Ross, Summer

Ross, Summer was paid $155K by Medicaid between Jan 2018 and Nov 2020, across 21 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 42% of everything it billed.

33Billing provider infoROSS, SUMMER
CHATTANOOGA, TN 37412

33aNPI1861665440assigned 04/04/2008

33bProvider typePediatrics Physician

28Total paid$155K

24GClaims5,976

24DCodes billed21

24AFirst – last monthJan 2018 – Nov 2020

Compared with peers

Next to other Pediatrics Physician providers in Tennessee

Rank by total paid#162 of 333

Median peer was paid$139K

This provider vs. median1.1×

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	1,223	$35K
2019	2,881	$76K
2020	1,872	$43K

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	42%	1,783	1,374	$65K
90460	Immunization administration through 18 years of age via any route, first or only component	20%	808	677	$31K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	9.8%	272	215	$15K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	9.4%	203	182	$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	5.2%	189	112	$8K
87502	Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets	2.9%	55	40	$5K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	2.5%	309	239	$4K
96110	Developmental screening, with scoring and documentation, per standardized instrument	1.6%	55	51	$3K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	1.5%	30	20	$2K
36416		1.3%	719	569	$2K
85018		<1%	474	376	$2K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	70	34	$1K

9 more codes

81003		<1%	279	$714.55
99173		<1%	73	$698.82
99174		<1%	59	$677.82
90686		<1%	185	$572.84
90670		<1%	145	$464.82
90698		<1%	109	$357.57
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	32	$101.95
94760		0%	19	$0.00
99072		0%	108	$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.