Medicaid Provider Spending

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

CHARLOTTE PEDIATRIC CLINIC

NPI: 1710914171 · MATTHEWS, NC 28105 · Pediatrics Physician · NPI assigned 06/28/2006

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

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

$1.76M
Total Medicaid Paid
139,191
Total Claims
103,094
Beneficiaries
43
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRISSMILLER, SCOTT (ENTERPRISE EVP)
Parent OrganizationCHARLOTTE PEDIATRIC CLINIC
NPI Enumeration Date06/28/2006

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 2,842 $83K
2019 3,924 $110K
2020 3,648 $96K
2021 15,530 $232K
2022 29,484 $385K
2023 38,805 $438K
2024 44,958 $411K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 9,785 8,282 $549K
99199 Unlisted special service, procedure or report 90,504 62,103 $451K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,348 1,987 $196K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,739 1,437 $137K
90460 Immunization administration through 18 years of age via any route, first or only component 2,251 2,000 $108K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,113 935 $91K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 4,653 3,495 $74K
90472 Immunization administration, each additional vaccine (list separately) 1,552 1,124 $42K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 409 334 $31K
96110 Developmental screening, with scoring and documentation, per standardized instrument 4,553 3,797 $17K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 361 312 $12K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 138 103 $10K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 166 143 $10K
96127 1,825 1,525 $6K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 110 103 $5K
0071A 114 66 $4K
99401 145 117 $3K
0072A 37 23 $2K
92551 1,333 1,138 $1K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 44 41 $1K
90686 1,976 1,563 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 33 29 $466.29
99173 1,272 1,053 $398.55
90677 191 174 $268.63
85025 Blood count; complete (CBC), automated, and automated differential WBC count 69 61 $268.53
90474 16 12 $254.58
90670 531 426 $232.45
87807 12 12 $155.43
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) 30 30 $100.26
96161 34 27 $97.28
90647 197 168 $28.96
81003 14 14 $11.11
36416 21 14 $3.16
3078F 938 845 $0.00
1159F 5,005 4,427 $0.00
1160F 3,198 2,957 $0.00
90633 59 54 $0.00
3008F 506 487 $0.00
3074F 1,014 914 $0.00
90680 224 196 $0.00
90723 316 266 $0.00
91307 91 55 $0.00
90656 264 245 $0.00