Medicaid Provider Spending

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

CAROLINAS PHYSICIANS NETWORK INC

NPI: 1700228418 · SHELBY, NC 28150 · Registered Dietitian · NPI assigned 07/23/2013

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

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

$29.64M
Total Medicaid Paid
1,525,190
Total Claims
1,172,043
Beneficiaries
89
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRISSMILLER, SCOTT (ENTERPRISE EVP)
Parent OrganizationCAROLINAS PHYSICIANS NETWORK INC
NPI Enumeration Date07/23/2013

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 98,245 $3.07M
2019 105,726 $3.98M
2020 93,566 $3.24M
2021 208,200 $4.60M
2022 312,234 $5.13M
2023 346,752 $5.05M
2024 360,467 $4.57M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 119,753 104,295 $7.27M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 68,697 61,216 $6.21M
99199 Unlisted special service, procedure or report 672,529 429,785 $3.58M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 31,393 25,680 $2.68M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 26,721 22,206 $2.33M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 16,739 14,951 $1.53M
90472 Immunization administration, each additional vaccine (list separately) 29,918 25,116 $873K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 47,698 40,942 $861K
90460 Immunization administration through 18 years of age via any route, first or only component 17,633 15,687 $830K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 7,549 6,554 $741K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 9,338 8,577 $564K
85027 56,594 49,425 $408K
96110 Developmental screening, with scoring and documentation, per standardized instrument 42,355 36,258 $194K
54150 1,218 1,006 $170K
99215 Prolong outpt/office vis 1,301 1,174 $163K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 3,455 2,945 $153K
96127 32,775 29,189 $126K
90474 6,800 5,776 $121K
D0145 Oral evaluation for a patient under three years of age 3,143 2,768 $100K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 2,908 2,685 $76K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 5,822 5,283 $75K
83655 5,241 4,583 $71K
99051 2,122 2,036 $51K
D1206 Topical application of fluoride varnish 3,128 2,752 $44K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,068 891 $39K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 2,104 1,236 $27K
92551 36,735 32,663 $26K
0071A 567 365 $24K
99422 813 463 $22K
0001A 508 325 $21K
0072A 462 313 $20K
90677 2,571 2,483 $19K
90651 2,362 2,101 $19K
0002A 342 268 $17K
90791 Psychiatric diagnostic evaluation 164 163 $16K
87807 1,177 940 $14K
97802 218 205 $14K
90847 Family psychotherapy with the patient present, 50 minutes 201 183 $13K
96161 3,680 3,386 $12K
90734 1,687 1,493 $10K
99173 37,730 33,489 $10K
97803 249 240 $9K
90686 15,013 13,542 $8K
90834 Psychotherapy, 45 minutes with patient 129 105 $8K
99050 355 327 $8K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 195 159 $7K
95117 630 269 $6K
80061 Lipid panel 359 322 $5K
99423 120 70 $5K
90633 7,199 6,383 $3K
90620 221 183 $3K
0052A 50 39 $3K
99381 38 25 $3K
0054A 40 33 $2K
0082A 23 13 $1K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 135 113 $1K
90670 18,370 15,427 $1K
36415 Collection of venous blood by venipuncture 417 313 $1K
81003 436 388 $988.16
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 68 48 $917.97
0051A 18 12 $847.60
0081A 21 12 $845.65
90715 313 296 $749.56
90710 4,824 4,232 $747.77
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) 227 219 $690.68
99177 1,458 1,306 $548.81
90723 13,622 11,687 $373.99
90461 13 13 $214.50
96160 56 56 $213.11
36416 8,935 6,541 $197.50
90647 12,955 11,233 $112.20
88720 19 14 $104.78
90656 1,109 1,054 $97.94
90680 9,779 8,441 $90.61
90696 484 422 $58.08
85025 Blood count; complete (CBC), automated, and automated differential WBC count 12 12 $28.74
1159F 54,558 47,339 $1.76
3078F 12,999 11,726 $0.00
1160F 32,419 29,513 $0.00
91300 115 84 $0.00
90700 276 241 $0.00
91308 115 69 $0.00
90685 13 12 $0.00
3074F 13,496 12,180 $0.00
3008F 4,979 4,808 $0.00
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 52 44 $0.00
91307 773 423 $0.00
91305 230 147 $0.00
3079F 54 52 $0.00