Physician
Summer Pediatrics LLC
Summer Pediatrics LLC was paid $7.44M by Medicaid between Jan 2018 and Dec 2024, across 68 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 33% of everything it billed.
33Billing provider infoSUMMER PEDIATRICS LLC
STAMFORD, CT 06905
STAMFORD, CT 06905
33aNPI1073775987assigned 07/01/2008
33bProvider typePediatrics Physician
28Total paid$7.44M
24GClaims165,886
24DCodes billed68
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Connecticut
Rank by total paid#10 of 162
Median peer was paid$313K
This provider vs. median24×
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 | 20,517 | $1.00M | |
| 2019 | 21,222 | $1.10M | |
| 2020 | 22,235 | $1.08M | |
| 2021 | 21,468 | $1.02M | |
| 2022 | 28,684 | $1.22M | |
| 2023 | 26,969 | $1.07M | |
| 2024incomplete | 24,791 | $942K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 33% | 31,447 | 27,523 | $2.46M |
| 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 | 25% | 15,990 | 14,114 | $1.83M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.1% | 3,823 | 3,660 | $529K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.3% | 3,873 | 3,699 | $466K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 6.0% | 13,558 | 12,806 | $447K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.4% | 2,179 | 1,915 | $253K |
| 96127 | 3.4% | 9,921 | 8,960 | $251K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.9% | 1,712 | 1,609 | $213K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.6% | 5,209 | 4,822 | $119K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 1.3% | 2,620 | 2,450 | $95K |
| 96161 | 1.1% | 4,062 | 3,813 | $82K | |
| 99177 | <1% | 3,762 | 3,599 | $69K |
56 more codes
| 92552 | <1% | 5,861 | $69K | |
| 99188 | <1% | 3,065 | $69K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 5,977 | $63K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 2,026 | $60K |
| 96160 | <1% | 2,884 | $58K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 369 | $55K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 1,210 | $53K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 496 | $38K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 595 | $29K |
| 36416 | <1% | 8,819 | $28K | |
| 99173 | <1% | 3,962 | $27K | |
| 85013 | <1% | 8,558 | $18K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 618 | $16K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 952 | $10K |
| 87634 | <1% | 122 | $8K | |
| 99051 | <1% | 761 | $6K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 267 | $6K |
| 99401 | <1% | 68 | $2K | |
| 90686 | <1% | 6,229 | $2K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 120 | $1K |
| 83655 | <1% | 109 | $1K | |
| 83718 | <1% | 130 | $1K | |
| 94010 | <1% | 39 | $820.42 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 231 | $679.46 |
| 82465 | <1% | 130 | $531.20 | |
| 99442 | <1% | 12 | $515.16 | |
| 99050 | <1% | 32 | $514.56 | |
| 94760 | <1% | 362 | $510.86 | |
| 94664 | <1% | 36 | $312.80 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 15 | $262.80 |
| 87807 | <1% | 16 | $154.65 | |
| 90715 | <1% | 13 | $108.48 | |
| 94761 | <1% | 16 | $51.20 | |
| 85018 | <1% | 8,565 | $22.37 | |
| J7620 | Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme | <1% | 50 | $2.86 |
| 90671 | <1% | 24 | $0.12 | |
| 90670 | <1% | 853 | $0.01 | |
| 90674 | 0% | 23 | $0.00 | |
| A9150 | Non-prescription drugs | 0% | 607 | $0.00 |
| 90651 | 0% | 260 | $0.00 | |
| 90744 | 0% | 76 | $0.00 | |
| 90698 | 0% | 330 | $0.00 | |
| 90620 | 0% | 40 | $0.00 | |
| 90697 | 0% | 77 | $0.00 | |
| 90685 | 0% | 198 | $0.00 | |
| 90461 | 0% | 1,570 | $0.00 | |
| 81002 | 0% | 44 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 111 | $0.00 |
| 90672 | 0% | 405 | $0.00 | |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | 0% | 120 | $0.00 |
| 90633 | 0% | 98 | $0.00 | |
| 90681 | 0% | 25 | $0.00 | |
| 90734 | 0% | 99 | $0.00 | |
| 90710 | 0% | 26 | $0.00 | |
| J8499 | Prescription drug, oral, non chemotherapeutic, nos | 0% | 12 | $0.00 |
| 91320 | 0% | 17 | $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.
From NPPES
Who's on the registration
Authorized officialRAMIREZ-CEPEDA, ESTER (OWNER)