Medicaid Provider Spending

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

CAROLINAS PHYSICIANS NETWORK INC

NPI: 1861747479 · INDIAN TRAIL, NC 28079 · Pediatric Hematology & Oncology Physician · NPI assigned 07/19/2012

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

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

$3.52M
Total Medicaid Paid
211,317
Total Claims
161,513
Beneficiaries
58
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRISSMILLER, SCOTT (ENTERPRISE EVP)
Parent OrganizationCAROLINAS PHYSICIANS NETWORK INC
NPI Enumeration Date07/19/2012

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 15,064 $372K
2019 12,525 $408K
2020 10,517 $344K
2021 24,863 $494K
2022 41,186 $646K
2023 52,805 $672K
2024 54,357 $582K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,054 6,157 $669K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 10,139 8,974 $647K
99199 Unlisted special service, procedure or report 102,494 66,869 $529K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3,308 2,942 $301K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3,395 2,646 $272K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,867 2,553 $268K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,671 1,453 $168K
90460 Immunization administration through 18 years of age via any route, first or only component 3,663 3,235 $157K
90472 Immunization administration, each additional vaccine (list separately) 4,023 3,385 $128K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 6,727 5,691 $116K
80061 Lipid panel 2,544 2,219 $38K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 528 477 $33K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,240 2,010 $30K
96110 Developmental screening, with scoring and documentation, per standardized instrument 6,599 5,756 $25K
D0145 Oral evaluation for a patient under three years of age 933 831 $25K
96127 5,110 4,452 $19K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 267 223 $13K
D1206 Topical application of fluoride varnish 944 843 $11K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 4,128 3,638 $11K
99442 174 154 $9K
90474 554 405 $8K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 152 117 $6K
90651 402 379 $4K
85027 614 558 $4K
92551 3,528 3,153 $3K
99443 39 39 $3K
83655 242 210 $3K
90686 3,376 2,964 $3K
90734 196 161 $2K
96161 652 565 $2K
99173 5,184 4,553 $2K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 55 55 $2K
99423 62 57 $1K
90620 31 25 $772.20
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 45 28 $730.75
36415 Collection of venous blood by venipuncture 259 218 $686.82
87807 41 37 $598.24
90677 470 457 $521.62
90633 641 571 $301.78
90716 537 462 $249.82
90715 43 40 $80.22
82465 15 13 $69.68
36416 900 625 $30.25
99177 82 73 $18.27
90647 1,335 1,130 $0.00
90723 1,426 1,167 $0.00
3074F 3,978 3,513 $0.00
3008F 727 714 $0.00
90680 1,143 932 $0.00
90656 338 327 $0.00
91307 27 16 $0.00
90696 24 18 $0.00
1159F 5,769 5,014 $0.00
3078F 3,874 3,426 $0.00
90670 2,002 1,576 $0.00
90707 469 391 $0.00
1160F 3,265 3,004 $0.00
90700 12 12 $0.00