Physician
Summit Primary Care
Summit Primary Care was paid $1.81M by Medicaid between Sep 2020 and Dec 2024, across 65 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 49% of everything it billed.
33Billing provider infoSUMMIT PRIMARY CARE
PUEBLO, CO 81004
PUEBLO, CO 81004
33aNPI1316561558assigned 06/03/2020
33bProvider typeFamily Medicine Physician
28Total paid$1.81M
24GClaims66,466
24DCodes billed65
24AFirst – last monthSep 2020 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Colorado
Rank by total paid#28 of 532
Median peer was paid$35K
This provider vs. median52×
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.
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 9,336 | $189K | |
| 2021 | 24,464 | $567K | |
| 2022 | 12,949 | $392K | |
| 2023 | 8,398 | $259K | |
| 2024incomplete | 11,319 | $405K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 49% | 13,537 | 12,108 | $889K |
| 82075 | 15% | 14,576 | 13,055 | $271K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 5,240 | 4,639 | $203K |
| 96127 | 8.6% | 17,378 | 15,212 | $155K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | 7.3% | 1,295 | 1,133 | $132K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 1.8% | 3,014 | 2,492 | $32K |
| 96130 | <1% | 134 | 118 | $8K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 311 | 294 | $7K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 77 | 70 | $6K |
| 96136 | <1% | 373 | 334 | $6K | |
| 99205 | Prolong outpt/office vis | <1% | 163 | 143 | $5K |
| 20553 | <1% | 108 | 83 | $5K |
53 more codes
| 99406 | <1% | 469 | $4K | |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 353 | $3K |
| 94010 | <1% | 97 | $3K | |
| 83992 | <1% | 252 | $2K | |
| 99401 | <1% | 93 | $2K | |
| G0483 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed | <1% | 12 | $2K |
| 80367 | <1% | 252 | $2K | |
| 80350 | <1% | 252 | $2K | |
| 80349 | <1% | 252 | $2K | |
| 80368 | <1% | 252 | $2K | |
| 80324 | <1% | 253 | $2K | |
| 80371 | <1% | 252 | $2K | |
| 80329 | <1% | 252 | $2K | |
| 80335 | <1% | 252 | $2K | |
| 80345 | <1% | 252 | $2K | |
| 80353 | <1% | 252 | $2K | |
| 80358 | <1% | 252 | $2K | |
| 80359 | <1% | 252 | $2K | |
| 80357 | <1% | 252 | $2K | |
| 80365 | <1% | 252 | $2K | |
| 80362 | <1% | 252 | $2K | |
| 80342 | <1% | 252 | $2K | |
| 80354 | <1% | 252 | $2K | |
| 80369 | <1% | 252 | $2K | |
| 80348 | <1% | 252 | $2K | |
| 80356 | <1% | 252 | $2K | |
| 80338 | <1% | 253 | $2K | |
| 80361 | <1% | 252 | $2K | |
| 80355 | <1% | 252 | $2K | |
| 80372 | <1% | 252 | $2K | |
| 80366 | <1% | 252 | $2K | |
| 80346 | <1% | 252 | $2K | |
| 80332 | <1% | 253 | $2K | |
| 80360 | <1% | 252 | $2K | |
| 80339 | <1% | 252 | $2K | |
| 80373 | <1% | 252 | $2K | |
| 80323 | <1% | 252 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 139 | $2K |
| 99497 | <1% | 123 | $1K | |
| 90688 | <1% | 87 | $827.52 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 50 | $568.90 |
| 90686 | <1% | 47 | $557.07 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 42 | $544.77 |
| 36415 | Collection of venous blood by venipuncture | <1% | 218 | $424.11 |
| 81025 | <1% | 34 | $163.94 | |
| 97802 | <1% | 47 | $61.52 | |
| 86328 | <1% | 79 | $44.78 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 67 | $41.20 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 113 | $2.81 |
| J0592 | Injection, buprenorphine hydrochloride, 0.1 mg | 0% | 16 | $0.00 |
| J3490 | Unclassified drugs | 0% | 37 | $0.00 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 20 | $0.00 |
| 99408 | 0% | 50 | $0.00 |
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 officialDENNIS, NICOLE (VICE PRESIDENT)