Medicaid Provider Spending

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

THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY

NPI: 1942637319 · CHARLOTTE, NC 28204 · Developmental - Behavioral Pediatrics Physician · NPI assigned 10/01/2013

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

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

$1.58M
Total Medicaid Paid
17,158
Total Claims
14,698
Beneficiaries
24
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRISSMILLER, SCOTT (ENTERPRISE EVP)
Parent OrganizationTHE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
NPI Enumeration Date10/01/2013

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 1,253 $92K
2019 2,169 $151K
2020 1,835 $129K
2021 2,238 $201K
2022 3,182 $315K
2023 2,965 $297K
2024 3,516 $397K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99215 Prolong outpt/office vis 6,574 5,887 $698K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,287 3,936 $332K
99417 Prolong home eval add 15m 1,009 910 $183K
99245 1,045 832 $157K
96112 1,033 817 $91K
90837 Psychotherapy, 53 minutes with patient 1,015 627 $42K
99205 Prolong outpt/office vis 205 129 $22K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 337 301 $20K
99443 222 164 $11K
90834 Psychotherapy, 45 minutes with patient 235 164 $5K
90832 Psychotherapy, 30 minutes with patient 249 134 $5K
90791 Psychiatric diagnostic evaluation 63 50 $4K
90846 Family psychotherapy without the patient present, 50 minutes 64 43 $3K
96116 127 73 $3K
99244 Office or other outpatient consultation, moderate to high complexity 13 13 $2K
99442 68 48 $2K
96127 274 254 $1K
96110 Developmental screening, with scoring and documentation, per standardized instrument 89 83 $619.77
90847 Family psychotherapy with the patient present, 50 minutes 20 12 $90.86
3074F 40 38 $0.00
3008F 28 28 $0.00
1159F 55 53 $0.00
3078F 51 49 $0.00
1160F 55 53 $0.00