Medicaid Provider Spending

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

CAROLINAS PHYSICIANS NETWORK INC

NPI: 1861671463 · CHARLOTTE, NC 28204 · Obesity Medicine (Internal Medicine) Physician · NPI assigned 10/31/2007

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

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

$534K
Total Medicaid Paid
15,315
Total Claims
13,653
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 Date10/31/2007

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 925 $42K
2019 1,056 $68K
2020 439 $27K
2021 864 $58K
2022 1,743 $99K
2023 3,954 $124K
2024 6,334 $117K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,860 5,191 $369K
99245 391 343 $58K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 919 821 $42K
99215 Prolong outpt/office vis 414 339 $37K
99244 Office or other outpatient consultation, moderate to high complexity 175 112 $19K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 26 25 $2K
99442 55 50 $2K
97803 71 70 $2K
96130 13 13 $1K
90791 Psychiatric diagnostic evaluation 15 15 $1K
99441 16 16 $433.02
36415 Collection of venous blood by venipuncture 51 50 $94.25
3074F 1,028 918 $0.00
99024 417 351 $0.00
3008F 598 566 $0.00
3044F 1,032 961 $0.00
3079F 125 109 $0.00
3075F 44 41 $0.00
97804 18 16 $0.00
1160F 1,086 1,017 $0.00
1159F 1,860 1,652 $0.00
3078F 1,082 962 $0.00
3077F 19 15 $0.00