Medicaid Provider Spending

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

CAROLINAS PHYSICIANS NETWORK INC

NPI: 1770925703 · SHELBY, NC 28152 · Internal Medicine Physician · NPI assigned 07/18/2013

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

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

$3.77M
Total Medicaid Paid
97,994
Total Claims
81,484
Beneficiaries
22
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRISSMILLER, SCOTT (ENTERPRISE EVP)
Parent OrganizationCAROLINAS PHYSICIANS NETWORK INC
NPI Enumeration Date07/18/2013

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 5,286 $266K
2019 8,484 $450K
2020 8,540 $372K
2021 15,784 $646K
2022 17,204 $774K
2023 21,688 $659K
2024 21,008 $599K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 20,085 18,018 $1.46M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 22,397 17,281 $1.11M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 4,254 3,361 $306K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 7,439 5,408 $297K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 3,580 2,985 $196K
99051 8,356 7,327 $185K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 6,931 5,953 $84K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 678 629 $72K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 3,696 2,525 $42K
71046 Radiologic examination, chest; 2 views 136 130 $2K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 201 187 $1K
81003 435 372 $874.37
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 40 37 $526.59
36415 Collection of venous blood by venipuncture 173 162 $361.80
1160F 4,820 4,355 $137.55
1159F 7,124 6,186 $137.55
3078F 3,022 2,572 $0.00
3074F 3,643 3,112 $0.00
3079F 472 412 $0.00
3008F 384 351 $0.00
2010F 87 83 $0.00
3044F 41 38 $0.00