Clinic
Summit Medical Group, INC
Summit Medical Group, INC was paid $4.23M by Medicaid between Apr 2019 and Dec 2024, across 23 billing codes. Its largest line is T2023, Targeted case management; per month — 38% of everything it billed.
33Billing provider infoSUMMIT MEDICAL GROUP, INC
COVINGTON, KY 41011
COVINGTON, KY 41011
33aNPI1922574854assigned 10/18/2018
28Total paid$4.23M
24GClaims68,533
24DCodes billed23
24AFirst – last monthApr 2019 – Dec 2024
Compared with peers
Next to other Mental Health Clinic/Center (Including Community Mental Health Center) providers in Kentucky
Rank by total paid#7 of 29
Median peer was paid$829K
This provider vs. median5.1×
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 | |
|---|---|---|---|
| 2019 | 5,173 | $149K | |
| 2020 | 16,843 | $831K | |
| 2021 | 14,077 | $965K | |
| 2022 | 12,660 | $825K | |
| 2023 | 11,789 | $840K | |
| 2024incomplete | 7,991 | $620K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T2023 | Targeted case management; per month | 38% | 5,710 | 4,935 | $1.61M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 27% | 24,777 | 17,001 | $1.15M |
| 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 | 18% | 12,567 | 9,315 | $756K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 9.9% | 10,791 | 8,041 | $417K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 2.1% | 6,667 | 2,873 | $90K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 1.0% | 505 | 484 | $44K |
| T1007 | Alcohol and/or substance abuse services, treatment plan development and/or modification | <1% | 598 | 527 | $40K |
| 80305 | <1% | 2,838 | 1,925 | $29K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,675 | 1,468 | $22K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 461 | 309 | $17K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 124 | 89 | $10K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 135 | 119 | $7K |
11 more codes
| H0001 | Alcohol and/or drug assessment | <1% | 96 | $6K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 66 | $5K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 463 | $5K |
| H0038 | Self-help/peer services, per 15 minutes | <1% | 331 | $5K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 38 | $4K |
| 99406 | <1% | 370 | $2K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 29 | $2K |
| Q9991 | Injection, buprenorphine extended-release (sublocade), less than or equal to 100 mg | <1% | 184 | $2K |
| 99205 | Prolong outpt/office vis | <1% | 16 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 58 | $904.65 |
| 81025 | <1% | 34 | $236.77 |
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 officialRANKIN, MARIA (AVP -REVENUE CYCLE)
Parent organizationSUMMIT MEDICAL GROUP, INC
| Provider | Location | Paid |
|---|---|---|
| Summit Medical Group, INC | Erlanger, KY | $94.78M |
| Summit Medical Group, INC. | Highland Heights, KY | $4.74M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.