Summit Medical Specialists PSC

Summit Medical Specialists PSC was paid $1.19M by Medicaid between Jan 2018 and Dec 2024, across 28 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 47% of everything it billed.

33Billing provider infoSUMMIT MEDICAL SPECIALISTS PSC
OWENSBORO, KY 42303

33aNPI1861928228assigned 05/04/2017

33bProvider typeDermatology Physician

28Total paid$1.19M

24GClaims29,245

24DCodes billed28

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Dermatology Physician providers in Kentucky

Rank by total paid#1 of 21

Median peer was paid$29K

This provider vs. median40×

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	3,861	$125K
2019	2,969	$106K
2020	3,775	$128K
2021	4,963	$191K
2022	4,533	$208K
2023	4,659	$249K
2024incomplete	4,485	$184K

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	47%	16,673	12,435	$564K
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	17%	4,327	3,865	$197K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	11%	1,870	1,768	$136K
59409	Vaginal delivery only (with or without episiotomy and/or forceps)	6.6%	118	98	$79K
76830	Ultrasound, transvaginal	4.5%	905	832	$54K
76816	Ultrasound, pregnant uterus, real time with image documentation, follow-up	3.1%	602	478	$36K
76805	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation	1.9%	274	255	$23K
59514		1.5%	35	26	$18K
76818		1.2%	225	116	$15K
76813		1.1%	179	163	$14K
59430		<1%	158	153	$10K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	771	610	$9K

16 more codes

76817	Ultrasound, pregnant uterus, real time with image documentation, transvaginal	<1%	149	$8K
99459		<1%	506	$7K
76811	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed	<1%	48	$5K
87210		<1%	893	$4K
76801		<1%	50	$3K
99309	Subsequent nursing facility care, per day, low to moderate complexity	<1%	171	$2K
99308	Subsequent nursing facility care, per day, straightforward	<1%	136	$2K
J1050	Injection, medroxyprogesterone acetate, 1 mg	<1%	13	$925.50
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	70	$760.69
36415	Collection of venous blood by venipuncture	<1%	363	$612.46
90715		<1%	14	$289.00
90674		<1%	13	$223.90
81003		<1%	465	$203.32
J1040	Injection, methylprednisolone acetate, 80 mg	<1%	19	$168.83
81025		<1%	14	$94.71
81002		<1%	184	$48.72

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 officialRASHIDIAN, SUZANNE (CO-OWNER)