Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › KY › ERLANGER › SUMMIT MEDICAL GROUP, INC

SUMMIT MEDICAL GROUP, INC

NPI: 1750343216 · ERLANGER, KY 41018 · Mental Health Counselor · NPI assigned 04/03/2006

$94.78M
Total Medicaid Paid
2,550,874
Total Claims
2,110,993
Beneficiaries
281
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRANKIN, MARIA (AVP-REVENUE CYCLE)
NPI Enumeration Date04/03/2006

Related Entities

Other providers sharing the same authorized official: RANKIN, MARIA

ProviderCityStateTotal Paid
SUMMIT MEDICAL GROUP, INC. HIGHLAND HEIGHTS KY $4.74M
SUMMIT MEDICAL GROUP, INC COVINGTON KY $4.23M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 327,056 $10.62M
2019 349,814 $11.55M
2020 330,140 $12.07M
2021 421,350 $16.09M
2022 408,803 $15.58M
2023 407,398 $16.01M
2024 306,313 $12.85M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 748,404 672,568 $27.40M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 445,117 404,007 $22.15M
99232 Subsequent hospital care, per day, moderate complexity 248,208 104,565 $7.03M
99233 Prolong inpt eval add15 m 104,486 54,519 $4.16M
99223 Prolong inpt eval add15 m 41,513 38,648 $3.50M
99239 Hospital discharge day management, more than 30 minutes 45,032 41,399 $2.27M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 20,565 19,787 $1.58M
90460 Immunization administration through 18 years of age via any route, first or only component 40,717 39,942 $1.58M
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 45,446 35,725 $1.52M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 21,980 20,912 $1.50M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 10,819 4,636 $1.13M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 13,605 12,526 $1.12M
J0585 Injection, onabotulinumtoxina, 1 unit 2,228 1,072 $1.09M
99254 12,468 11,593 $1.07M
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 146,632 123,448 $1.01M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 12,315 12,053 $932K
90792 Psychiatric diagnostic evaluation with medical services 10,601 9,627 $868K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 49,595 46,733 $774K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 18,644 17,487 $738K
99244 Office or other outpatient consultation, moderate to high complexity 6,242 5,953 $721K
90461 15,878 15,614 $670K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 9,641 8,875 $570K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 37,714 35,942 $545K
99222 Initial hospital care, per day, moderate complexity 8,239 7,534 $535K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 19,644 18,227 $517K
99238 Hospital discharge day management, 30 minutes or less 12,094 11,273 $480K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 30,282 14,523 $431K
59025 Fetal non-stress test 16,798 13,631 $390K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 4,105 3,960 $387K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 4,878 4,710 $361K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 3,951 3,870 $329K
90837 Psychotherapy, 53 minutes with patient 4,553 2,642 $309K
95886 5,400 5,051 $301K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 21,289 18,237 $297K
95810 Polysomnography; sleep staging with 4 or more additional parameters 2,583 2,485 $279K
59426 3,495 2,165 $278K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 10,160 9,006 $259K
99255 2,254 2,155 $254K
90472 Immunization administration, each additional vaccine (list separately) 16,143 15,215 $253K
87400 10,429 9,720 $250K
99231 Subsequent hospital care, per day, straightforward or low complexity 13,049 8,899 $235K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 355 291 $220K
59425 2,341 1,800 $197K
99253 3,279 2,996 $189K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,890 1,708 $184K
80305 17,708 12,648 $183K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 9,290 4,960 $183K
99215 Prolong outpt/office vis 2,030 1,871 $143K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 3,295 2,960 $142K
99205 Prolong outpt/office vis 1,351 1,200 $131K
62323 1,815 1,714 $129K
90832 Psychotherapy, 30 minutes with patient 3,794 2,459 $129K
64493 1,501 1,316 $123K
11102 1,864 1,723 $104K
87428 2,363 2,241 $97K
95811 850 809 $95K
64615 1,247 1,181 $86K
90686 17,673 16,735 $84K
64635 396 372 $80K
90791 Psychiatric diagnostic evaluation 1,213 925 $76K
93000 5,858 5,407 $75K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1,650 1,562 $71K
90834 Psychotherapy, 45 minutes with patient 1,805 1,074 $70K
64494 1,512 1,251 $67K
11043 962 546 $62K
J1040 Injection, methylprednisolone acetate, 80 mg 5,079 4,767 $56K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 436 421 $55K
90682 1,338 1,272 $54K
93295 1,665 1,571 $52K
99308 Subsequent nursing facility care, per day, straightforward 9,732 7,298 $50K
96127 7,268 6,949 $46K
51701 1,466 1,363 $45K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 1,163 1,066 $44K
95251 3,021 2,885 $43K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 1,081 890 $43K
90853 Group psychotherapy (other than of a multiple-family group) 3,275 1,154 $39K
47562 94 90 $37K
99454 1,073 1,003 $37K
93971 2,248 2,121 $37K
99348 923 831 $36K
99243 564 499 $36K
36415 Collection of venous blood by venipuncture 7,292 6,585 $34K
99457 1,063 1,003 $32K
95911 362 336 $31K
99497 865 799 $28K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 72 52 $27K
H0015 Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education 559 84 $26K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 459 432 $26K
90688 6,135 6,036 $25K
17110 1,082 1,010 $24K
99309 Subsequent nursing facility care, per day, low to moderate complexity 3,058 2,629 $24K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 246 227 $23K
64636 418 357 $22K
83036 Hemoglobin; glycosylated (A1C) 3,188 2,915 $20K
93016 1,284 1,196 $19K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 92 88 $18K
92133 987 857 $18K
81025 2,832 2,447 $17K
94726 2,074 1,955 $17K
54150 223 222 $16K
99221 460 422 $16K
95910 214 207 $15K
93018 1,275 1,188 $15K
90474 1,557 1,525 $15K
98928 413 372 $14K
20553 581 542 $14K
92083 468 418 $14K
99458 386 358 $13K
11721 1,186 1,094 $13K
99245 85 83 $12K
93970 621 584 $12K
71046 Radiologic examination, chest; 2 views 961 897 $12K
17000 497 451 $12K
83655 921 895 $12K
97803 540 350 $12K
45380 Colonoscopy, flexible; with biopsy, single or multiple 93 79 $11K
99406 1,611 1,310 $11K
93294 800 765 $11K
81002 3,748 2,731 $10K
94010 1,068 1,004 $10K
11100 383 349 $10K
94729 1,867 1,758 $10K
95816 339 319 $10K
90739 99 94 $10K
99220 128 119 $10K
76801 179 166 $10K
90677 1,882 1,820 $9K
T2023 Targeted case management; per month 32 32 $9K
99252 209 196 $9K
99385 104 101 $9K
95806 116 105 $9K
93298 495 472 $9K
99335 504 376 $9K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 73 68 $8K
93296 468 428 $8K
73630 409 317 $8K
90670 11,615 11,210 $8K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 623 561 $7K
87807 605 562 $7K
84703 1,061 982 $7K
17311 26 24 $7K
90836 219 159 $7K
64483 49 47 $7K
51798 883 781 $6K
99188 408 387 $6K
76519 299 134 $6K
90656 1,509 1,491 $6K
80320 1,029 861 $6K
95819 215 195 $6K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 160 155 $5K
93458 29 24 $5K
99334 564 410 $5K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 72 69 $5K
J0696 Injection, ceftriaxone sodium, per 250 mg 211 196 $5K
90632 89 84 $4K
81003 2,490 1,751 $4K
98929 100 91 $4K
85018 1,519 1,465 $4K
99242 75 63 $3K
59430 21 15 $3K
93227 125 122 $3K
J1010 Injection, methylprednisolone acetate, 1 mg 374 350 $3K
92134 144 133 $3K
99459 251 217 $3K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 28 24 $3K
0124A 113 88 $3K
99051 1,246 1,189 $3K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 62 58 $3K
0071A 72 64 $3K
93297 234 212 $3K
0072A 68 64 $3K
99173 106 101 $2K
92551 202 200 $2K
0011A 72 71 $2K
17003 108 99 $2K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 30 28 $2K
99417 Prolong home eval add 15m 85 56 $2K
J0561 Injection, penicillin g benzathine, 100,000 units 13 13 $2K
J1030 Injection, methylprednisolone acetate, 40 mg 494 373 $2K
20550 43 33 $2K
90698 7,782 7,549 $2K
27096 13 13 $2K
99307 470 329 $2K
90961 31 30 $2K
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 154 150 $2K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 26 26 $2K
99407 74 71 $2K
93880 130 123 $2K
11103 35 31 $2K
90785 283 251 $2K
20610 38 37 $1K
99251 64 57 $1K
0012A 42 38 $1K
68761 96 42 $1K
91320 13 13 $1K
95909 27 27 $1K
99152 134 125 $1K
95250 51 45 $1K
90715 166 160 $1K
99460 31 28 $1K
99386 14 13 $1K
90651 580 561 $1K
52000 16 15 $1K
11104 15 13 $1K
90680 5,392 5,307 $1K
76830 Ultrasound, transvaginal 15 13 $1K
93923 57 53 $1K
86580 199 194 $1K
99218 23 21 $1K
82044 242 224 $1K
90734 416 401 $1K
0064A 45 41 $958.32
90480 27 27 $954.90
99349 34 27 $932.43
90732 12 12 $897.16
92136 46 41 $805.48
96110 Developmental screening, with scoring and documentation, per standardized instrument 27 27 $787.80
92250 26 24 $774.99
92015 Determination of refractive state 81 75 $743.00
90710 1,397 1,357 $662.09
0134A 19 18 $620.00
96415 15 14 $592.62
90746 13 12 $549.33
82570 137 131 $530.51
99305 44 30 $512.18
90621 30 24 $497.90
99337 38 30 $465.54
90633 5,245 5,145 $464.41
90685 725 697 $445.24
99217 14 13 $427.52
76514 71 65 $414.72
J1885 Injection, ketorolac tromethamine, per 15 mg 283 248 $384.26
93308 13 12 $384.07
82465 75 72 $382.24
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 88 81 $377.09
98927 14 12 $367.96
99347 40 40 $328.36
92020 57 55 $324.76
99443 53 36 $318.35
99336 39 33 $315.31
11900 14 14 $314.87
90473 16 16 $279.24
J1050 Injection, medroxyprogesterone acetate, 1 mg 239 231 $278.50
76604 13 12 $270.69
46600 15 12 $268.41
90697 1,377 1,360 $265.54
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 32 31 $260.20
92552 16 15 $208.05
94060 13 13 $206.26
82962 65 52 $157.45
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) 238 216 $150.71
76937 29 26 $140.30
93228 13 12 $136.56
J1100 Injection, dexamethasone sodium phosphate, 1 mg 105 103 $123.71
91200 12 12 $121.46
99310 Prolong nursin fac eval 15m 33 29 $111.74
99177 28 28 $101.16
90744 1,618 1,568 $87.54
99318 20 18 $72.39
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 54 51 $68.96
90696 114 114 $23.00
G8482 Influenza immunization administered or previously received 678 542 $20.51
3017F 761 633 $20.51
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 5,981 5,275 $13.86
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 15 15 $1.71
J2315 Injection, naltrexone, depot form, 1 mg 942 870 $0.04
90700 25 25 $0.01
G8484 Influenza immunization was not administered, reason not given 1,326 1,182 $0.00
90687 233 233 $0.00
G8598 Aspirin or another antiplatelet therapy used 50 38 $0.00
4040F 123 94 $0.00
91312 83 62 $0.00
G8421 Bmi not documented and no reason is given 104 87 $0.00
90672 16 16 $0.00
91313 18 17 $0.00
2022F 12 12 $0.00
G8432 Depression screening not documented, reason not given 2,227 1,970 $0.00
1101F 257 193 $0.00
90619 44 44 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 25 25 $0.00
G0008 Administration of influenza virus vaccine 85 68 $0.00