Physician
Summit Physician Group LLP
Summit Physician Group LLP was paid $161K by Medicaid between Mar 2019 and Dec 2024, across 28 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 77% of everything it billed.
33Billing provider infoSUMMIT PHYSICIAN GROUP LLP
TUSCALOOSA, AL 35404
TUSCALOOSA, AL 35404
33aNPI1104343581assigned 08/25/2017
33bProvider typeHospitalist Physician
28Total paid$161K
24GClaims8,044
24DCodes billed28
24AFirst – last monthMar 2019 – Dec 2024
Compared with peers
Next to other Hospitalist Physician providers in Alabama
Rank by total paid#19 of 47
Median peer was paid$144K
This provider vs. median1.1×
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 | |
|---|---|---|---|
| 2019 | 909 | $80.00 | |
| 2021 | 69 | $3K | |
| 2022 | 1,521 | $43K | |
| 2023 | 3,543 | $72K | |
| 2024incomplete | 2,002 | $43K |
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 | 77% | 3,032 | 2,120 | $125K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 602 | 399 | $20K |
| 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 | 7.6% | 212 | 123 | $12K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 232 | 170 | $1K |
| 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% | 35 | 18 | $1K |
| 80305 | <1% | 114 | 95 | $722.84 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 16 | 16 | $610.54 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 16 | 12 | $220.00 |
| 82962 | <1% | 58 | 42 | $92.25 | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 604 | 175 | $80.00 |
| 36415 | Collection of venous blood by venipuncture | <1% | 94 | 62 | $70.00 |
| 99454 | <1% | 65 | 58 | $36.03 |
16 more codes
| 99457 | <1% | 65 | $34.20 | |
| 99453 | <1% | 40 | $12.31 | |
| 3074F | 0% | 414 | $0.00 | |
| 3008F | 0% | 1,495 | $0.00 | |
| 3075F | 0% | 61 | $0.00 | |
| 3079F | 0% | 57 | $0.00 | |
| 3044F | 0% | 26 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 14 | $0.00 |
| 3017F | 0% | 14 | $0.00 | |
| 3078F | 0% | 416 | $0.00 | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 0% | 72 | $0.00 |
| 99222 | Initial hospital care, per day, moderate complexity | 0% | 60 | $0.00 |
| 99223 | Prolong inpt eval add15 m | 0% | 89 | $0.00 |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | 0% | 84 | $0.00 |
| 3015F | 0% | 44 | $0.00 | |
| 4013F | 0% | 13 | $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 officialKRUHLIAKIVSKA, OLEKSANDRA (BUSINESS MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Pinnacle Physician Group, LLP | Tuscaloosa, AL | $1.01M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.