Medicaid Provider Spending

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

CAROLINAS PHYSICIANS NETWORK INC

NPI: 1841632882 · SHELBY, NC 28150 · Obstetrics & Gynecology Physician · NPI assigned 07/18/2013

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

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

$1.14M
Total Medicaid Paid
46,525
Total Claims
31,922
Beneficiaries
46
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRISSMILLER, SCOTT (ENTERPRISE EVP)
Parent OrganizationCAROLINAS PHYSICIANS NETWORK INC
NPI Enumeration Date07/18/2013

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 3,558 $158K
2019 3,041 $191K
2020 2,515 $98K
2021 6,594 $147K
2022 11,409 $157K
2023 11,675 $233K
2024 7,733 $156K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6,479 5,161 $292K
59400 Routine obstetric care including antepartum care, vaginal delivery, and postpartum care 136 118 $172K
99199 Unlisted special service, procedure or report 22,917 12,563 $141K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,628 1,375 $110K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 1,094 930 $80K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 803 733 $74K
76819 Fetal biophysical profile; without non-stress testing 765 526 $46K
59025 Fetal non-stress test 2,344 1,966 $46K
99219 424 398 $27K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 37 37 $22K
99221 334 258 $19K
S0281 Medical home program, comprehensive care coordination and planning, maintenance of plan 176 127 $19K
99218 406 366 $17K
99238 Hospital discharge day management, 30 minutes or less 192 179 $10K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 105 82 $8K
81025 1,232 1,000 $8K
99215 Prolong outpt/office vis 98 69 $7K
76830 Ultrasound, transvaginal 99 84 $7K
S0280 Medical home program, comprehensive care coordination and planning, initial plan 129 124 $6K
96127 1,206 999 $4K
76801 40 37 $4K
36415 Collection of venous blood by venipuncture 2,185 1,735 $4K
99442 82 74 $3K
99231 Subsequent hospital care, per day, straightforward or low complexity 79 75 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 161 103 $2K
59430 75 54 $2K
82950 265 231 $1K
99441 99 65 $1K
0001A 19 16 $1K
J1050 Injection, medroxyprogesterone acetate, 1 mg 15 12 $832.68
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 72 61 $756.16
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 29 25 $558.33
85018 146 126 $378.10
81002 135 115 $356.08
90686 17 17 $281.35
99459 16 15 $169.48
Q0112 All potassium hydroxide (koh) preparations 14 13 $74.62
Q0111 Wet mounts, including preparations of vaginal, cervical or skin specimens 14 13 $57.95
1160F 270 244 $0.00
1159F 762 617 $0.00
3078F 224 170 $0.00
99499 13 13 $0.00
3074F 391 308 $0.00
99024 640 555 $0.00
3008F 70 63 $0.00
0500F 88 70 $0.00