Medicaid Provider Spending

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

PIEDMONT GYNECOLOGICAL AND OBSTETRICAL ASSOCIATES

NPI: 1780916486 · ROCK HILL, SC 29732 · Obstetrics & Gynecology Physician · NPI assigned 02/04/2010

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

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

$625K
Total Medicaid Paid
17,539
Total Claims
15,184
Beneficiaries
21
Codes Billed
2018-01
First Month
2023-07
Last Month

Provider Details

Authorized OfficialRISSMILLER, SCOTT (ENTERPRISE EVP)
Parent OrganizationPIEDMONT GYNECOLOGICAL AND OBSTETRICAL ASSOCIATES
NPI Enumeration Date02/04/2010

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 4,142 $122K
2019 5,006 $172K
2020 3,723 $152K
2021 4,064 $175K
2022 389 $3K
2023 215 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 9,286 7,783 $363K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,595 2,420 $154K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 562 525 $52K
54150 360 335 $23K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 58 55 $7K
85027 837 807 $6K
36415 Collection of venous blood by venipuncture 2,063 1,875 $6K
99199 Unlisted special service, procedure or report 699 362 $4K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 30 25 $3K
81025 332 308 $3K
85018 383 374 $1K
59025 Fetal non-stress test 36 29 $1K
99442 30 25 $789.60
99441 51 46 $735.05
90715 13 13 $554.16
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 42 41 $264.29
90686 15 15 $259.53
87210 59 59 $251.22
82950 26 26 $131.77
81003 50 49 $130.64
81015 12 12 $29.28