Medicaid Provider Spending

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

THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY

NPI: 1790123081 · CONCORD, NC 28025 · Maternal & Fetal Medicine Physician · NPI assigned 06/07/2013

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

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

$4.02M
Total Medicaid Paid
76,400
Total Claims
60,589
Beneficiaries
25
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRISSMILLER, SCOTT (ENTERPRISE EVP)
Parent OrganizationTHE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
NPI Enumeration Date06/07/2013

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 7,891 $473K
2019 8,130 $488K
2020 6,262 $442K
2021 10,585 $734K
2022 11,271 $696K
2023 15,369 $592K
2024 16,892 $600K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 17,850 13,729 $1.25M
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 7,644 6,551 $1000K
76819 Fetal biophysical profile; without non-stress testing 8,646 5,975 $483K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,841 6,264 $357K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 5,668 4,749 $158K
99244 Office or other outpatient consultation, moderate to high complexity 1,291 1,017 $149K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,152 1,688 $142K
99243 1,689 1,365 $138K
99242 1,174 1,091 $73K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 1,111 906 $73K
76820 2,290 1,178 $66K
76813 478 409 $40K
76801 384 344 $33K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 545 388 $28K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,424 1,104 $20K
99241 306 300 $10K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 28 18 $2K
96040 17 12 $217.63
3044F 1,625 1,443 $0.00
3008F 895 825 $0.00
3079F 205 174 $0.00
3074F 3,642 3,030 $0.00
1159F 3,831 3,188 $0.00
3078F 3,313 2,775 $0.00
1160F 2,351 2,066 $0.00