SUMMIT HEALTHCARE MEDICAL ASSOCIATES
NPI: 1770700767
· OVERGAARD, AZ 85933
· Rural Health Clinic/Center
· NPI assigned 04/19/2007
$1.36M
Total Medicaid Paid
Provider Details
| Authorized Official | BLUSE, JILL (HEALTH PLAN CREDENTIALING COORDINAT) |
| Parent Organization | SUMMIT HEALTHCARE ASSOCIATION |
| NPI Enumeration Date | 04/19/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,663 |
$308K |
| 2019 |
149 |
$16K |
| 2020 |
1,037 |
$186K |
| 2021 |
1,260 |
$204K |
| 2022 |
1,175 |
$210K |
| 2023 |
1,274 |
$226K |
| 2024 |
1,946 |
$213K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
5,890 |
5,080 |
$1.35M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
798 |
691 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
492 |
434 |
$5K |
| 3008F |
|
222 |
202 |
$0.00 |
| 1036F |
|
72 |
60 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
309 |
275 |
$0.00 |
| 1160F |
|
306 |
274 |
$0.00 |
| 1159F |
|
309 |
276 |
$0.00 |
| 1124F |
|
39 |
38 |
$0.00 |
| 1158F |
|
67 |
58 |
$0.00 |