 1700079225 · MATTHEWS, NC 28105 · Internal Medicine Physician · NPI assigned 08/20/2007

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

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

$527K
Total Medicaid Paid
13,957
Total Claims
11,537
Beneficiaries
17
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRISSMILLER, SCOTT (ENTERPRISE EVP)
Parent OrganizationCAROLINAS PHYSICIANS NETWORK INC
NPI Enumeration Date08/20/2007

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 778 $38K
2019 969 $47K
2020 457 $20K
2021 1,979 $70K
2022 2,275 $115K
2023 3,797 $122K
2024 3,702 $115K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,078 2,707 $217K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,632 1,947 $129K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,744 1,279 $72K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 686 569 $38K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 447 375 $33K
99051 1,125 827 $20K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 89 65 $8K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 601 543 $7K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 75 69 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 18 14 $593.29
71046 Radiologic examination, chest; 2 views 13 13 $189.52
99199 Unlisted special service, procedure or report 15 15 $75.00
1159F 1,296 1,160 $0.00
3078F 582 520 $0.00
1160F 812 765 $0.00
3074F 696 622 $0.00
3008F 48 47 $0.00