Medicaid Provider Spending

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

UNIVERSITY PEDIATRICS

NPI: 1841526837 · CHARLOTTE, NC 28269 · Pediatrics Physician · NPI assigned 10/26/2009

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

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

$3.22M
Total Medicaid Paid
215,447
Total Claims
158,386
Beneficiaries
43
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRISSMILLER, SCOTT (ENTERPRISE EVP)
Parent OrganizationUNIVERSITY PEDIATRICS
NPI Enumeration Date10/26/2009

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
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
CHARLOTTE PEDIATRIC CLINIC MATTHEWS NC $1.76M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,476 $197K
2019 6,149 $279K
2020 6,109 $239K
2021 27,209 $502K
2022 47,370 $634K
2023 58,775 $715K
2024 64,359 $657K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 15,036 13,199 $926K
99199 Unlisted special service, procedure or report 128,681 83,617 $668K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 5,459 4,221 $446K
90460 Immunization administration through 18 years of age via any route, first or only component 7,277 6,620 $359K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3,740 3,158 $343K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,377 1,172 $129K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,162 1,048 $104K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 4,919 3,649 $77K
90472 Immunization administration, each additional vaccine (list separately) 2,241 1,559 $60K
96110 Developmental screening, with scoring and documentation, per standardized instrument 7,380 6,541 $30K
D0145 Oral evaluation for a patient under three years of age 727 658 $26K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 155 126 $15K
96127 3,529 3,002 $13K
D1206 Topical application of fluoride varnish 728 659 $12K
90474 175 133 $3K
92551 1,737 1,478 $2K
0071A 44 28 $2K
90686 3,246 2,740 $2K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 27 26 $2K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 616 550 $2K
96161 411 354 $1K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 15 15 $718.34
90670 1,883 1,548 $456.64
99173 931 774 $442.75
80061 Lipid panel 39 18 $329.84
99177 1,065 939 $318.42
90723 949 800 $186.66
90680 695 585 $181.22
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 13 12 $172.32
90656 386 360 $97.75
90647 946 796 $55.12
3074F 2,626 2,359 $0.00
90677 482 473 $0.00
3008F 1,147 1,111 $0.00
91307 15 14 $0.00
36416 25 14 $0.00
90696 18 12 $0.00
1160F 4,795 4,473 $0.00
3078F 2,560 2,300 $0.00
1159F 7,896 7,013 $0.00
90633 249 195 $0.00
90710 32 25 $0.00
90734 13 12 $0.00