Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Carolinas Physicians Network INC

Carolinas Physicians Network INC was paid $5K by Medicaid between May 2018 and Mar 2022, across 4 billing codes. Its largest line is 99223, Prolong inpt eval add15 m — 39% of everything it billed.

33Billing provider infoCAROLINAS PHYSICIANS NETWORK INC
SHELBY, NC 28150
33aNPI1730519182assigned 11/21/2013
28Total paid$5K
24GClaims241
24DCodes billed4
24AFirst – last monthMay 2018 – Mar 2022
Compared with peers

Next to other Hospice and Palliative Medicine (Internal Medicine) Physician providers in North Carolina

Rank by total paid#12 of 16
Median peer was paid$9K
This provider vs. median0.5×

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

$0$500$1.0K2018201920202021202220232024
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
YearClaimsPaid
201898$2K
201954$1K
202062$1K
202227$173.96
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99223 Prolong inpt eval add15 m 39% 82 81 $2K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 28% 58 37 $1K
99222 Initial hospital care, per day, moderate complexity 23% 30 29 $1K
99497 11% 71 57 $495.02

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 PHYSICIANS NETWORK INC
Same official

Other billing entities under RISSMILLER, SCOTT

Full network →
ProviderLocationPaid
Carolinas Medical CenterCharlotte, NC$52.97M
Cotswold Family MedicineCharlotte, NC$12.51M
Carolinas Physicians Network INC.Charlotte, NC$8.93M
Carolinas Physicians Network INCGastonia, NC$8.57M
Carolinas Physicians Network INCRock Hill, SC$8.47M
University PediatricsCharlotte, NC$8.22M
Carolinas Medical CenterCharlotte, NC$6.42M
Eastland Urgent CareCharlotte, NC$5.05M
Carolinas Physicians Network INCCharlotte, NC$4.24M
University PediatricsCharlotte, NC$3.22M
Carolinas Physicians Network INCFort Mill, SC$3.04M
Carolinas Physicians Network INCConcord, NC$2.91M
Carolinas Medical CenterCharlotte, NC$2.82M
Charlotte Pediatric ClinicCharlotte, NC$2.46M
Carolinas Physicians Network INCConcord, NC$2.38M
Pediatric Endocrinology & Diabetes SpecialistsCharlotte, NC$2.27M
Carolinas Physicians Network INCCharlotte, NC$2.06M
Carolinas Physicians Network INCKannapolis, NC$1.98M
Arboretum PediatricsCharlotte, NC$1.92M
Carolinas Physicians Network INCCharlotte, NC$1.91M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.