Medicaid Provider Spending

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

CAROLINAS PHYSICIANS NETWORK INC

NPI: 1821613480 · CONCORD, NC 28027 · Internal Medicine Physician · NPI assigned 06/10/2020

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

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

$577K
Total Medicaid Paid
15,629
Total Claims
11,896
Beneficiaries
19
Codes Billed
2020-09
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRISSMILLER, SCOTT (ENTERPRISE EVP)
Parent OrganizationCAROLINAS PHYSICIANS NETWORK INC
NPI Enumeration Date06/10/2020

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
2020 289 $13K
2021 2,800 $118K
2022 4,227 $173K
2023 3,975 $126K
2024 4,338 $147K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,302 2,568 $227K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,517 1,799 $118K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 2,476 1,725 $96K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 548 389 $53K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 931 634 $44K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 306 199 $20K
99051 480 354 $8K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 728 571 $8K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 108 74 $2K
99199 Unlisted special service, procedure or report 212 212 $1K
71046 Radiologic examination, chest; 2 views 12 12 $198.68
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 13 12 $33.42
81003 13 13 $21.73
3008F 182 173 $0.00
3074F 852 680 $0.00
3044F 45 41 $0.00
1159F 1,369 1,116 $0.00
3078F 839 680 $0.00
1160F 696 644 $0.00