Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SUMMIT MEDICAL GROUP PA

NPI: 1982641890 · BERKELEY HEIGHTS, NJ 07922 · Ambulatory Surgical Clinic/Center · NPI assigned 05/31/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official HENRY, SWAHILI controls 15+ related entities in our dataset. Read more

$5K
Total Medicaid Paid
66
Total Claims
63
Beneficiaries
1
Codes Billed
2024-03
First Month
2024-07
Last Month

Provider Details

Authorized OfficialHENRY, SWAHILI (DIRECTOR OF PROVIDER ENROLLMENT)
NPI Enumeration Date05/31/2006

Related Entities

Other providers sharing the same authorized official: HENRY, SWAHILI

ProviderCityStateTotal Paid
CITY MEDICAL OF UPPER EAST SIDE, PLLC NEW YORK NY $643.18M
WESTCHESTER MEDICAL GROUP, P.C. RYE BROOK NY $16.09M
SUMMIT MEDICAL GROUP PA BERKELEY HEIGHTS NJ $6.74M
CITY MEDICAL OF UPPER EAST SIDE, PLLC NEW YORK NY $260K
CITY MEDICAL OF UPPER EAST SIDE, PLLC DEER PARK NY $90K
CITY MEDICAL OF UPPER EAST SIDE, PLLC BAY SHORE NY $89K
CITY MEDICAL OF UPPER EAST SIDE, PLLC SAYVILLE NY $81K
CITY MEDICAL OF UPPER EAST SIDE, PLLC SELDEN NY $80K
CITY MEDICAL OF UPPER EAST SIDE, PLLC RONKONKOMA NY $62K
CITY MEDICAL OF UPPER EAST SIDE, PLLC PORT JEFFERSON STATION NY $61K
CITY MEDICAL OF UPPER EAST SIDE, PLLC ROCKY POINT NY $47K
CITY MEDICAL OF UPPER EAST SIDE, PLLC RIVERHEAD NY $44K
CITY MEDICAL OF UPPER EAST SIDE, PLLC BROOKLYN NY $41K
CITY MEDICAL OF UPPER EAST SIDE, PLLC SMITHTOWN NY $14K
CITY MEDICAL OF UPPER EAST SIDE, PLLC PLAINVIEW NY $7K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 66 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 66 63 $5K