Physician
Carolinas Physicians Network INC.
Carolinas Physicians Network INC. was paid $8.93M by Medicaid between Jan 2018 and Dec 2024, across 68 billing codes. Its largest line is 93306, Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete — 30% of everything it billed.
33Billing provider infoCAROLINAS PHYSICIANS NETWORK INC.
CHARLOTTE, NC 28204
CHARLOTTE, NC 28204
33aNPI1881624807assigned 07/04/2006
33bProvider typePediatric Cardiology Physician
28Total paid$8.93M
24GClaims234,741
24DCodes billed68
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Cardiology Physician providers in North Carolina
Rank by total paid#1 of 16
Median peer was paid$132K
This provider vs. median68×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official RISSMILLER, SCOTT controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | 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 | |
| 2024incomplete | 37,914 | $1.54M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 30% | 33,771 | 26,458 | $2.65M |
| 93303 | Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study | 19% | 19,617 | 15,620 | $1.65M |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 9.9% | 6,451 | 5,344 | $882K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 6.9% | 9,232 | 7,631 | $612K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 6.4% | 8,170 | 2,805 | $568K |
| 93320 | 6.3% | 21,229 | 16,358 | $559K | |
| 93000 | 3.7% | 25,774 | 21,671 | $329K | |
| 93325 | 3.4% | 24,602 | 18,321 | $301K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.4% | 3,120 | 2,387 | $299K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.8% | 4,986 | 1,794 | $250K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 2.3% | 54,768 | 34,523 | $209K |
| 99243 | 2.1% | 1,957 | 1,596 | $188K |
56 more codes
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 655 | $66K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 503 | $62K |
| 93296 | <1% | 4,636 | $56K | |
| 93295 | <1% | 1,330 | $32K | |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 1,071 | $26K |
| 99472 | Subsequent inpatient pediatric critical care, per day, 2-5 years | <1% | 97 | $25K |
| 93294 | <1% | 833 | $15K | |
| 99242 | <1% | 186 | $14K | |
| 99245 | <1% | 74 | $14K | |
| 93922 | <1% | 471 | $13K | |
| 75561 | <1% | 72 | $11K | |
| 93308 | <1% | 775 | $11K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 86 | $8K |
| 93356 | <1% | 3,569 | $7K | |
| 99199 | Unlisted special service, procedure or report | <1% | 1,245 | $7K |
| 93297 | <1% | 703 | $6K | |
| 93315 | <1% | 56 | $6K | |
| 75574 | <1% | 73 | $6K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 496 | $4K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 45 | $4K |
| 93321 | <1% | 776 | $3K | |
| 99252 | <1% | 44 | $2K | |
| 99255 | <1% | 29 | $2K | |
| 76937 | <1% | 312 | $2K | |
| 92522 | <1% | 48 | $2K | |
| 99205 | Prolong outpt/office vis | <1% | 14 | $2K |
| A9585 | Injection, gadobutrol, 0.1 ml | <1% | 116 | $2K |
| 75565 | <1% | 409 | $2K | |
| 97802 | <1% | 97 | $2K | |
| 76825 | <1% | 29 | $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) | <1% | 588 | $1K |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 58 | $1K |
| 93880 | <1% | 15 | $1K | |
| 97803 | <1% | 81 | $1K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 15 | $794.48 |
| 93970 | <1% | 27 | $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 | <1% | 262 | $595.06 |
| 97165 | <1% | 15 | $591.56 | |
| 76827 | <1% | 29 | $471.45 | |
| 99457 | <1% | 12 | $465.37 | |
| 93244 | <1% | 30 | $462.78 | |
| 93282 | <1% | 13 | $424.99 | |
| 93304 | <1% | 14 | $412.62 | |
| 76820 | <1% | 29 | $410.26 | |
| 99292 | <1% | 23 | $388.20 | |
| Q9957 | Injection, perflutren lipid microspheres, per ml | <1% | 13 | $300.74 |
| 93018 | <1% | 42 | $219.26 | |
| 99152 | <1% | 36 | $149.06 | |
| 93016 | <1% | 18 | $139.20 | |
| 85018 | <1% | 46 | $79.52 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 20 | $77.98 |
| 3078F | 0% | 111 | $0.00 | |
| 1159F | 0% | 164 | $0.00 | |
| 1160F | 0% | 60 | $0.00 | |
| 99024 | 0% | 377 | $0.00 | |
| 3074F | 0% | 116 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialRISSMILLER, SCOTT (PRESIDENT)
Parent organizationCAROLINAS PHYSICIANS NETWORK INC
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.