Medicaid Provider Spending

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

THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY

NPI: 1730516196 · CONCORD, NC 28025 · Obstetrics Physician · NPI assigned 10/01/2013

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

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

$602K
Total Medicaid Paid
44,384
Total Claims
30,656
Beneficiaries
27
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRISSMILLER, SCOTT (ENTERPRISE EVP)
Parent OrganizationTHE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
NPI Enumeration Date10/01/2013

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 1,381 $36K
2019 1,393 $44K
2020 722 $27K
2021 5,600 $88K
2022 11,919 $142K
2023 13,535 $172K
2024 9,834 $92K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99199 Unlisted special service, procedure or report 27,969 17,410 $174K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,730 1,422 $126K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,480 2,099 $115K
S0280 Medical home program, comprehensive care coordination and planning, initial plan 935 811 $41K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 499 382 $39K
59025 Fetal non-stress test 1,615 1,024 $36K
J1050 Injection, medroxyprogesterone acetate, 1 mg 692 558 $28K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,482 1,053 $17K
81025 1,625 1,284 $10K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 138 114 $4K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 52 44 $4K
76830 Ultrasound, transvaginal 43 36 $3K
59430 13 13 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 85 75 $1K
Q0112 All potassium hydroxide (koh) preparations 99 86 $500.41
Q0111 Wet mounts, including preparations of vaginal, cervical or skin specimens 100 86 $423.30
90686 38 33 $331.00
36415 Collection of venous blood by venipuncture 46 35 $94.66
85018 12 12 $29.27
1160F 757 693 $0.00
1159F 1,665 1,414 $0.00
3078F 817 698 $0.00
3074F 1,220 1,031 $0.00
3008F 90 86 $0.00
3079F 44 36 $0.00
0500F 126 109 $0.00
3044F 12 12 $0.00