Medicaid Provider Spending

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

CHARLOTTE PEDIATRIC CLINIC

NPI: 1780911339 · CHARLOTTE, NC 28278 · Pediatrics Physician · NPI assigned 11/03/2009

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

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

$2.46M
Total Medicaid Paid
155,128
Total Claims
114,154
Beneficiaries
41
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRISSMILLER, SCOTT (ENTERPRISE EVP)
Parent OrganizationCHARLOTTE PEDIATRIC CLINIC
NPI Enumeration Date11/03/2009

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
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
CHARLOTTE PEDIATRIC CLINIC MATTHEWS NC $1.76M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,454 $90K
2019 7,017 $189K
2020 5,875 $164K
2021 19,300 $387K
2022 33,485 $467K
2023 41,827 $581K
2024 44,170 $579K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 11,454 9,895 $680K
99199 Unlisted special service, procedure or report 87,785 57,198 $449K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 4,907 4,062 $383K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,948 2,539 $241K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2,741 2,343 $239K
90460 Immunization administration through 18 years of age via any route, first or only component 3,013 2,719 $145K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 6,448 5,035 $99K
90472 Immunization administration, each additional vaccine (list separately) 3,087 2,336 $87K
96110 Developmental screening, with scoring and documentation, per standardized instrument 10,546 8,938 $47K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 320 285 $29K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 395 352 $24K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 256 214 $12K
96127 1,379 1,187 $6K
0071A 78 52 $3K
90474 168 134 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 185 152 $2K
0072A 48 36 $2K
96161 537 439 $2K
0001A 50 29 $2K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 48 47 $1K
0002A 25 17 $1K
90686 2,079 1,740 $723.90
83655 33 29 $429.81
92551 122 98 $293.52
90723 1,323 1,102 $195.05
85025 Blood count; complete (CBC), automated, and automated differential WBC count 61 57 $191.41
1160F 3,133 2,879 $118.57
1159F 5,507 4,795 $118.57
99173 192 149 $112.97
90656 264 252 $62.49
90633 190 156 $36.61
3078F 388 345 $0.00
90670 1,990 1,605 $0.00
91300 17 12 $0.00
99177 31 30 $0.00
3008F 400 384 $0.00
90647 896 726 $0.00
90680 970 814 $0.00
90677 568 540 $0.00
3074F 398 348 $0.00
91307 148 84 $0.00