Summit Primary Care

Summit Primary Care was paid $796K by Medicaid between Jan 2018 and Dec 2019, across 23 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 60% of everything it billed.

33Billing provider infoSUMMIT PRIMARY CARE
HERMITAGE, TN 37076

33aNPI1255419255assigned 11/01/2006

33bProvider typeFamily Medicine Physician

28Total paid$796K

24GClaims33,719

24DCodes billed23

24AFirst – last monthJan 2018 – Dec 2019

Compared with peers

Next to other Family Medicine Physician providers in Tennessee

Rank by total paid#71 of 754

Median peer was paid$34K

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	15,900	$384K
2019	17,819	$412K

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	60%	10,841	8,188	$475K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	28%	6,617	5,285	$223K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	2.8%	2,729	1,090	$23K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	2.4%	5,280	4,100	$19K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	1.9%	1,359	1,040	$15K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	1.6%	1,934	1,541	$13K
71046	Radiologic examination, chest; 2 views	1.3%	689	489	$10K
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%	82	64	$5K
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	<1%	43	39	$3K
3008F		<1%	322	216	$3K
81003		<1%	2,488	1,933	$2K
93000		<1%	127	92	$1K

11 more codes

99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	16	$780.64
90688		<1%	46	$737.45
36415	Collection of venous blood by venipuncture	<1%	602	$616.58
82044		<1%	258	$550.96
J1040	Injection, methylprednisolone acetate, 80 mg	<1%	45	$476.60
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	29	$277.71
86308		<1%	42	$145.69
81025		<1%	37	$140.87
81001		<1%	79	$123.67
J0696	Injection, ceftriaxone sodium, per 250 mg	<1%	20	$35.44
J1100	Injection, dexamethasone sodium phosphate, 1 mg	<1%	34	$17.61

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 officialDUGAN, WILLIAM (ADMINISTRATOR)