Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Summit Medical Group PA

Summit Medical Group PA was paid $5K by Medicaid between Mar 2024 and Jul 2024, across 1 billing code. Its largest line is 99213, doctor's office visit, returning patient (routine) — 100% of everything it billed.

33Billing provider infoSUMMIT MEDICAL GROUP PA
BERKELEY HEIGHTS, NJ 07922
33aNPI1982641890assigned 05/31/2006
28Total paid$5K
24GClaims66
24DCodes billed1
24AFirst – last monthMar 2024 – Jul 2024
Compared with peers

Next to other Ambulatory Surgical Clinic/Center providers in New Jersey

Rank by total paid#97 of 106
Median peer was paid$268K
This provider vs. median0.0×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official HENRY, SWAHILI controls 15+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$1.0K$2.0K2018201920202021202220232024
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
YearClaimsPaid
2024incomplete66$5K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 100% 66 63 $5K

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 officialHENRY, SWAHILI (DIRECTOR OF PROVIDER ENROLLMENT)
Same official

Other billing entities under HENRY, SWAHILI

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.