Medicaid Provider Spending

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

ATRIUM HEALTH NORTH MARKET NETWORK LLC

NPI: 1871112920 · MOORESVILLE, NC 28117 · Emergency Medicine Physician · NPI assigned 04/09/2020

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

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

$2.00M
Total Medicaid Paid
116,371
Total Claims
96,562
Beneficiaries
46
Codes Billed
2022-07
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRISSMILLER, SCOTT (SVP)
NPI Enumeration Date04/09/2020

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
2022 3,296 $123K
2023 20,434 $655K
2024 92,641 $1.22M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 12,548 10,072 $823K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 13,367 11,420 $663K
99199 Unlisted special service, procedure or report 59,508 48,687 $269K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 644 563 $35K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 652 544 $34K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 687 640 $31K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 405 310 $25K
76830 Ultrasound, transvaginal 354 291 $23K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 194 180 $15K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 142 101 $12K
J1050 Injection, medroxyprogesterone acetate, 1 mg 269 225 $11K
59025 Fetal non-stress test 378 240 $8K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 660 600 $8K
81025 1,311 999 $8K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 101 84 $7K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 400 357 $7K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 409 327 $5K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 121 92 $3K
90460 Immunization administration through 18 years of age via any route, first or only component 53 45 $2K
90472 Immunization administration, each additional vaccine (list separately) 77 72 $2K
99215 Prolong outpt/office vis 26 24 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 13 12 $2K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 14 14 $1K
59430 28 25 $898.40
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 14 13 $844.55
90677 13 12 $537.26
90656 100 93 $368.97
96127 62 54 $311.36
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 90 81 $193.72
87210 31 28 $123.00
90686 90 73 $116.57
36415 Collection of venous blood by venipuncture 74 49 $116.12
81003 29 24 $52.64
96110 Developmental screening, with scoring and documentation, per standardized instrument 186 170 $43.12
3008F 1,490 1,370 $0.00
3074F 3,499 2,955 $0.00
3044F 340 301 $0.00
99024 151 113 $0.00
0500F 52 43 $0.00
92551 16 15 $0.00
3079F 30 28 $0.00
1160F 6,909 6,142 $0.00
1159F 8,995 7,505 $0.00
3078F 1,775 1,515 $0.00
99499 48 39 $0.00
99173 16 15 $0.00