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SUMMIT MEDICAL GROUP, PLLC

Internal Medicine·KNOXVILLE, TN·NPI: 1548349186Share

Compared to Internal Medicine Peers

Total spending distribution among 26 providers in this specialty

P25MedianP75P90

This provider's total spending of $44.6M is at the 50th percentile among 26 Internal Medicine providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$44.6M

$44,607,359

Total Claims

1.5M

Beneficiaries

1.2M

1.2 claims/patient

Avg Cost/Claim

$30

Monthly Spending Trend

Yearly Spending

2018
$4.2M
+47%
2019
$6.2M
-15%
2020
$5.3M
+28%
2021
$6.7M
+9%
2022
$7.3M
+7%
2023
$7.9M
-11%
2024
$7.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 35% of total spending.

99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$15.6M

369K claims · 35.1%

Your Cost: $42.35/claim|Median: $37.81
1.1× median
99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$7.5M

159K claims · 16.9%

Your Cost: $47.51/claim|Median: $53.41
0.9× median
90460Top 5%

Immunization administration, first vaccine/toxoid, with counseling

$3.4M

66K claims · 7.6%

Your Cost: $51.72/claim|Median: $17.85
2.9× median
99392Normal range

Preventive medicine, established patient, age 1-4

$2.7M

34K claims · 6.1%

Your Cost: $80.02/claim|Median: $75.18
1.1× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$2.2M

32K claims · 5.0%

Your Cost: $70.22/claim|Median: $69.35
1.0× median
99393Normal range

Preventive medicine, established patient, age 5-11

$1.8M

23K claims · 4.1%

Your Cost: $79.15/claim|Median: $74.82
1.1× median
87651Top 25%

Streptococcus Group A detection, nucleic acid, amplified probe

$1.8M

46K claims · 4.1%

Your Cost: $39.15/claim|Median: $28.46
1.4× median
87502Top 10%

Influenza virus detection, reverse transcription, amplified probe

$1.7M

18K claims · 3.8%

Your Cost: $95.61/claim|Median: $65.64
1.5× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$1.1M

23K claims · 2.4%

Your Cost: $46.97/claim|Median: $39.70
1.2× median
99394Normal range

Preventive medicine, established patient, age 12-17

$809K

9,329 claims · 1.8%

Your Cost: $86.73/claim|Median: $80.15
1.1× median
96110Top 10%

Developmental screening, per standardized instrument

$765K

27K claims · 1.7%

Your Cost: $28.52/claim|Median: $9.10
3.1× median
87636Top 25%

Respiratory virus detection, 6-11 targets, nucleic acid

$387K

3,009 claims · 0.9%

Your Cost: $128.77/claim|Median: $97.61
1.3× median
99212Normal range

Office/outpatient visit, low complexity

$307K

9,824 claims · 0.7%

Your Cost: $31.27/claim|Median: $25.06
1.2× median
92551Normal range

Screening audiometry, pure tone, air only

$242K

29K claims · 0.5%

Your Cost: $8.29/claim|Median: $6.61
1.3× median
0241UTop 25%

Proprietary lab analysis, genomic sequencing

$236K

1,784 claims · 0.5%

Your Cost: $132.22/claim|Median: $91.47
1.4× median
87428Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay, each

$232K

4,250 claims · 0.5%

Your Cost: $54.53/claim|Median: $39.63
1.4× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$221K

28K claims · 0.5%

Your Cost: $7.93/claim|Median: $4.71
1.7× median
80061Normal range

Lipid panel

$202K

22K claims · 0.5%

Your Cost: $9.17/claim|Median: $8.41
1.1× median
87804Normal range

Influenza virus detection, rapid test

$186K

15K claims · 0.4%

Your Cost: $12.27/claim|Median: $12.59
1.0× median
U0003Normal range

Infectious disease detection (COVID-19)

$180K

2,559 claims · 0.4%

Your Cost: $70.37/claim|Median: $63.08
1.1× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$168K

13K claims · 0.4%

Your Cost: $12.68/claim|Median: $11.48
1.1× median
96161Top 10%

$167K

16K claims · 0.4%

Your Cost: $10.21/claim|Median: $2.49
4.1× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$158K

30K claims · 0.4%

Your Cost: $5.31/claim|Median: $3.67
1.4× median
99177Top 25%

$155K

22K claims · 0.3%

Your Cost: $7.16/claim|Median: $3.74
1.9× median
36415Normal range

Collection of venous blood by venipuncture

$147K

109K claims · 0.3%

Your Cost: $1.34/claim|Median: $1.57
0.9× median
90471Normal range

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$136K

9,827 claims · 0.3%

Your Cost: $13.80/claim|Median: $9.80
1.4× median
80050Normal range

General health panel

$123K

4,218 claims · 0.3%

Your Cost: $29.18/claim|Median: $25.59
1.1× median
96160Top 25%

Patient-focused health risk assessment

$122K

15K claims · 0.3%

Your Cost: $7.89/claim|Median: $2.10
3.8× median
80053Normal range

Comprehensive metabolic panel

$112K

21K claims · 0.3%

Your Cost: $5.34/claim|Median: $7.24
0.7× median
99173Top 25%

$98K

18K claims · 0.2%

Your Cost: $5.40/claim|Median: $2.16
2.5× median
99203Normal range

Office/outpatient visit, new patient, low-mod complexity

$97K

1,631 claims · 0.2%

Your Cost: $59.48/claim|Median: $57.85
1.0× median
99381Normal range

Preventive visit, new patient, infant (<1 yr)

$88K

1,189 claims · 0.2%

Your Cost: $73.97/claim|Median: $73.46
1.0× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$74K

8,164 claims · 0.2%

Your Cost: $9.08/claim|Median: $9.56
1.0× median
83655Top 10%

$62K

4,208 claims · 0.1%

Your Cost: $14.79/claim|Median: $10.49
1.4× median
U0005Top 25%

Infectious disease detection, COVID-19, antigen

$60K

2,559 claims · 0.1%

Your Cost: $23.52/claim|Median: $15.76
1.5× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$43K

19K claims · 0.1%

Your Cost: $2.28/claim|Median: $7.18
0.3× median
92004Normal range

Ophthalmological exam, comprehensive, new patient

$41K

786 claims · 0.1%

Your Cost: $52.79/claim|Median: $59.72
0.9× median
99204Normal range

Office/outpatient visit, new patient, mod-high complexity

$41K

631 claims · 0.1%

Your Cost: $65.16/claim|Median: $84.03
0.8× median
99395Normal range

Preventive medicine, established patient, age 18-39

$41K

520 claims · 0.1%

Your Cost: $78.63/claim|Median: $72.71
1.1× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$41K

813 claims · 0.1%

Your Cost: $50.29/claim|Median: $47.08
1.1× median
87811Normal range

SARS-CoV-2 COVID-19 antigen detection, rapid, instrument-read

$41K

1,381 claims · 0.1%

Your Cost: $29.34/claim|Median: $30.53
1.0× median
99308Normal range

Nursing facility care, subsequent, straightforward

$40K

3,270 claims · 0.1%

Your Cost: $12.22/claim|Median: $9.79
1.2× median
36416Normal range

$40K

27K claims · 0.1%

Your Cost: $1.46/claim|Median: $1.31
1.1× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$38K

1,762 claims · 0.1%

Your Cost: $21.85/claim|Median: $23.99
0.9× median
87634Top 10%

$38K

536 claims · 0.1%

Your Cost: $70.79/claim|Median: $48.78
1.5× median
66984Normal range

Extracapsular cataract removal with IOL insertion

$34K

346 claims · 0.1%

Your Cost: $97.75/claim|Median: $268.70
0.4× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$34K

6,682 claims · 0.1%

Your Cost: $5.02/claim|Median: $5.50
0.9× median
90834Normal range

Psychotherapy, 45 minutes

$28K

793 claims · 0.1%

Your Cost: $35.91/claim|Median: $63.65
0.6× median
95886Normal range

$28K

575 claims · 0.1%

Your Cost: $48.80/claim|Median: $67.70
0.7× median
84443Normal range

Thyroid stimulating hormone (TSH)

$28K

2,852 claims · 0.1%

Your Cost: $9.77/claim|Median: $9.87
1.0× median

Other Top Providers in Tennessee

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Department of Intellectual and Developmental Disabilities, State of Tn

Public Health or Welfare

$2.60B

Department of Intellectual and Developmental Disabilities, State of Tn

Public Health or Welfare

$1.45B

Tennessee Department of Children's Services

Public Health or Welfare

$781.0M

Youth Villages Inc.

Community/Behavioral Health

$615.3M

Mental Health Cooperative INC

Clinic/Center Mental Health (Including Community

$363.8M

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