Medicaid Provider Spending

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

CAROLINAS PHYSICIANS NETWORK INC

NPI: 1811517170 · DENVER, NC 28037 · Sports Medicine (Family Medicine) Physician · NPI assigned 04/16/2020

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

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

$1.73M
Total Medicaid Paid
87,080
Total Claims
63,913
Beneficiaries
23
Codes Billed
2021-07
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRISSMILLER, SCOTT (ENTERPRISE EVP)
Parent OrganizationCAROLINAS PHYSICIANS NETWORK INC
NPI Enumeration Date04/16/2020

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
2021 4,161 $173K
2022 14,342 $437K
2023 26,162 $504K
2024 42,415 $618K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 23,192 18,127 $1.38M
99199 Unlisted special service, procedure or report 36,371 23,557 $197K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,782 2,026 $120K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 4,008 2,828 $22K
83036 Hemoglobin; glycosylated (A1C) 958 735 $6K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 28 25 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 216 161 $3K
36415 Collection of venous blood by venipuncture 726 560 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 23 20 $581.37
99406 65 52 $498.34
99442 17 13 $457.80
90656 29 27 $414.79
0002A 20 15 $391.73
90686 39 24 $188.01
85027 30 25 $145.40
3044F 415 362 $0.00
3074F 4,303 3,550 $0.00
3008F 1,065 981 $0.00
3079F 282 239 $0.00
3075F 13 12 $0.00
1160F 3,413 3,023 $0.00
3078F 3,456 2,856 $0.00
1159F 5,629 4,695 $0.00