Medicaid Provider Spending

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

CAROLINAS PHYSICIANS NETWORK INC

NPI: 1740299130 · CHARLOTTE, NC 28211 · Pediatrics Physician · NPI assigned 08/05/2006

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

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

$1.52M
Total Medicaid Paid
114,336
Total Claims
81,011
Beneficiaries
34
Codes Billed
2018-01
First Month
2024-09
Last Month

Provider Details

Authorized OfficialRISSMILLER, SCOTT (ENTERPRISE EVP)
Parent OrganizationCAROLINAS PHYSICIANS NETWORK INC
NPI Enumeration Date08/05/2006

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 10,561 $277K
2019 11,539 $320K
2020 9,806 $279K
2021 19,843 $305K
2022 23,335 $157K
2023 21,603 $103K
2024 17,649 $82K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99199 Unlisted special service, procedure or report 71,693 46,789 $376K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,911 3,376 $223K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,011 2,441 $222K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,883 1,641 $151K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,927 1,432 $132K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 6,512 4,987 $103K
90472 Immunization administration, each additional vaccine (list separately) 3,473 2,657 $101K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 884 759 $70K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 350 267 $30K
D0145 Oral evaluation for a patient under three years of age 940 766 $25K
96110 Developmental screening, with scoring and documentation, per standardized instrument 3,620 2,620 $19K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 367 319 $13K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 395 200 $13K
D1206 Topical application of fluoride varnish 938 766 $11K
90474 543 495 $10K
96127 2,337 1,964 $8K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 227 198 $6K
80061 Lipid panel 169 156 $3K
83655 205 110 $2K
90686 2,355 1,904 $1K
92551 1,510 1,303 $1K
96161 256 237 $825.01
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 15 12 $718.34
90651 29 27 $713.70
99173 2,254 1,937 $478.68
99441 14 12 $402.16
90734 35 25 $289.62
85018 862 612 $233.01
90633 198 125 $33.10
36416 45 29 $21.65
90670 1,447 1,113 $0.00
90723 687 620 $0.00
90680 568 522 $0.00
90647 676 590 $0.00