Medicaid Provider Spending

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

PIEDMONT GYNECOLOGICAL AND OBSTETRICAL ASSOCIATES

NPI: 1932424413 · CHARLOTTE, NC 28277 · Obstetrics & Gynecology 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

$86K
Total Medicaid Paid
9,453
Total Claims
5,720
Beneficiaries
10
Codes Billed
2018-01
First Month
2024-02
Last Month

Provider Details

Authorized OfficialRISSMILLER, SCOTT (ENTERPRISE EVP)
Parent OrganizationPIEDMONT GYNECOLOGICAL AND OBSTETRICAL ASSOCIATES
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 376 $12K
2019 96 $4K
2020 116 $6K
2021 1,916 $29K
2022 3,517 $19K
2023 3,202 $17K
2024 230 $994.01

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99199 Unlisted special service, procedure or report 8,597 4,961 $48K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 240 215 $20K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 464 411 $15K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 21 14 $2K
99222 Initial hospital care, per day, moderate complexity 28 28 $840.75
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 13 12 $725.28
99232 Subsequent hospital care, per day, moderate complexity 49 40 $230.85
90686 12 12 $210.31
59025 Fetal non-stress test 14 12 $207.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 15 15 $151.95