Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Oklahoma for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Oklahoma only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Oklahoma (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Summit Health And Wellness Center LLC (NPI 1528536109)

Field	Value
Entity Type	Organization
Organization	Summit Health And Wellness Center LLC
Address	2911 Adams Rd Ste 101
City	Norman
State	OK
ZIP	73069
Taxonomy	Nurse Practitioner
NPI Enumerated	November 13, 2018

Payer Source	Total Paid
Medicaid	$2.1M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	17,540	$100	$1.8M
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	5,110	$60	$306.6K
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	570	$140	$78.8K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	50	$80	$3.5K
90785	This add–on code represents increased work intensity of psychotherapy services that adds difficulty to delivery of service.	220	$10	$3K

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Oklahoma providers billing the same CPT/HCPCS codes.

Claims Volume vs. Oklahoma Distribution

Summit Health And Wellness Center LLC — 2 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Oklahoma

Full comparison — all codes billed, vs. Oklahoma median

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	50	1,680	820	$90	$307K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	1,510	1,750	870	$70	$254.4K
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	160	720	120	$150	$94.5K
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	3	80	330	$60	$60.5K
90785	This add–on code represents increased work intensity of psychotherapy services that adds difficulty to delivery of service.	61	100	350	$1	$8.1K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Summit Health And Wellness Center LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rachel Tomlin	TX	Physician Assistant	$58.8K	$0

Nearby Providers

Other providers in the same ZIP code as Summit Health And Wellness Center LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kid's Choice Therapies, LLC	OK	Health Service Clinic/Center	$0	$14.2M
Premiere Pediatrics PLLC	OK	Pediatrics Physician	$0	$12.9M
Variety Care, Inc.	OK	Federally Qualified Health Center (FQHC)	$0	$5.8M
Communityworks, LLC	OK	Community/Behavioral Health Agency	$0	$5.6M
Norman Behavioral Health Group, LLC	OK	Psychologist	$0	$4.5M
Norman Pediatric Associates	OK	Pediatrics Physician	$0	$4.3M
Holland Pediatric Therapy, LLC	OK	Physical Therapy Clinic/Center	$0	$3.9M
Dental Depot Of Norman, PLLC	OK	General Practice Dentistry	$0	$3.9M
Lifecare Oklahoma, Inc.	OK	Home Health Agency	$0	$3.6M
Osu Center For Health Sciences	OK	Clinic/Center	$0	$3.1M

Summit Health And Wellness Center LLC — Billing Profile & Reimbursement Data

Sign up for Summit Health And Wellness Center LLC — Billing Profile & Reimbursement Data policy alerts

Summit Health And Wellness Center LLC — Billing Profile & Reimbursement Data

Sign up for Summit Health And Wellness Center LLC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References