Physician
East Summit Medical PC
East Summit Medical PC was paid $30K by Medicaid between Jul 2021 and Sep 2024, across 16 billing codes. Its largest line is 99308, Subsequent nursing facility care, per day, straightforward — 24% of everything it billed.
33Billing provider infoEAST SUMMIT MEDICAL PC
NEW YORK, NY 10013
NEW YORK, NY 10013
33aNPI1093371742assigned 05/17/2019
33bProvider typeGastroenterology Physician
28Total paid$30K
24GClaims1,660
24DCodes billed16
24AFirst – last monthJul 2021 – Sep 2024
Compared with peers
Next to other Gastroenterology Physician providers in New York
Rank by total paid#255 of 656
Median peer was paid$12K
This provider vs. median2.5×
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 | |
|---|---|---|---|
| 2021 | 617 | $9K | |
| 2022 | 826 | $14K | |
| 2024incomplete | 217 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99308 | Subsequent nursing facility care, per day, straightforward | 24% | 217 | 38 | $7K |
| 0003A | 20% | 153 | 153 | $6K | |
| 0064A | 19% | 148 | 148 | $6K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 15% | 147 | 129 | $4K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9.3% | 123 | 82 | $3K |
| 0013A | 4.5% | 35 | 35 | $1K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.2% | 114 | 108 | $663.08 |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 2.1% | 70 | 66 | $624.75 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 1.8% | 90 | 90 | $533.90 |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.5% | 18 | 18 | $455.44 |
| 91306 | <1% | 134 | 134 | $130.01 | |
| 91300 | <1% | 161 | 160 | $108.03 |
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 officialTIN, KEVIN (ADMINISTRATOR)
| Provider | Location | Paid |
|---|---|---|
| Newtown Gastroenterology PC | Elmhurst, NY | $8.05M |
| East Point Medical PC | Maspeth, NY | $1.61M |
| Insight Comprehensive Medical PC | New York, NY | $254K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.