Physician
Summit Medical Arts Associates, LLC
Summit Medical Arts Associates, LLC was paid $849K by Medicaid between Jan 2018 and Nov 2024, across 64 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 38% of everything it billed.
33Billing provider infoSUMMIT MEDICAL ARTS ASSOCIATES, LLC
NORTH BERGEN, NJ 07047
NORTH BERGEN, NJ 07047
33aNPI1750473146assigned 09/29/2006
33bProvider typeCritical Care Medicine (Internal Medicine) Physician
28Total paid$849K
24GClaims52,060
24DCodes billed64
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Critical Care Medicine (Internal Medicine) Physician providers in New Jersey
Rank by total paid#2 of 36
Median peer was paid$27K
This provider vs. median32×
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 | 3,047 | $76K | |
| 2019 | 3,860 | $76K | |
| 2020 | 4,503 | $97K | |
| 2021 | 9,955 | $311K | |
| 2022 | 8,946 | $162K | |
| 2023 | 7,537 | $67K | |
| 2024incomplete | 14,212 | $60K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 38% | 9,629 | 7,715 | $322K |
| 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 | 19% | 5,249 | 4,609 | $162K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 17% | 3,457 | 2,878 | $145K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 9.1% | 1,509 | 1,447 | $77K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 7.0% | 1,827 | 1,614 | $59K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 2.4% | 414 | 406 | $21K |
| 93000 | 1.7% | 1,374 | 1,314 | $15K | |
| 90682 | 1.0% | 204 | 201 | $9K | |
| 99490 | Ccm add 20min | <1% | 6,053 | 5,656 | $8K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 303 | 284 | $8K |
| 36415 | Collection of venous blood by venipuncture | <1% | 3,792 | 3,660 | $5K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 350 | 342 | $4K |
52 more codes
| 96127 | <1% | 966 | $2K | |
| 99439 | <1% | 2,584 | $2K | |
| 90662 | <1% | 160 | $1K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 25 | $1K |
| 99454 | <1% | 424 | $1K | |
| 99457 | <1% | 693 | $1K | |
| 90686 | <1% | 66 | $1K | |
| 99441 | <1% | 249 | $765.67 | |
| 99487 | Ccm add 20min | <1% | 646 | $700.14 |
| 99442 | <1% | 68 | $622.96 | |
| 92551 | <1% | 57 | $412.31 | |
| 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% | 355 | $385.55 |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 269 | $362.19 |
| 99397 | <1% | 16 | $320.16 | |
| 99489 | Ccm add 20min | <1% | 451 | $263.97 |
| G0008 | Administration of influenza virus vaccine | <1% | 136 | $199.50 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 29 | $160.48 |
| 96136 | <1% | 17 | $103.35 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 155 | $89.36 |
| 92552 | <1% | 26 | $65.69 | |
| 99424 | <1% | 496 | $63.93 | |
| 96132 | <1% | 17 | $56.17 | |
| 99425 | <1% | 83 | $46.28 | |
| 99453 | <1% | 14 | $16.23 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 2,591 | $0.00 |
| 1160F | 0% | 157 | $0.00 | |
| 3077F | 0% | 152 | $0.00 | |
| 3078F | 0% | 476 | $0.00 | |
| 1100F | 0% | 55 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 663 | $0.00 |
| 3288F | 0% | 164 | $0.00 | |
| 1159F | 0% | 252 | $0.00 | |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 65 | $0.00 |
| 4004F | 0% | 36 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 702 | $0.00 |
| 1170F | 0% | 137 | $0.00 | |
| 3044F | 0% | 99 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 590 | $0.00 |
| G8755 | Most recent diastolic blood pressure >= 90 mmhg | 0% | 31 | $0.00 |
| G9664 | Patients who are currently statin therapy users or received an order (prescription) for statin therapy | 0% | 956 | $0.00 |
| 3074F | 0% | 528 | $0.00 | |
| 1111F | 0% | 732 | $0.00 | |
| 1125F | 0% | 51 | $0.00 | |
| 1036F | 0% | 538 | $0.00 | |
| 3080F | 0% | 91 | $0.00 | |
| 3017F | 0% | 109 | $0.00 | |
| 3079F | 0% | 350 | $0.00 | |
| 3075F | 0% | 226 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 20 | $0.00 |
| 99458 | 0% | 13 | $0.00 | |
| 3014F | 0% | 34 | $0.00 | |
| 3061F | 0% | 79 | $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 officialSHAH, KAMALESH (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Virtual Care LLC | Secaucus, NJ | $5K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.