Medicaid Provider Spending

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

CAROLINAS PHYSICIANS NETWORK INC

NPI: 1942679329 · ALBEMARLE, NC 28001 · Internal Medicine Physician · NPI assigned 09/16/2015

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

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

$1.78M
Total Medicaid Paid
49,609
Total Claims
39,077
Beneficiaries
21
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRISSMILLER, SCOTT (ENTERPRISE EVP)
Parent OrganizationCAROLINAS PHYSICIANS NETWORK INC
NPI Enumeration Date09/16/2015

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 1,984 $98K
2019 2,621 $148K
2020 2,685 $164K
2021 9,003 $376K
2022 9,119 $364K
2023 12,447 $313K
2024 11,750 $312K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 8,684 7,378 $588K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 11,634 8,530 $525K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 6,540 4,342 $245K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 2,641 1,910 $122K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,858 1,299 $115K
99051 3,664 3,171 $81K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 692 579 $73K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,023 1,694 $23K
99215 Prolong outpt/office vis 13 13 $1K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 54 45 $942.96
1160F 2,404 2,167 $374.99
1159F 3,899 3,296 $374.99
71046 Radiologic examination, chest; 2 views 26 26 $370.16
3074F 2,563 2,134 $237.21
3078F 2,019 1,686 $237.21
81003 115 105 $194.87
87807 13 12 $155.85
3008F 547 511 $0.00
3079F 173 134 $0.00
3044F 27 26 $0.00
2010F 20 19 $0.00