Medicaid Provider Spending

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

CAROLINAS PHYSICIANS NETWORK INC

NPI: 1912227935 · CHARLOTTE, NC 28211 · Pediatrics Physician · NPI assigned 06/02/2010

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

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

$2.59M
Total Medicaid Paid
51,654
Total Claims
46,827
Beneficiaries
20
Codes Billed
2018-01
First Month
2022-01
Last Month

Provider Details

Authorized OfficialRISSMILLER, SCOTT (ENTERPRISE EVP)
Parent OrganizationCAROLINAS PHYSICIANS NETWORK INC
NPI Enumeration Date06/02/2010

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 14,662 $697K
2019 17,220 $905K
2020 9,557 $546K
2021 10,165 $430K
2022 50 $13K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 17,834 16,829 $1.49M
99051 15,916 14,579 $382K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,659 4,676 $312K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 1,801 1,724 $112K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 606 579 $79K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 5,133 4,886 $68K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,896 1,254 $68K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 395 297 $29K
99215 Prolong outpt/office vis 160 138 $15K
69210 349 333 $13K
Q0247 Injection, sotrovimab, 500 mg 28 19 $7K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 662 497 $6K
M0247 Intravenous infusion, sotrovimab, includes infusion and post administration monitoring 22 15 $6K
71046 Radiologic examination, chest; 2 views 203 186 $4K
94664 201 162 $2K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 149 144 $1K
80047 16 15 $374.22
81003 133 128 $343.48
36415 Collection of venous blood by venipuncture 18 16 $37.80
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 473 350 $0.00