Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SUMMIT PRIMARY CARE

NPI: 1356962849 · ENGLEWOOD, CO 80113 · Family Medicine Physician · NPI assigned 05/06/2020

$548K
Total Medicaid Paid
20,876
Total Claims
18,923
Beneficiaries
57
Codes Billed
2020-09
First Month
2024-12
Last Month

Provider Details

Authorized OfficialO'NEILL, MITCH (BILLING MANAGER)
NPI Enumeration Date05/06/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 13,463 $301K
2021 3,451 $98K
2022 1,660 $55K
2023 37 $549.27
2024 2,265 $93K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,029 1,800 $155K
90792 Psychiatric diagnostic evaluation with medical services 765 702 $85K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,137 1,058 $48K
96130 426 404 $34K
96127 2,821 2,477 $24K
82075 1,172 1,032 $24K
96136 526 494 $19K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 1,075 916 $11K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 187 176 $5K
83992 306 281 $4K
80335 306 281 $4K
80345 306 281 $4K
80368 306 281 $4K
80358 306 281 $4K
80324 306 281 $4K
80349 306 281 $4K
80353 306 281 $4K
80359 306 281 $4K
80367 306 281 $4K
80371 306 281 $4K
80350 306 281 $4K
80357 306 281 $4K
80346 306 281 $4K
80361 306 281 $4K
80356 306 281 $4K
80366 306 281 $4K
80332 306 281 $4K
80365 306 281 $4K
80354 306 281 $4K
80348 306 281 $4K
80360 306 281 $4K
80372 306 281 $4K
80338 306 281 $4K
80323 306 281 $4K
80362 306 281 $4K
80369 306 281 $4K
80339 306 281 $4K
80342 306 281 $4K
80373 306 281 $4K
80355 306 281 $4K
80329 305 280 $4K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 395 352 $4K
99205 Prolong outpt/office vis 101 94 $3K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 24 22 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 14 13 $2K
94010 29 28 $833.09
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 48 46 $770.80
90686 48 46 $736.77
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 23 21 $733.38
81025 54 52 $402.24
99406 47 46 $397.76
36415 Collection of venous blood by venipuncture 66 58 $127.71
97802 13 12 $92.28
86328 14 14 $44.78
J0592 Injection, buprenorphine hydrochloride, 0.1 mg 16 16 $0.00
99497 28 27 $0.00
99408 27 26 $0.00