Summit Medical Group Arizona LLC
Summit Medical Group Arizona LLC was paid $5.17M by Medicaid between Oct 2019 and Dec 2024, across 57 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 83% of everything it billed.
GLENDALE, AZ 85306
Next to other Geriatric Medicine (Family Medicine) Physician providers in Arizona
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 19 | $0.00 | |
| 2020 | 689 | $20K | |
| 2021 | 28,070 | $443K | |
| 2022 | 67,208 | $1.31M | |
| 2023 | 63,920 | $1.88M | |
| 2024incomplete | 39,166 | $1.52M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 83% | 82,442 | 75,554 | $4.27M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 16,544 | 15,384 | $701K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.9% | 1,300 | 1,259 | $99K |
| 36415 | Collection of venous blood by venipuncture | <1% | 6,869 | 6,595 | $18K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 184 | 175 | $16K |
| 96127 | <1% | 4,023 | 3,555 | $12K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 202 | 194 | $11K |
| 99493 | <1% | 246 | 220 | $10K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 334 | 319 | $6K |
| 99442 | <1% | 97 | 95 | $6K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 473 | 454 | $5K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 69 | 64 | $4K |
45 more codes
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 62 | $2K |
| 93000 | <1% | 121 | $1K | |
| 90686 | <1% | 150 | $1K | |
| 99397 | <1% | 43 | $1K | |
| 17110 | <1% | 13 | $1K | |
| 90682 | <1% | 16 | $943.80 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 226 | $760.18 |
| 90656 | <1% | 29 | $688.74 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 82 | $653.07 |
| 90732 | <1% | 12 | $569.60 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 368 | $443.99 |
| 99484 | <1% | 19 | $359.07 | |
| 90662 | <1% | 63 | $302.03 | |
| 99349 | <1% | 15 | $245.98 | |
| 99497 | <1% | 15 | $114.62 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 25 | $108.87 |
| G0008 | Administration of influenza virus vaccine | <1% | 93 | $60.21 |
| 81002 | <1% | 18 | $30.74 | |
| 99173 | <1% | 14 | $26.22 | |
| 99499 | <1% | 8,119 | $24.07 | |
| 96160 | <1% | 22 | $6.89 | |
| 1160F | <1% | 13,943 | $3.39 | |
| 1159F | <1% | 12,033 | $0.18 | |
| 3725F | <1% | 13,779 | $0.17 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 6,300 | $0.08 |
| 1036F | <1% | 7,646 | $0.06 | |
| 3008F | <1% | 12,966 | $0.05 | |
| 3078F | <1% | 2,199 | $0.02 | |
| 3074F | <1% | 3,177 | $0.02 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 108 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 1,831 | $0.00 |
| 99072 | 0% | 300 | $0.00 | |
| 2028F | 0% | 36 | $0.00 | |
| 3077F | 0% | 218 | $0.00 | |
| 1124F | 0% | 33 | $0.00 | |
| 1090F | 0% | 13 | $0.00 | |
| 3079F | 0% | 641 | $0.00 | |
| 1126F | 0% | 454 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 43 | $0.00 |
| 1000F | 0% | 277 | $0.00 | |
| 3075F | 0% | 261 | $0.00 | |
| 3080F | 0% | 89 | $0.00 | |
| 1125F | 0% | 258 | $0.00 | |
| 1034F | 0% | 125 | $0.00 | |
| 1170F | 0% | 34 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.