Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NC › CHARLOTTE › CAROLINAS PHYSICIANS NETWORK INC

CAROLINAS PHYSICIANS NETWORK INC

NPI: 1942569330 · CHARLOTTE, NC 28203 · Internal Medicine Physician · NPI assigned 05/07/2012

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

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

$167K
Total Medicaid Paid
5,185
Total Claims
3,181
Beneficiaries
10
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRISSMILLER, SCOTT (ENTERPRISE EVP)
Parent OrganizationCAROLINAS PHYSICIANS NETWORK INC
NPI Enumeration Date05/07/2012

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 550 $23K
2019 481 $21K
2020 91 $6K
2021 1,814 $28K
2022 386 $24K
2023 444 $19K
2024 1,419 $45K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99231 Subsequent hospital care, per day, straightforward or low complexity 1,777 682 $48K
99233 Prolong inpt eval add15 m 890 339 $47K
99215 Prolong outpt/office vis 544 466 $35K
99232 Subsequent hospital care, per day, moderate complexity 468 219 $20K
99199 Unlisted special service, procedure or report 1,374 1,374 $7K
99254 55 38 $6K
99255 17 13 $2K
99222 Initial hospital care, per day, moderate complexity 12 12 $464.58
99497 35 25 $240.79
99223 Prolong inpt eval add15 m 13 13 $168.16