Medicaid Provider Spending

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

CAROLINAS PHYSICIANS NETWORK INC

NPI: 1851555734 · GASTONIA, NC 28056 · Internal Medicine Physician · NPI assigned 07/10/2008

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

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

$419K
Total Medicaid Paid
42,745
Total Claims
29,966
Beneficiaries
15
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRISSMILLER, SCOTT (ENTERPRISE EVP)
Parent OrganizationCAROLINAS PHYSICIANS NETWORK INC
NPI Enumeration Date07/10/2008

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 1,352 $27K
2019 937 $33K
2020 191 $9K
2021 2,725 $37K
2022 10,581 $100K
2023 12,754 $101K
2024 14,205 $111K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99199 Unlisted special service, procedure or report 34,033 22,684 $173K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,849 2,453 $145K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,444 1,946 $98K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 248 209 $1K
36415 Collection of venous blood by venipuncture 823 683 $1K
80053 Comprehensive metabolic panel 64 61 $220.42
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 16 12 $178.47
80061 Lipid panel 18 17 $85.96
83036 Hemoglobin; glycosylated (A1C) 25 24 $74.22
3074F 550 462 $0.00
3044F 32 30 $0.00
3008F 13 13 $0.00
3078F 253 216 $0.00
1160F 465 392 $0.00
1159F 912 764 $0.00