Summit Orthopedics, LTD

Summit Orthopedics, LTD was paid $6.72M by Medicaid between Jan 2018 and Nov 2024, across 62 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 20% of everything it billed.

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	46,458	$382K
2019	40,825	$1.56M
2020	30,654	$1.25M
2021	43,349	$1.78M
2022	27,625	$1.18M
2023	9,410	$365K
2024incomplete	4,399	$199K

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	20%	29,577	24,631	$1.33M
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	20%	30,940	27,212	$1.31M
97110	Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion	16%	47,580	18,344	$1.08M
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	12%	16,316	15,115	$797K
20610		3.8%	9,375	8,160	$258K
97161		3.8%	5,064	4,820	$254K
97140	Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage)	3.6%	13,069	5,527	$240K
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	2.5%	1,803	1,726	$171K
73721	Magnetic resonance imaging, any joint of lower extremity; without contrast material	2.3%	1,838	1,696	$155K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	1.4%	2,941	2,754	$96K
L4361	Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf	1.4%	466	443	$95K
64483		1.4%	1,354	1,285	$91K

50 more codes

73564		1.0%	3,197	$69K
73630		<1%	3,654	$65K
73110		<1%	3,345	$64K
73610		<1%	3,531	$63K
95886		<1%	647	$56K
73030		<1%	3,449	$55K
73562		<1%	3,016	$52K
97112	Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination	<1%	1,367	$40K
99215	Doctor's office visit, returning patient (complex)	<1%	882	$36K
J1040	Injection, methylprednisolone acetate, 80 mg	<1%	6,220	$35K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	706	$31K
72148	Magnetic resonance imaging, lumbar spine; without contrast material	<1%	352	$28K
20611		<1%	453	$28K
73502		<1%	1,245	$26K
73130		<1%	1,510	$25K
73221		<1%	248	$25K
L3908	Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf	<1%	424	$22K
97535	Self-care/home management training, each 15 minutes	<1%	592	$14K
72100		<1%	691	$13K
L1902	Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf	<1%	191	$12K
73140		<1%	669	$11K
64493		<1%	169	$10K
97035		<1%	986	$8K
J7325	Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	<1%	12	$8K
20550		<1%	374	$8K
29075		<1%	132	$6K
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	<1%	2,677	$5K
95909		<1%	36	$3K
L3670	Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf	<1%	26	$2K
E0114	Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips	<1%	42	$2K
73080		<1%	104	$2K
J1030	Injection, methylprednisolone acetate, 40 mg	<1%	384	$2K
95911		<1%	13	$2K
72040		<1%	53	$1K
64494		<1%	38	$1K
72141		<1%	14	$1K
72110		<1%	37	$1K
97530	Therapeutic activities, direct patient contact, each 15 minutes	<1%	25	$803.00
73600		<1%	50	$797.45
77002		<1%	13	$601.34
Q4010	Cast supplies, short arm cast, adult (11 years +), fiberglass	<1%	29	$577.60
20605		<1%	12	$459.64
73620		<1%	26	$310.22
97162		<1%	14	$63.56
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established)	<1%	12	$43.52
G8984	Carrying, moving & handling objects functional limitation, current status, at therapy episode outset and at reporting intervals	0%	107	$0.00
G8978	Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals	0%	237	$0.00
G8985	Carrying, moving and handling objects, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting	0%	123	$0.00
G8979	Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting	0%	247	$0.00
A4467	Belt, strap, sleeve, garment, or covering, any type	0%	16	$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 officialBIEN, JOHN (CFO)