NP / PA
Summit View Health Services, LLC
Summit View Health Services, LLC was paid $504K by Medicaid between Jan 2018 and Jun 2023, across 27 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 36% of everything it billed.
33Billing provider infoSUMMIT VIEW HEALTH SERVICES, LLC
KNOXVILLE, TN 37932
KNOXVILLE, TN 37932
33aNPI1952557381assigned 08/18/2008
33bProvider typeFamily Nurse Practitioner
28Total paid$504K
24GClaims29,505
24DCodes billed27
24AFirst – last monthJan 2018 – Jun 2023
Compared with peers
Next to other Family Nurse Practitioner providers in Tennessee
Rank by total paid#35 of 687
Median peer was paid$15K
This provider vs. median34×
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 | 5,374 | $116K | |
| 2019 | 5,586 | $124K | |
| 2020 | 5,696 | $92K | |
| 2021 | 6,162 | $107K | |
| 2022 | 5,610 | $61K | |
| 2023 | 1,077 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 36% | 12,201 | 5,371 | $183K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 29% | 5,494 | 4,277 | $145K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 15% | 6,111 | 4,200 | $75K |
| 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 | 11% | 1,488 | 1,280 | $55K |
| 99310 | Prolong nursin fac eval 15m | 4.8% | 760 | 528 | $24K |
| 99348 | 1.0% | 530 | 403 | $5K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 48 | 45 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 188 | 136 | $2K |
| 99307 | <1% | 207 | 175 | $2K | |
| 99305 | <1% | 66 | 59 | $2K | |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | <1% | 63 | 17 | $2K |
| 99441 | <1% | 143 | 87 | $876.53 |
15 more codes
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 72 | $868.02 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 124 | $856.97 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 82 | $610.55 |
| 99316 | <1% | 53 | $591.69 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 489 | $522.61 |
| 99442 | <1% | 70 | $420.73 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 34 | $374.19 |
| 99304 | <1% | 18 | $372.70 | |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | <1% | 53 | $271.36 |
| 99347 | <1% | 19 | $149.81 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 19 | $128.35 |
| 81003 | <1% | 25 | $43.51 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 483 | $0.00 |
| 99000 | 0% | 367 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 298 | $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.
From NPPES
Who's on the registration
Authorized officialHARRELL, JOHN (ACCOUNTING SUPERVISOR)
Parent organizationSUMMIT VIEW HEALTH SERVICES, LLC