Physician
Summit Healthcare Medical Associates
Summit Healthcare Medical Associates was paid $15.50M by Medicaid between Jan 2018 and Dec 2024, across 108 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 28% of everything it billed.
33Billing provider infoSUMMIT HEALTHCARE MEDICAL ASSOCIATES
SHOW LOW, AZ 85901
SHOW LOW, AZ 85901
33aNPI1467878108assigned 03/05/2014
33bProvider typeInternal Medicine Physician
28Total paid$15.50M
24GClaims276,151
24DCodes billed108
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Arizona
Rank by total paid#5 of 395
Median peer was paid$68K
This provider vs. median228×
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 | 42,904 | $2.25M | |
| 2019 | 38,679 | $2.37M | |
| 2020 | 32,149 | $1.86M | |
| 2021 | 38,571 | $2.42M | |
| 2022 | 42,804 | $2.85M | |
| 2023 | 45,132 | $2.42M | |
| 2024incomplete | 35,912 | $1.33M |
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 | 28% | 72,585 | 67,615 | $4.38M |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 20% | 34,736 | 34,184 | $3.08M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16% | 54,247 | 50,282 | $2.48M |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 15% | 19,184 | 18,866 | $2.28M |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 4.7% | 15,072 | 14,908 | $734K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 2.0% | 2,696 | 1,385 | $317K |
| 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 | 1.9% | 3,427 | 3,301 | $300K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.5% | 3,648 | 3,564 | $240K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.4% | 3,030 | 2,745 | $219K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 1.4% | 1,047 | 860 | $218K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.1% | 4,654 | 4,604 | $165K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 1,640 | 911 | $135K |
96 more codes
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 1,285 | $96K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 1,126 | $84K |
| 94729 | <1% | 2,173 | $83K | |
| 94060 | <1% | 2,275 | $79K | |
| 94726 | <1% | 2,133 | $78K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 518 | $51K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 819 | $51K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 537 | $39K |
| 96158 | <1% | 597 | $27K | |
| 99460 | <1% | 422 | $27K | |
| 73630 | <1% | 823 | $26K | |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 145 | $20K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 121 | $16K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 173 | $15K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 88 | $13K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 174 | $13K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 410 | $12K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 796 | $12K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 245 | $12K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 387 | $12K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 1,896 | $11K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 716 | $11K |
| 64483 | <1% | 99 | $11K | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 336 | $10K |
| 99205 | Prolong outpt/office vis | <1% | 79 | $10K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 216 | $9K |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | <1% | 331 | $8K |
| 36415 | Collection of venous blood by venipuncture | <1% | 3,262 | $8K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 163 | $8K |
| 93000 | <1% | 753 | $7K | |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 32 | $7K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 157 | $6K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 66 | $6K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 68 | $5K |
| 81002 | <1% | 2,308 | $5K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 53 | $5K |
| J2785 | Injection, regadenoson, 0.1 mg | <1% | 34 | $5K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 53 | $4K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 241 | $4K |
| 86328 | <1% | 91 | $4K | |
| A9502 | Technetium tc-99m tetrofosmin, diagnostic, per study dose | <1% | 33 | $4K |
| 96152 | <1% | 149 | $3K | |
| 99442 | <1% | 53 | $3K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 57 | $3K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 189 | $3K |
| 20611 | <1% | 39 | $3K | |
| 0011A | <1% | 87 | $2K | |
| 93015 | <1% | 51 | $2K | |
| 81025 | <1% | 310 | $2K | |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 51 | $2K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 30 | $2K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 42 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 74 | $2K |
| 20610 | <1% | 35 | $2K | |
| 31575 | <1% | 19 | $1K | |
| 99382 | <1% | 12 | $1K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 176 | $955.10 |
| 76801 | <1% | 24 | $863.37 | |
| 96127 | <1% | 358 | $790.83 | |
| 11721 | <1% | 43 | $746.32 | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 24 | $701.06 |
| 90686 | <1% | 72 | $668.96 | |
| 64484 | <1% | 12 | $660.74 | |
| 80305 | <1% | 95 | $432.84 | |
| 90715 | <1% | 14 | $426.30 | |
| 0012A | <1% | 12 | $347.12 | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 20 | $303.25 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 31 | $208.29 |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 15 | $131.85 |
| 99441 | <1% | 13 | $103.81 | |
| 3008F | <1% | 4,761 | $10.01 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 12 | $10.01 |
| 1160F | <1% | 5,381 | $3.00 | |
| 1159F | 0% | 4,884 | $0.00 | |
| 1158F | 0% | 568 | $0.00 | |
| 3288F | 0% | 1,370 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 4,413 | $0.00 |
| 3725F | 0% | 1,651 | $0.00 | |
| 3078F | 0% | 1,874 | $0.00 | |
| 1124F | 0% | 1,107 | $0.00 | |
| 90633 | 0% | 12 | $0.00 | |
| 0521F | 0% | 33 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 12 | $0.00 |
| 90670 | 0% | 12 | $0.00 | |
| 3077F | 0% | 18 | $0.00 | |
| 3079F | 0% | 518 | $0.00 | |
| 1036F | 0% | 719 | $0.00 | |
| 1125F | 0% | 1,250 | $0.00 | |
| 3074F | 0% | 2,759 | $0.00 | |
| 2023F | 0% | 142 | $0.00 | |
| 1126F | 0% | 145 | $0.00 | |
| 3075F | 0% | 61 | $0.00 | |
| 1170F | 0% | 84 | $0.00 | |
| 3080F | 0% | 12 | $0.00 | |
| 91301 | 0% | 21 | $0.00 | |
| 1034F | 0% | 25 | $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 officialFELTON, JONATHAN (CHIEF OPERATING OFFICER)
Parent organizationSUMMIT HEALTHCARE ASSOCIATION