SUMMIT HEALTHCARE MEDICAL ASSOCIATES
NPI: 1942701693
· SHOW LOW, AZ 85901
· Rural Health Clinic/Center
· NPI assigned 02/27/2018
$4.15M
Total Medicaid Paid
Provider Details
| Authorized Official | ALLEN, KENNETH (CHIEF PRACTICE OFFICER) |
| Parent Organization | SUMMIT HEALTHCARE ASSOCIATION |
| NPI Enumeration Date | 02/27/2018 |
Related Entities
Other providers sharing the same authorized official: ALLEN, KENNETH
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
13 |
$0.00 |
| 2020 |
2,215 |
$225K |
| 2021 |
5,749 |
$743K |
| 2022 |
6,142 |
$871K |
| 2023 |
7,037 |
$1.14M |
| 2024 |
7,293 |
$1.17M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
16,031 |
13,812 |
$4.15M |
| 99213 |
|
2,823 |
2,561 |
$267.12 |
| 90670 |
|
409 |
367 |
$243.71 |
| 99214 |
|
464 |
427 |
$194.78 |
| 90460 |
|
2,131 |
1,883 |
$183.10 |
| 99391 |
|
1,648 |
1,289 |
$5.30 |
| 90680 |
|
257 |
218 |
$0.32 |
| 90697 |
|
81 |
76 |
$0.32 |
| 1036F |
|
752 |
660 |
$0.00 |
| 3008F |
|
948 |
886 |
$0.00 |
| 96127 |
|
123 |
117 |
$0.00 |
| 96380 |
|
44 |
44 |
$0.00 |
| 96161 |
|
136 |
129 |
$0.00 |
| 96110 |
|
93 |
89 |
$0.00 |
| 90723 |
|
15 |
14 |
$0.00 |
| 90686 |
|
27 |
16 |
$0.00 |
| 99177 |
|
160 |
159 |
$0.00 |
| 99393 |
|
387 |
327 |
$0.00 |
| 99392 |
|
863 |
729 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
172 |
155 |
$0.00 |
| 1159F |
|
173 |
156 |
$0.00 |
| 90700 |
|
195 |
105 |
$0.00 |
| 1158F |
|
172 |
156 |
$0.00 |
| 1160F |
|
170 |
154 |
$0.00 |
| 90710 |
|
28 |
25 |
$0.00 |
| 90633 |
|
72 |
55 |
$0.00 |
| 90648 |
|
32 |
28 |
$0.00 |
| 99394 |
|
27 |
24 |
$0.00 |
| 99212 |
|
16 |
14 |
$0.00 |