Medicaid Provider Spending

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

CAROLINAS PHYSICIANS NETWORK INC

NPI: 1902049190 · CONCORD, NC 28025 · Family Medicine Physician · NPI assigned 04/17/2009

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

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

$2.38M
Total Medicaid Paid
68,997
Total Claims
59,335
Beneficiaries
21
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRISSMILLER, SCOTT (ENTERPRISE EVP)
Parent OrganizationCAROLINAS PHYSICIANS NETWORK INC
NPI Enumeration Date04/17/2009

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
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 4,350 $215K
2019 5,424 $297K
2020 3,375 $164K
2021 7,943 $347K
2022 8,854 $432K
2023 17,684 $416K
2024 21,367 $510K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 9,934 9,052 $719K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14,136 11,592 $712K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3,940 3,132 $287K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 5,573 4,403 $242K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 2,381 2,046 $138K
99051 5,911 5,196 $132K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 779 729 $87K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 4,416 3,834 $54K
71046 Radiologic examination, chest; 2 views 385 372 $6K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 176 149 $3K
1160F 4,788 4,373 $640.38
1159F 7,228 6,294 $640.38
81003 232 218 $501.64
3078F 3,600 3,094 $443.45
3074F 4,086 3,505 $442.75
87807 12 12 $155.85
99199 Unlisted special service, procedure or report 12 12 $65.00
3008F 866 819 $0.00
3044F 315 301 $0.00
3079F 201 177 $0.00
3075F 26 25 $0.00