Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SUMMIT MEDICAL CONSULTANTS PLLC

NPI: 1265822910 · GREENWOOD VILLAGE, CO 80112 · Internal Medicine Physician · NPI assigned 02/03/2015

$4.07M
Total Medicaid Paid
224,361
Total Claims
132,613
Beneficiaries
29
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKADARI, RAJENDRA (PHYSICIAN/OWNER)
NPI Enumeration Date02/03/2015

Related Entities

Other providers sharing the same authorized official: KADARI, RAJENDRA

ProviderCityStateTotal Paid
SUMMIT HOSPITALISTS PLLC GREENWOOD VILLAGE CO $703K
SUMMIT MEDICAL CAROLINAS PLLC CHARLOTTE NC $27K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 7,935 $95K
2019 24,225 $229K
2020 36,794 $405K
2021 34,170 $522K
2022 37,323 $681K
2023 42,129 $842K
2024 41,785 $1.30M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99309 Subsequent nursing facility care, per day, low to moderate complexity 133,350 74,290 $2.38M
99310 Prolong nursin fac eval 15m 38,922 23,292 $1.11M
99233 Prolong inpt eval add15 m 2,887 744 $200K
99306 Prolong nursin fac eval 15m 4,672 3,944 $132K
99490 Ccm add 20min 16,925 15,495 $112K
99497 2,962 2,391 $37K
99232 Subsequent hospital care, per day, moderate complexity 893 238 $35K
99308 Subsequent nursing facility care, per day, straightforward 1,721 1,163 $20K
99336 368 246 $17K
99356 1,127 780 $13K
99318 303 236 $11K
99223 Prolong inpt eval add15 m 90 67 $10K
99349 34 29 $2K
99439 242 237 $2K
99239 Hospital discharge day management, more than 30 minutes 34 25 $1K
99304 59 51 $854.12
99305 112 92 $655.66
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) 103 101 $530.89
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 116 78 $0.46
G2089 Most recent hemoglobin a1c (hba1c) level 7.0 to 9.0% 79 44 $0.30
G8510 Screening for depression is documented as negative, a follow-up plan is not required 120 98 $0.07
4086F 710 286 $0.00
3044F 726 317 $0.00
G9717 Documentation stating the patient has had a diagnosis of bipolar disorder 134 96 $0.00
4010F 168 101 $0.00
G8482 Influenza immunization administered or previously received 11,292 5,427 $0.00
G8483 Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) 5,960 2,600 $0.00
3045F 175 91 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 77 54 $0.00