Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › TN › KNOXVILLE › SUMMIT MEDICAL GROUP, PLLC

SUMMIT MEDICAL GROUP, PLLC

NPI: 1548349186 · KNOXVILLE, TN 37909 · Family Medicine Physician · NPI assigned 11/03/2006

$44.61M
Total Medicaid Paid
1,463,996
Total Claims
1,241,786
Beneficiaries
212
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCURTIS, ED (CHIEF ADMINISTRATIVE OFFICER)
NPI Enumeration Date11/03/2006

Related Entities

Other providers sharing the same authorized official: CURTIS, ED

ProviderCityStateTotal Paid
SUMMIT MEDICAL GROUP,PLLC JEFFERSON CITY TN $10K
SUMMIT MEDICAL GROUP, PLLC KINGSTON TN $2K
SUMMIT MEDICAL GROUP, PLLC LA FOLLETTE TN $924.79
SUMMIT MEDICAL GROUP, PLLC KNOXVILLE TN $349.80
SUMMIT MEDICAL GROUP, PLLC CLINTON TN $236.21
SUMMIT MEDICAL GROUP, PLLC GREENEVILLE TN $65.47
SUMMIT MEDICAL GROUP, PLLC KNOXVILLE TN $54.44
SUMMIT MEDICAL GROUP, PLLC KNOXVILLE TN $0.00
SUMMIT MEDICAL GROUP, PLLC MAYNARDVILLE TN $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 153,300 $4.22M
2019 203,549 $6.21M
2020 176,017 $5.25M
2021 218,159 $6.71M
2022 232,909 $7.33M
2023 256,224 $7.86M
2024 223,838 $7.03M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 369,212 315,328 $15.64M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 158,661 125,771 $7.54M
90460 Immunization administration through 18 years of age via any route, first or only component 65,948 57,716 $3.41M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 33,749 30,865 $2.70M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 31,626 27,070 $2.22M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 23,188 21,301 $1.84M
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 46,159 42,800 $1.81M
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 17,882 16,277 $1.71M
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 23,028 21,055 $1.08M
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 9,329 8,179 $809K
96110 Developmental screening, with scoring and documentation, per standardized instrument 26,835 24,263 $765K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 3,009 2,705 $387K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 9,824 8,701 $307K
92551 29,233 26,098 $242K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 1,784 1,700 $236K
87428 4,250 3,589 $232K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 27,862 24,677 $221K
80061 Lipid panel 22,037 19,677 $202K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 15,190 7,032 $186K
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 2,559 2,282 $180K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 13,238 11,822 $168K
96161 16,374 14,253 $167K
96127 29,859 26,219 $158K
99177 21,637 19,408 $155K
36415 Collection of venous blood by venipuncture 109,039 84,484 $147K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 9,827 8,827 $136K
80050 General health panel 4,218 3,817 $123K
96160 15,439 13,122 $122K
80053 Comprehensive metabolic panel 21,063 18,725 $112K
99173 18,170 16,252 $98K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,631 1,280 $97K
99381 1,189 991 $88K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 8,164 5,171 $74K
83655 4,208 3,728 $62K
U0005 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, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 2,559 2,282 $60K
90686 18,962 16,499 $43K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 786 704 $41K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 631 491 $41K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 520 473 $41K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 813 745 $41K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 1,381 1,189 $41K
99308 Subsequent nursing facility care, per day, straightforward 3,270 2,123 $40K
36416 27,286 23,412 $40K
99232 Subsequent hospital care, per day, moderate complexity 1,762 751 $38K
87634 536 509 $38K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 346 240 $34K
83036 Hemoglobin; glycosylated (A1C) 6,682 5,833 $34K
90834 Psychotherapy, 45 minutes with patient 793 573 $28K
95886 575 323 $28K
84443 Thyroid stimulating hormone (TSH) 2,852 2,558 $28K
87430 2,141 2,002 $28K
81003 14,483 12,003 $27K
90670 16,672 14,439 $25K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 325 301 $23K
92015 Determination of refractive state 856 841 $23K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 1,057 265 $19K
85027 4,249 3,822 $17K
90651 2,929 2,615 $16K
90461 34,874 31,012 $15K
99174 1,199 1,060 $14K
G0444 Annual depression screening, 5 to 15 minutes 2,503 1,847 $14K
88720 2,333 1,521 $13K
99233 Prolong inpt eval add15 m 452 218 $12K
90688 3,536 3,095 $12K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 3,465 2,518 $11K
92340 Fitting of spectacles, except for aphakia; monofocal 435 427 $10K
84439 1,117 1,018 $10K
90837 Psychotherapy, 53 minutes with patient 178 88 $9K
90832 Psychotherapy, 30 minutes with patient 264 122 $9K
92552 427 363 $8K
87631 87 71 $8K
99307 1,197 881 $8K
99309 Subsequent nursing facility care, per day, low to moderate complexity 604 400 $7K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 236 181 $7K
87807 567 540 $7K
84466 582 523 $7K
90674 808 730 $7K
99383 88 61 $7K
90472 Immunization administration, each additional vaccine (list separately) 378 357 $7K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 368 306 $6K
82728 486 436 $6K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 390 368 $6K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 666 139 $6K
83525 497 426 $6K
99223 Prolong inpt eval add15 m 98 84 $6K
90723 14,110 12,327 $6K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 247 215 $5K
82607 419 361 $5K
90734 1,541 1,315 $5K
90756 374 300 $5K
92136 689 483 $5K
90716 1,942 1,763 $5K
90633 7,688 6,859 $4K
99382 86 53 $4K
90710 907 817 $4K
90739 26 24 $4K
90680 12,455 10,874 $4K
83540 626 561 $4K
84681 161 154 $4K
0012A 108 75 $4K
96380 180 139 $4K
86803 254 238 $4K
92134 437 346 $3K
90707 1,962 1,778 $3K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 167 167 $3K
82465 976 830 $3K
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care 836 199 $3K
V2020 Frames, purchases 194 193 $3K
99441 254 190 $3K
99051 812 770 $3K
90746 40 35 $3K
0011A 77 48 $3K
0001A 117 65 $2K
90661 1,798 1,567 $2K
99239 Hospital discharge day management, more than 30 minutes 105 98 $2K
0002A 83 45 $2K
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) 3,350 1,867 $2K
69210 78 64 $2K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 21 12 $2K
90715 353 312 $2K
94760 3,775 3,297 $2K
99215 Prolong outpt/office vis 47 30 $2K
87081 315 273 $2K
67028 Intravitreal injection of a pharmacologic agent 33 27 $2K
90648 16,087 14,401 $2K
90671 3,907 3,644 $1K
99222 Initial hospital care, per day, moderate complexity 29 27 $1K
0071A 54 34 $1K
91320 21 13 $1K
82962 1,289 873 $1K
0072A 36 22 $1K
85018 351 317 $1K
71046 Radiologic examination, chest; 2 views 93 67 $1K
90696 945 847 $1K
99406 141 121 $1K
90677 454 431 $1K
99384 16 12 $996.54
90791 Psychiatric diagnostic evaluation 14 12 $962.57
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 1,233 781 $945.02
97161 14 13 $942.67
86140 419 375 $806.38
99497 14 12 $793.06
87420 62 59 $786.45
J9035 Injection, bevacizumab, 10 mg 39 27 $779.07
92002 12 12 $747.46
93000 65 49 $581.91
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 24 17 $572.16
82570 280 193 $561.27
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 13 13 $560.90
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 13 13 $560.84
80048 Basic metabolic panel (calcium, ionized) 151 141 $496.85
90658 38 29 $476.16
99442 31 24 $466.20
90647 2,291 1,972 $451.44
90620 55 55 $436.00
99217 12 12 $417.83
90480 19 13 $369.69
G0008 Administration of influenza virus vaccine 1,543 1,040 $369.38
94761 43 30 $366.20
82044 256 176 $365.55
J1010 Injection, methylprednisolone acetate, 1 mg 46 39 $325.91
82550 66 59 $260.93
83735 62 55 $260.09
82746 34 26 $258.43
J0696 Injection, ceftriaxone sodium, per 250 mg 131 97 $198.50
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 967 533 $196.99
90672 105 100 $178.71
85652 161 144 $171.76
90474 29 24 $169.33
99318 18 14 $166.54
81025 18 14 $146.98
90656 482 468 $137.51
90700 515 476 $133.45
90630 25 14 $125.90
81001 42 39 $115.92
83721 39 38 $110.64
J1030 Injection, methylprednisolone acetate, 40 mg 15 15 $105.02
90660 67 67 $86.55
82043 31 25 $85.06
A7003 Administration set, with small volume nonfiltered pneumatic nebulizer, disposable 304 288 $81.58
J7611 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg 182 171 $75.41
J1100 Injection, dexamethasone sodium phosphate, 1 mg 115 97 $74.73
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 15 12 $56.86
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 20 12 $41.21
0064A 18 12 $40.00
J3490 Unclassified drugs 19 13 $30.00
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 165 157 $12.14
J1885 Injection, ketorolac tromethamine, per 15 mg 13 12 $9.64
91300 40 16 $0.19
1159F 610 328 $0.02
91307 37 18 $0.01
3008F 101 97 $0.00
99000 925 815 $0.00
90698 666 586 $0.00
90744 311 280 $0.00
1170F 583 316 $0.00
1111F 1,293 890 $0.00
90694 56 33 $0.00
90381 35 27 $0.00
3074F 58 56 $0.00
90619 16 14 $0.00
2023F 32 32 $0.00
99397 363 199 $0.00
90685 497 483 $0.00
1160F 218 200 $0.00
90687 354 292 $0.00
90380 17 13 $0.00
99072 73 68 $0.00
90662 397 224 $0.00
99499 107 89 $0.00
3078F 58 56 $0.00
90681 16 15 $0.00