Medicaid Provider Spending

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

CAROLINAS PHYSICIANS NETWORK INC

NPI: 1841611530 · MONROE, NC 28110 · Internal Medicine Physician · NPI assigned 12/23/2013

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

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

$5.07M
Total Medicaid Paid
109,184
Total Claims
90,743
Beneficiaries
23
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRISSMILLER, SCOTT (ENTERPRISE EVP)
Parent OrganizationCAROLINAS PHYSICIANS NETWORK INC
NPI Enumeration Date12/23/2013

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 10,884 $510K
2019 11,068 $576K
2020 7,644 $430K
2021 19,417 $876K
2022 23,314 $1.16M
2023 21,650 $919K
2024 15,207 $601K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 22,465 19,575 $1.84M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 26,665 21,278 $1.47M
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 14,298 10,254 $617K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 8,068 6,519 $473K
99051 14,041 12,500 $325K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 9,940 8,620 $129K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,545 1,101 $112K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 620 551 $78K
99215 Prolong outpt/office vis 147 142 $15K
71046 Radiologic examination, chest; 2 views 327 314 $5K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 259 178 $2K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 14 14 $908.18
87807 72 44 $813.05
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 16 13 $644.96
81003 119 113 $300.41
85025 Blood count; complete (CBC), automated, and automated differential WBC count 12 12 $113.15
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 28 17 $3.95
1159F 6,492 5,726 $0.15
3074F 156 154 $0.00
2010F 15 15 $0.00
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 117 71 $0.00
1160F 3,633 3,399 $0.00
3078F 135 133 $0.00