Medicaid Provider Spending

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

CAROLINAS PHYSICIANS NETWORK INC

NPI: 1730709429 · CHARLOTTE, NC 28262 · Gynecology Physician · NPI assigned 04/22/2020

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

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

$458K
Total Medicaid Paid
35,818
Total Claims
23,425
Beneficiaries
29
Codes Billed
2021-03
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRISSMILLER, SCOTT (ENTERPRISE EVP)
Parent OrganizationCAROLINAS PHYSICIANS NETWORK INC
NPI Enumeration Date04/22/2020

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
2021 1,918 $16K
2022 7,061 $110K
2023 10,960 $167K
2024 15,879 $165K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99199 Unlisted special service, procedure or report 28,216 17,030 $161K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,637 1,389 $137K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,537 1,276 $81K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 733 631 $27K
54150 226 209 $26K
99222 Initial hospital care, per day, moderate complexity 221 178 $14K
81025 587 464 $4K
99219 20 15 $2K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 30 25 $1K
76830 Ultrasound, transvaginal 15 12 $1K
59025 Fetal non-stress test 63 48 $1K
99385 12 12 $970.92
99401 39 27 $946.31
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 25 12 $786.12
99459 58 55 $641.37
36415 Collection of venous blood by venipuncture 263 157 $453.40
87210 16 14 $62.62
96127 20 17 $59.72
82950 13 13 $51.28
81003 33 25 $43.97
85018 14 12 $29.75
1160F 581 517 $0.00
1159F 628 555 $0.00
3078F 132 121 $0.00
3074F 278 242 $0.00
0500F 83 63 $0.00
3008F 296 268 $0.00
3044F 28 26 $0.00
99024 14 12 $0.00