Physician
Summit Medicine and Wellness
Summit Medicine and Wellness was paid $994K by Medicaid between Jan 2018 and Nov 2024, across 33 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 85% of everything it billed.
33Billing provider infoSUMMIT MEDICINE AND WELLNESS
EWING, NJ 08638
EWING, NJ 08638
33aNPI1750720348assigned 06/18/2013
33bProvider typeInternal Medicine Physician
28Total paid$994K
24GClaims33,354
24DCodes billed33
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in New Jersey
Rank by total paid#67 of 1,027
Median peer was paid$30K
This provider vs. median33×
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 | 3,436 | $205K | |
| 2019 | 4,145 | $193K | |
| 2020 | 3,686 | $155K | |
| 2021 | 3,195 | $122K | |
| 2022 | 7,592 | $126K | |
| 2023 | 6,100 | $110K | |
| 2024incomplete | 5,200 | $84K |
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 | 85% | 18,375 | 17,979 | $841K |
| 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 | 6.8% | 832 | 832 | $67K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.7% | 2,157 | 2,050 | $66K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 160 | 143 | $5K |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,204 | 2,167 | $3K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 97 | 83 | $2K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 55 | 55 | $2K |
| 99454 | <1% | 988 | 913 | $2K | |
| 99457 | <1% | 1,241 | 1,148 | $1K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 23 | 23 | $1K |
| 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% | 12 | 12 | $849.64 |
| 99385 | <1% | 12 | 12 | $603.19 |
21 more codes
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 154 | $370.71 |
| 99458 | <1% | 268 | $198.02 | |
| 99453 | <1% | 152 | $177.22 | |
| 99490 | Ccm add 20min | <1% | 343 | $70.59 |
| 3079F | <1% | 1,044 | $57.08 | |
| 3075F | <1% | 806 | $48.02 | |
| 3074F | <1% | 746 | $23.04 | |
| 3044F | <1% | 818 | $20.00 | |
| 3078F | <1% | 464 | $20.00 | |
| 3072F | <1% | 722 | $12.00 | |
| G0476 | Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be performed in addition to pap test | <1% | 282 | $7.00 |
| G0123 | Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision | <1% | 281 | $6.00 |
| 3341F | 0% | 257 | $0.00 | |
| 3017F | 0% | 204 | $0.00 | |
| 1125F | 0% | 14 | $0.00 | |
| 4013F | 0% | 103 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 33 | $0.00 |
| 3051F | 0% | 140 | $0.00 | |
| 3342F | 0% | 340 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 13 | $0.00 |
| 1160F | 0% | 14 | $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 officialVUDARLA, NEELIMA (OWNER)