Summit Medical Consultants PLLC

Summit Medical Consultants PLLC was paid $4.07M by Medicaid between Jan 2018 and Dec 2024, across 29 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 58% of everything it billed.

33Billing provider infoSUMMIT MEDICAL CONSULTANTS PLLC
GREENWOOD VILLAGE, CO 80112

33aNPI1265822910assigned 02/03/2015

33bProvider typeInternal Medicine Physician

28Total paid$4.07M

24GClaims224,361

24DCodes billed29

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Internal Medicine Physician providers in Colorado

Rank by total paid#6 of 193

Median peer was paid$34K

This provider vs. median120×

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

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99309	Subsequent nursing facility care, per day, low to moderate complexity	58%	133,350	74,290	$2.38M
99310	Prolong nursin fac eval 15m	27%	38,922	23,292	$1.11M
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	4.9%	2,887	744	$200K
99306	Prolong nursin fac eval 15m	3.2%	4,672	3,944	$132K
99490	Ccm add 20min	2.7%	16,925	15,495	$112K
99497		<1%	2,962	2,391	$37K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	<1%	893	238	$35K
99308	Subsequent nursing facility care, per day, straightforward	<1%	1,721	1,163	$20K
99336		<1%	368	246	$17K
99356		<1%	1,127	780	$13K
99318		<1%	303	236	$11K
99223	Prolong inpt eval add15 m	<1%	90	67	$10K

17 more codes

99349		<1%	34	$2K
99439		<1%	242	$2K
99239	Hospital discharge day management, more than 30 minutes	<1%	34	$1K
99304		<1%	59	$854.12
99305		<1%	112	$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)	<1%	103	$530.89
G8431	Screening for depression is documented as being positive and a follow-up plan is documented	<1%	116	$0.46
G2089	Most recent hemoglobin a1c (hba1c) level 7.0 to 9.0%	<1%	79	$0.30
G8510	Screening for depression is documented as negative, a follow-up plan is not required	<1%	120	$0.07
4086F		0%	710	$0.00
3044F		0%	726	$0.00
G9717	Documentation stating the patient has had a diagnosis of bipolar disorder	0%	134	$0.00
4010F		0%	168	$0.00
G8482	Influenza immunization administered or previously received	0%	11,292	$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)	0%	5,960	$0.00
3045F		0%	175	$0.00
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	77	$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 officialKADARI, RAJENDRA (PHYSICIAN/OWNER)

Same official

Other billing entities under KADARI, RAJENDRA

Full network →

Provider	Location	Paid
Summit Hospitalists PLLC	Greenwood Village, CO	$703K
Summit Medical Carolinas PLLC	Charlotte, NC	$27K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.