Medicaid Provider Spending

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

CAROLINAS PHYSICIANS NETWORK INC.

NPI: 1881624807 · CHARLOTTE, NC 28204 · Pediatric Cardiology Physician · NPI assigned 07/04/2006

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

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

$8.93M
Total Medicaid Paid
234,741
Total Claims
170,634
Beneficiaries
68
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRISSMILLER, SCOTT (PRESIDENT)
Parent OrganizationCAROLINAS PHYSICIANS NETWORK INC
NPI Enumeration Date07/04/2006

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 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
CHARLOTTE PEDIATRIC CLINIC MATTHEWS NC $1.76M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 28,852 $938K
2019 28,667 $1.06M
2020 22,324 $807K
2021 37,032 $1.50M
2022 38,199 $1.41M
2023 41,753 $1.67M
2024 37,914 $1.54M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 33,771 26,458 $2.65M
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 19,617 15,620 $1.65M
99244 Office or other outpatient consultation, moderate to high complexity 6,451 5,344 $882K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 9,232 7,631 $612K
99233 Prolong inpt eval add15 m 8,170 2,805 $568K
93320 21,229 16,358 $559K
93000 25,774 21,671 $329K
93325 24,602 18,321 $301K
99215 Prolong outpt/office vis 3,120 2,387 $299K
99232 Subsequent hospital care, per day, moderate complexity 4,986 1,794 $250K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 54,768 34,523 $209K
99243 1,957 1,596 $188K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 655 190 $66K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 503 391 $62K
93296 4,636 3,756 $56K
93295 1,330 1,075 $32K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,071 796 $26K
99472 Subsequent inpatient pediatric critical care, per day, 2-5 years 97 26 $25K
93294 833 691 $15K
99242 186 159 $14K
99245 74 64 $14K
93922 471 314 $13K
75561 72 58 $11K
93308 775 546 $11K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 86 65 $8K
93356 3,569 2,664 $7K
99199 Unlisted special service, procedure or report 1,245 1,035 $7K
93297 703 621 $6K
93315 56 25 $6K
75574 73 52 $6K
71046 Radiologic examination, chest; 2 views 496 396 $4K
99239 Hospital discharge day management, more than 30 minutes 45 38 $4K
93321 776 566 $3K
99252 44 12 $2K
99255 29 25 $2K
76937 312 199 $2K
92522 48 31 $2K
99205 Prolong outpt/office vis 14 12 $2K
A9585 Injection, gadobutrol, 0.1 ml 116 97 $2K
75565 409 322 $2K
97802 97 74 $2K
76825 29 26 $1K
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) 588 555 $1K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 58 43 $1K
93880 15 15 $1K
97803 81 69 $1K
99238 Hospital discharge day management, 30 minutes or less 15 12 $794.48
93970 27 13 $768.73
G2066 Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results 262 218 $595.06
97165 15 14 $591.56
76827 29 26 $471.45
99457 12 12 $465.37
93244 30 26 $462.78
93282 13 12 $424.99
93304 14 13 $412.62
76820 29 27 $410.26
99292 23 15 $388.20
Q9957 Injection, perflutren lipid microspheres, per ml 13 12 $300.74
93018 42 31 $219.26
99152 36 25 $149.06
93016 18 15 $139.20
85018 46 39 $79.52
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 20 17 $77.98
3078F 111 88 $0.00
1159F 164 134 $0.00
1160F 60 55 $0.00
99024 377 222 $0.00
3074F 116 92 $0.00