Medicaid Provider Spending

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

CAROLINAS PHYSICIANS NETWORK INC

NPI: 1932424355 · CONCORD, NC 28025 · Pediatric Cardiology Physician · NPI assigned 03/29/2010

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

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

$1.25M
Total Medicaid Paid
17,054
Total Claims
14,893
Beneficiaries
19
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRISSMILLER, SCOTT (ENTERPRISE EVP)
Parent OrganizationCAROLINAS PHYSICIANS NETWORK INC
NPI Enumeration Date03/29/2010

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 2,161 $140K
2019 2,186 $169K
2020 2,194 $171K
2021 1,992 $151K
2022 3,051 $214K
2023 3,126 $223K
2024 2,344 $178K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99244 Office or other outpatient consultation, moderate to high complexity 1,924 1,717 $295K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1,604 1,407 $285K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,599 1,396 $137K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 813 726 $117K
93000 7,011 6,144 $103K
99215 Prolong outpt/office vis 728 646 $88K
99245 466 378 $77K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 395 274 $48K
93320 822 736 $42K
93325 1,082 938 $35K
99205 Prolong outpt/office vis 51 37 $8K
99243 69 68 $7K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 82 75 $5K
99441 17 17 $561.81
1160F 89 78 $0.00
3078F 77 64 $0.00
1159F 148 125 $0.00
3074F 63 54 $0.00
3008F 14 13 $0.00