SUMMIT CHILDREN'S CLINIC PA
NPI: 1285752105
· SAN ANTONIO, TX 78212
· Pediatrics Physician
· NPI assigned 03/27/2007
$4.47M
Total Medicaid Paid
Provider Details
| Authorized Official | RAMON, SERGIO (PHYSICIAN/OWNER) |
| NPI Enumeration Date | 03/27/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total 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 |
| 2024 |
34,979 |
$977K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
30,291 |
27,507 |
$1.09M |
| 99214 |
|
18,282 |
16,673 |
$918K |
| 99393 |
|
6,625 |
6,327 |
$535K |
| 99392 |
|
6,284 |
6,039 |
$480K |
| 99394 |
|
4,229 |
4,041 |
$371K |
| 99391 |
|
4,925 |
4,525 |
$360K |
| 90460 |
|
32,354 |
13,210 |
$321K |
| 96110 |
|
8,965 |
7,843 |
$69K |
| 87880 |
|
4,765 |
4,560 |
$63K |
| 99212 |
|
2,655 |
2,479 |
$62K |
| 87804 |
|
4,721 |
2,253 |
$62K |
| 87811 |
|
1,167 |
1,136 |
$43K |
| 90461 |
|
7,318 |
5,784 |
$37K |
| 92552 |
|
5,400 |
5,196 |
$13K |
| 87651 |
|
389 |
371 |
$11K |
| 90471 |
|
1,224 |
1,143 |
$10K |
| 96161 |
|
3,815 |
3,644 |
$6K |
| 99381 |
|
64 |
63 |
$5K |
| 87502 |
|
43 |
43 |
$3K |
| 90480 |
|
104 |
92 |
$3K |
| 0071A |
|
68 |
68 |
$3K |
| 99203 |
|
25 |
25 |
$2K |
| 0072A |
|
40 |
40 |
$2K |
| 0001A |
|
32 |
32 |
$1K |
| 99204 |
|
13 |
13 |
$1K |
| 0081A |
|
30 |
30 |
$1K |
| 99173 |
|
6,840 |
6,379 |
$612.00 |
| 0002A |
|
14 |
14 |
$560.00 |
| 90472 |
|
47 |
24 |
$368.48 |
| 90619 |
|
401 |
369 |
$0.13 |
| 90621 |
|
477 |
441 |
$0.02 |
| 90688 |
|
2,651 |
2,465 |
$0.02 |
| 90656 |
|
751 |
720 |
$0.02 |
| 90651 |
|
1,588 |
1,481 |
$0.02 |
| 90670 |
|
2,908 |
2,679 |
$0.01 |
| 90633 |
|
1,662 |
1,588 |
$0.01 |
| 90680 |
|
2,253 |
2,110 |
$0.01 |
| 91300 |
|
89 |
87 |
$0.00 |
| 90671 |
|
1,189 |
1,151 |
$0.00 |
| 90707 |
|
1,707 |
1,632 |
$0.00 |
| 90700 |
|
191 |
184 |
$0.00 |
| 90648 |
|
134 |
128 |
$0.00 |
| 90734 |
|
621 |
593 |
$0.00 |
| 90715 |
|
407 |
389 |
$0.00 |
| 90687 |
|
1,094 |
1,031 |
$0.00 |
| 90713 |
|
15 |
14 |
$0.00 |
| 91320 |
|
12 |
12 |
$0.00 |
| 91308 |
|
70 |
67 |
$0.00 |
| 90716 |
|
1,866 |
1,782 |
$0.00 |
| 90697 |
|
1,793 |
1,686 |
$0.00 |
| 90744 |
|
699 |
661 |
$0.00 |
| 90698 |
|
1,115 |
1,030 |
$0.00 |
| 90696 |
|
285 |
275 |
$0.00 |
| 91307 |
|
146 |
132 |
$0.00 |
| 91319 |
|
15 |
14 |
$0.00 |