SUMMIT HEALTHCARE MEDICAL ASSOCIATES
NPI: 1962166934
· SAINT JOHNS, AZ 85936
· Rural Health Clinic/Center
· NPI assigned 10/26/2021
$542K
Total Medicaid Paid
Provider Details
| Authorized Official | ROTHENBERGER, DAVID (CFO) |
| Parent Organization | SUMMIT HEALTHCARE ASSOCIATION |
| NPI Enumeration Date | 10/26/2021 |
Related Entities
Other providers sharing the same authorized official: ROTHENBERGER, DAVID
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
1,348 |
$131K |
| 2024 |
4,535 |
$411K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
1,924 |
1,748 |
$541K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
298 |
273 |
$894.60 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
512 |
482 |
$233.20 |
| 1159F |
|
727 |
672 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
744 |
690 |
$0.00 |
| 1160F |
|
726 |
672 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
118 |
115 |
$0.00 |
| 1034F |
|
58 |
53 |
$0.00 |
| 3008F |
|
380 |
362 |
$0.00 |
| 1036F |
|
396 |
364 |
$0.00 |