Medicaid Provider Spending

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

THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY

NPI: 1780011825 · CHARLOTTE, NC 28204 · Neurology with Special Qualifications in Child Neurology Physician · NPI assigned 10/03/2013

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

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

$1.03M
Total Medicaid Paid
10,862
Total Claims
9,545
Beneficiaries
28
Codes Billed
2018-01
First Month
2023-04
Last Month

Provider Details

Authorized OfficialRISSMILLER, SCOTT (ENTERPRISE EVP)
Parent OrganizationTHE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
NPI Enumeration Date10/03/2013

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 1,728 $136K
2019 2,088 $214K
2020 1,616 $152K
2021 2,216 $216K
2022 2,322 $224K
2023 892 $84K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,601 3,364 $274K
99244 Office or other outpatient consultation, moderate to high complexity 1,494 1,341 $207K
99215 Prolong outpt/office vis 1,408 1,267 $146K
95720 707 498 $102K
95951 281 188 $61K
99245 343 281 $55K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 955 891 $49K
99243 311 268 $27K
99443 331 289 $17K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 107 98 $14K
99205 Prolong outpt/office vis 92 79 $13K
99219 136 133 $13K
99217 222 206 $12K
95812 133 123 $5K
96158 99 40 $5K
99235 30 29 $5K
99232 Subsequent hospital care, per day, moderate complexity 89 52 $4K
99218 74 54 $4K
99254 25 25 $3K
99442 80 61 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 31 23 $2K
99233 Prolong inpt eval add15 m 30 17 $2K
99231 Subsequent hospital care, per day, straightforward or low complexity 60 38 $2K
99221 21 12 $1K
96159 37 13 $862.59
99225 15 14 $713.27
99199 Unlisted special service, procedure or report 129 129 $655.00
90837 Psychotherapy, 53 minutes with patient 21 12 $98.41