Physician
Summit Medical Associates LLC
Summit Medical Associates LLC was paid $336K by Medicaid between Jan 2018 and Nov 2021, across 15 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 45% of everything it billed.
33Billing provider infoSUMMIT MEDICAL ASSOCIATES LLC
FORT WAYNE, IN 46804
FORT WAYNE, IN 46804
33aNPI1063517084assigned 09/14/2006
33bProvider typeCardiovascular Disease Physician
28Total paid$336K
24GClaims9,066
24DCodes billed15
24AFirst – last monthJan 2018 – Nov 2021
Compared with peers
Next to other Cardiovascular Disease Physician providers in Indiana
Rank by total paid#12 of 83
Median peer was paid$12K
This provider vs. median27×
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.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 2,757 | $77K | |
| 2019 | 3,070 | $108K | |
| 2020 | 1,776 | $65K | |
| 2021 | 1,463 | $86K |
Box 24 · Service lines
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 | 45% | 3,102 | 2,634 | $150K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 21% | 1,287 | 1,173 | $71K |
| 99223 | Prolong inpt eval add15 m | 8.6% | 319 | 283 | $29K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 8.0% | 802 | 201 | $27K |
| 93015 | 6.4% | 596 | 535 | $22K | |
| A9502 | Technetium tc-99m tetrofosmin, diagnostic, per study dose | 3.6% | 51 | 50 | $12K |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | 3.1% | 66 | 64 | $10K |
| 93000 | 2.7% | 1,351 | 1,204 | $9K | |
| J2785 | Injection, regadenoson, 0.1 mg | 1.1% | 24 | 24 | $4K |
| 93458 | <1% | 13 | 12 | $2K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 121 | 89 | $550.77 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 553 | 476 | $0.00 |
3 more codes
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.
From NPPES
Who's on the registration
Authorized officialAPURI, BHAKTAVATSALA (OWNER)