Medicaid Provider Spending

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

CAROLINAS PHYSICIANS NETWORK INC

NPI: 1912255241 · MONROE, NC 28112 · Internal Medicine Physician · NPI assigned 08/16/2012

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

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

$2.13M
Total Medicaid Paid
52,264
Total Claims
43,432
Beneficiaries
22
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRISSMILLER, SCOTT (ENTERPRISE EVP)
Parent OrganizationCAROLINAS PHYSICIANS NETWORK INC
NPI Enumeration Date08/16/2012

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 2,974 $150K
2019 3,722 $206K
2020 4,889 $197K
2021 8,830 $370K
2022 8,019 $385K
2023 12,336 $423K
2024 11,494 $400K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 13,764 12,177 $1.00M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 9,053 7,056 $441K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 6,865 5,129 $289K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 3,143 2,687 $176K
99051 2,397 2,100 $54K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 654 413 $44K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 383 333 $41K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 3,009 2,110 $34K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,657 2,366 $33K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 438 310 $13K
99215 Prolong outpt/office vis 31 28 $2K
81003 101 87 $193.30
85025 Blood count; complete (CBC), automated, and automated differential WBC count 13 12 $122.73
3074F 1,995 1,717 $100.66
1159F 3,554 3,107 $100.66
1160F 2,196 2,033 $100.66
3078F 1,649 1,419 $100.66
36415 Collection of venous blood by venipuncture 14 13 $34.63
2010F 87 86 $0.00
3008F 140 136 $0.00
3044F 25 24 $0.00
3079F 96 89 $0.00