Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › OK › Edmond › NPI 1356574560
Hospital

Summit Medical Center

Summit Medical Center was paid $7.14M by Medicaid between Jan 2018 and Nov 2024, across 13 billing codes. Its largest line is D9999, Unspecified adjunctive procedure, by report — 44% of everything it billed.

33Billing provider infoSUMMIT MEDICAL CENTER
EDMOND, OK 73013
33aNPI1356574560assigned 09/03/2009
28Total paid$7.14M
24GClaims11,400
24DCodes billed13
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other General Acute Care Hospital providers in Oklahoma

Rank by total paid#19 of 75
Median peer was paid$3.66M
This provider vs. median2.0×

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

$0$100K$200K$300K2018201920202021202220232024
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
YearClaimsPaid
20183,170$1.98M
20192,619$2.01M
20201,409$497K
20211,419$467K
2022910$580K
20231,462$1.30M
2024incomplete411$313K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D9999 Unspecified adjunctive procedure, by report 44% 3,361 3,360 $3.15M
42820 Tonsillectomy and adenoidectomy; younger than age 12 22% 514 514 $1.60M
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 20% 3,303 1,717 $1.46M
95782 7.8% 998 876 $560K
67311 1.8% 103 61 $128K
95810 Polysomnography; sleep staging with 4 or more additional parameters 1.7% 364 313 $125K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 1,321 1,314 $60K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r <1% 329 323 $33K
62369 <1% 238 238 $20K
42830 <1% 12 12 $15K
J1885 Injection, ketorolac tromethamine, per 15 mg 0% 532 532 $0.00
J3490 Unclassified drugs 0% 299 298 $0.00
1 more codes
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 0% 26 $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 officialBAKER, DOUGLAS (EXECUTIVE VICE PRESIDENT)