Medicaid Provider Spending

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

CAROLINAS PHYSICIANS NETWORK INC

NPI: 1932436490 · FORT MILL, SC 29715 · Pediatrics Physician · NPI assigned 11/04/2009

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

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

$3.04M
Total Medicaid Paid
68,898
Total Claims
66,878
Beneficiaries
32
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRISSMILLER, SCOTT (ENTERPRISE EVP)
Parent OrganizationCAROLINAS PHYSICIANS NETWORK INC
NPI Enumeration Date11/04/2009

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 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
CHARLOTTE PEDIATRIC CLINIC MATTHEWS NC $1.76M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 14,031 $607K
2019 15,462 $687K
2020 9,614 $378K
2021 9,251 $407K
2022 10,328 $484K
2023 6,112 $275K
2024 4,100 $204K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 15,887 15,323 $1.29M
99213 18,808 17,979 $1.04M
90460 11,221 11,065 $230K
99393 1,059 1,049 $89K
99392 915 908 $72K
90461 3,117 3,075 $62K
99394 537 529 $51K
87635 800 798 $45K
99391 607 579 $43K
96127 5,002 4,888 $36K
87880 2,301 2,261 $32K
96110 2,836 2,794 $21K
G9153 Mapcp demonstration - physician incentive pool 216 216 $16K
90834 168 85 $8K
87502 52 52 $4K
85018 767 749 $2K
85025 66 65 $551.48
90471 134 133 $539.78
87651 12 12 $384.67
99177 97 97 $379.37
90686 3,532 3,472 $369.99
83655 12 12 $175.83
36415 12 12 $24.02
90680 87 86 $0.00
90651 12 12 $0.00
90723 52 52 $0.00
90647 71 66 $0.00
90656 71 71 $0.00
90620 12 12 $0.00
90670 379 371 $0.00
90633 27 26 $0.00
90734 29 29 $0.00