Physician
Summit Children's Clinic PA
Summit Children's Clinic PA was paid $4.47M by Medicaid between May 2018 and Dec 2024, across 55 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 24% of everything it billed.
33Billing provider infoSUMMIT CHILDREN'S CLINIC PA
SAN ANTONIO, TX 78212
SAN ANTONIO, TX 78212
33aNPI1285752105assigned 03/27/2007
33bProvider typePediatrics Physician
28Total paid$4.47M
24GClaims174,868
24DCodes billed55
24AFirst – last monthMay 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Texas
Rank by total paid#96 of 1,136
Median peer was paid$329K
This provider vs. median14×
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 | 195 | $4K | |
| 2019 | 41 | $1K | |
| 2020 | 8,420 | $179K | |
| 2021 | 44,199 | $1.04M | |
| 2022 | 44,449 | $1.12M | |
| 2023 | 42,585 | $1.15M | |
| 2024incomplete | 34,979 | $977K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 24% | 30,291 | 27,507 | $1.09M |
| 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 | 21% | 18,282 | 16,673 | $918K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 12% | 6,625 | 6,327 | $535K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 11% | 6,284 | 6,039 | $480K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 8.3% | 4,229 | 4,041 | $371K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.1% | 4,925 | 4,525 | $360K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 7.2% | 32,354 | 13,210 | $321K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.5% | 8,965 | 7,843 | $69K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.4% | 4,765 | 4,560 | $63K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.4% | 2,655 | 2,479 | $62K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.4% | 4,721 | 2,253 | $62K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 1,167 | 1,136 | $43K |
43 more codes
| 90461 | <1% | 7,318 | $37K | |
| 92552 | <1% | 5,400 | $13K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 389 | $11K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,224 | $10K |
| 96161 | <1% | 3,815 | $6K | |
| 99381 | <1% | 64 | $5K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 43 | $3K |
| 90480 | <1% | 104 | $3K | |
| 0071A | <1% | 68 | $3K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 25 | $2K |
| 0072A | <1% | 40 | $2K | |
| 0001A | <1% | 32 | $1K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 13 | $1K |
| 0081A | <1% | 30 | $1K | |
| 99173 | <1% | 6,840 | $612.00 | |
| 0002A | <1% | 14 | $560.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 47 | $368.48 |
| 90619 | <1% | 401 | $0.13 | |
| 90621 | <1% | 477 | $0.02 | |
| 90688 | <1% | 2,651 | $0.02 | |
| 90656 | <1% | 751 | $0.02 | |
| 90651 | <1% | 1,588 | $0.02 | |
| 90670 | <1% | 2,908 | $0.01 | |
| 90633 | <1% | 1,662 | $0.01 | |
| 90680 | <1% | 2,253 | $0.01 | |
| 91300 | 0% | 89 | $0.00 | |
| 90671 | 0% | 1,189 | $0.00 | |
| 90707 | 0% | 1,707 | $0.00 | |
| 90700 | 0% | 191 | $0.00 | |
| 90648 | 0% | 134 | $0.00 | |
| 90734 | 0% | 621 | $0.00 | |
| 90715 | 0% | 407 | $0.00 | |
| 90687 | 0% | 1,094 | $0.00 | |
| 90713 | 0% | 15 | $0.00 | |
| 91320 | 0% | 12 | $0.00 | |
| 91308 | 0% | 70 | $0.00 | |
| 90716 | 0% | 1,866 | $0.00 | |
| 90697 | 0% | 1,793 | $0.00 | |
| 90744 | 0% | 699 | $0.00 | |
| 90698 | 0% | 1,115 | $0.00 | |
| 90696 | 0% | 285 | $0.00 | |
| 91307 | 0% | 146 | $0.00 | |
| 91319 | 0% | 15 | $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 officialRAMON, SERGIO (PHYSICIAN/OWNER)