Medicaid Provider Spending

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

CAROLINAS PHYSICIANS NETWORK INC

NPI: 1851649180 · INDIAN TRAIL, NC 28079 · Internal Medicine Physician · NPI assigned 08/16/2012

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

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

$1.50M
Total Medicaid Paid
37,963
Total Claims
31,350
Beneficiaries
20
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRISSMILLER, SCOTT (ENTERPRISE EVP)
Parent OrganizationCAROLINAS PHYSICIANS NETWORK INC
NPI Enumeration Date08/16/2012

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 4,030 $175K
2019 2,966 $165K
2020 3,352 $123K
2021 5,369 $228K
2022 4,749 $268K
2023 8,535 $273K
2024 8,962 $272K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 11,404 9,607 $861K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,741 2,930 $191K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 3,732 2,764 $156K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 1,622 1,382 $94K
99051 4,175 3,489 $87K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 413 350 $51K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,235 1,933 $27K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,630 1,098 $20K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 211 151 $15K
0001A 19 13 $741.60
71046 Radiologic examination, chest; 2 views 28 27 $398.16
81025 18 13 $103.28
81003 17 12 $22.84
3074F 2,208 1,887 $0.00
3079F 76 71 $0.00
3008F 212 194 $0.00
3044F 14 13 $0.00
1160F 1,610 1,447 $0.00
3078F 1,873 1,611 $0.00
1159F 2,725 2,358 $0.00