Summitstone Health Partners
Summitstone Health Partners was paid $485K by Medicaid between Nov 2018 and Dec 2022, across 10 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 82% of everything it billed.
LOVELAND, CO 80538
Next to other Clinic/Center providers in Colorado
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 49 | $6K | |
| 2021 | 701 | $198K | |
| 2022 | 1,079 | $281K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 82% | 1,118 | 1,036 | $398K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 6.0% | 128 | 119 | $29K |
| T1017 | Case management, billed per 15 minutesTargeted case management, each 15 minutes | 3.7% | 135 | 129 | $18K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 3.0% | 212 | 194 | $14K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 2.1% | 38 | 37 | $10K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | <1% | 17 | 17 | $4K |
| H0033 | Oral medication administration, direct observation | <1% | 109 | 86 | $3K |
| H0005 | Alcohol and/or drug services; group counseling by a clinician | <1% | 29 | 26 | $3K |
| H0006 | Alcohol and/or drug services; case management | <1% | 27 | 25 | $3K |
| H0023 | Behavioral health outreach service (planned approach to reach a targeted population) | <1% | 16 | 15 | $2K |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Summitstone Health Partners | Fort Collins, CO | $7.38M |
| Summitstone Health Partners | Fort Collins, CO | $6.79M |
| Summitstone Health Partners | Fort Collins, CO | $1.90M |
| Summitstone Health Partners | Loveland, CO | $1.80M |
| Summitstone Health Partners | Estes Park, CO | $985K |
| Summitstone Health Partners | Fort Collins, CO | $976K |
| Summitstone Health Partners | Fort Collins, CO | $841K |
| Summitstone Health Partners | Loveland, CO | $565K |
| Summitstone Health Partners | Loveland, CO | $522K |
| Summitstone Health Partners | Fort Collins, CO | $440K |
| Summitstone Health Partners | Fort Collins, CO | $423K |
| Summitstone Health Partners | Fort Collins, CO | $372K |
| Summitstone Health Partners | Estes Park, CO | $290K |
| Summitstone Health Partners | Loveland, CO | $189K |
| Summitstone Health Partners | Fort Collins, CO | $147K |
| Summitstone Health Partners | Fort Collins, CO | $104K |
| Longview Behavioral Health | Fort Collins, CO | $54K |
| Summitstone Health Partners | Fort Collins, CO | $46K |
| Summitstone Health Partners | Fort Collins, CO | $28K |
| Summitstone Health Partners | Fort Collins, CO | $14K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.