Summit Health

Summit Health was paid $1.47M by Medicaid between Jun 2018 and Jul 2022, across 47 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 28% of everything it billed.

33Billing provider infoSUMMIT HEALTH
BELLEROSE, NY 11426

33aNPI1083747463assigned 03/14/2007

33bProvider typeCardiovascular Disease Physician

28Total paid$1.47M

24GClaims25,960

24DCodes billed47

24AFirst – last monthJun 2018 – Jul 2022

Compared with peers

Next to other Cardiovascular Disease Physician providers in New York

Rank by total paid#48 of 1,564

Median peer was paid$13K

This provider vs. median113×

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	77	$3K
2019	157	$12K
2020	5,683	$252K
2021	13,753	$835K
2022	6,290	$372K

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	28%	5,088	4,769	$415K
93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	20%	1,568	1,567	$295K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	13%	3,247	3,090	$186K
78452	Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress	11%	490	490	$157K
93880		10%	1,229	1,225	$150K
93015		3.0%	726	704	$44K
93000		2.6%	3,113	3,087	$38K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	2.5%	524	521	$37K
A9502	Technetium tc-99m tetrofosmin, diagnostic, per study dose	2.5%	423	423	$37K
93978		2.1%	303	303	$32K
93970		1.2%	149	149	$17K
93925		1.1%	132	132	$16K

35 more codes

99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	<1%	172	$11K
99401		<1%	948	$11K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	537	$3K
94060		<1%	134	$3K
90688		<1%	152	$3K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	87	$3K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	389	$2K
90756		<1%	145	$2K
36415	Collection of venous blood by venipuncture	<1%	3,442	$2K
93975		<1%	12	$2K
99204	Doctor's office visit, new patient (more involved)	<1%	12	$2K
93356		<1%	95	$1K
94729		<1%	145	$1K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	<1%	376	$1K
99385		<1%	12	$908.39
94727		<1%	145	$853.47
94200		<1%	145	$598.96
90662		<1%	12	$408.00
92552		<1%	46	$283.46
92567		<1%	40	$234.09
94618		<1%	57	$183.01
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	13	$151.19
J0280	Injection, aminophyllin, up to 250 mg	<1%	12	$102.47
G0008	Administration of influenza virus vaccine	<1%	15	$99.36
3044F		0%	97	$0.00
99000		0%	1,020	$0.00
1125F		0%	14	$0.00
3074F		0%	87	$0.00
3048F		0%	51	$0.00
3079F		0%	35	$0.00
3008F		0%	204	$0.00
3049F		0%	36	$0.00
97803		0%	56	$0.00
1159F		0%	165	$0.00
3078F		0%	60	$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 officialFROGEL, DANIEL (PHYSICIAN/EVP)

Parent organizationSUMMIT MEDICAL GROUP PA