Medicaid Provider Spending

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

CAROLINAS PHYSICIANS NETWORK INC

NPI: 1871965038 · LINCOLNTON, NC 28092 · Internal Medicine Physician · NPI assigned 10/28/2015

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

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

$1.86M
Total Medicaid Paid
41,214
Total Claims
35,278
Beneficiaries
26
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRISSMILLER, SCOTT (ENTERPRISE EVP)
Parent OrganizationCAROLINAS PHYSICIANS NETWORK INC
NPI Enumeration Date10/28/2015

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 4,100 $199K
2019 5,433 $312K
2020 3,682 $206K
2021 7,154 $295K
2022 6,311 $308K
2023 6,695 $242K
2024 7,839 $294K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 12,173 10,824 $894K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8,269 6,669 $415K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 2,713 2,068 $114K
99051 4,923 4,370 $111K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,515 1,253 $107K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 1,418 1,206 $77K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 602 563 $66K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 3,611 3,165 $44K
99215 Prolong outpt/office vis 171 158 $16K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 219 165 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 124 94 $3K
71046 Radiologic examination, chest; 2 views 63 62 $1K
99199 Unlisted special service, procedure or report 208 208 $1K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 108 65 $589.62
99050 15 13 $291.54
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 14 14 $264.48
81003 54 49 $105.29
94760 112 88 $37.26
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 19 14 $0.08
3074F 844 721 $0.00
3008F 135 126 $0.00
3079F 47 39 $0.00
2010F 177 146 $0.00
1159F 1,903 1,627 $0.00
3078F 674 576 $0.00
1160F 1,103 995 $0.00