Summit Orthopaedics Management and Consulting, LLC

Summit Orthopaedics Management and Consulting, LLC was paid $55K by Medicaid between Feb 2020 and Sep 2024, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 61% of everything it billed.

33Billing provider infoSUMMIT ORTHOPAEDICS MANAGEMENT AND CONSULTING, LLC
IDAHO FALLS, ID 83404

33aNPI1851485031assigned 10/03/2006

33bProvider typeOrthopaedic Surgery Physician

28Total paid$55K

24GClaims1,087

24DCodes billed7

24AFirst – last monthFeb 2020 – Sep 2024

Compared with peers

Next to other Orthopaedic Surgery Physician providers in Idaho

Rank by total paid#5 of 17

Median peer was paid$8K

This provider vs. median7.0×

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
2020	314	$15K
2021	262	$11K
2022	169	$7K
2023	166	$9K
2024incomplete	176	$12K

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	61%	554	495	$33K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	27%	368	357	$15K
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	4.9%	29	27	$3K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	3.7%	27	27	$2K
73630		3.0%	82	68	$2K
73610		<1%	14	12	$273.37
73030		<1%	13	12	$190.93

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 officialMCCOWIN, PHILIP (PHYSICIAN/PARTNER)