Physician
Summit Primary Care
Summit Primary Care was paid $548K by Medicaid between Sep 2020 and Dec 2024, across 57 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 28% of everything it billed.
33Billing provider infoSUMMIT PRIMARY CARE
ENGLEWOOD, CO 80113
ENGLEWOOD, CO 80113
33aNPI1356962849assigned 05/06/2020
33bProvider typeFamily Medicine Physician
28Total paid$548K
24GClaims20,876
24DCodes billed57
24AFirst – last monthSep 2020 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Colorado
Rank by total paid#71 of 532
Median peer was paid$35K
This provider vs. median16×
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 | 13,463 | $301K | |
| 2021 | 3,451 | $98K | |
| 2022 | 1,660 | $55K | |
| 2023 | 37 | $549.27 | |
| 2024incomplete | 2,265 | $93K |
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 | 28% | 2,029 | 1,800 | $155K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 15% | 765 | 702 | $85K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.7% | 1,137 | 1,058 | $48K |
| 96130 | 6.2% | 426 | 404 | $34K | |
| 96127 | 4.5% | 2,821 | 2,477 | $24K | |
| 82075 | 4.4% | 1,172 | 1,032 | $24K | |
| 96136 | 3.4% | 526 | 494 | $19K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 2.0% | 1,075 | 916 | $11K |
| 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% | 187 | 176 | $5K |
| 83992 | <1% | 306 | 281 | $4K | |
| 80335 | <1% | 306 | 281 | $4K | |
| 80345 | <1% | 306 | 281 | $4K |
45 more codes
| 80368 | <1% | 306 | $4K | |
| 80358 | <1% | 306 | $4K | |
| 80324 | <1% | 306 | $4K | |
| 80349 | <1% | 306 | $4K | |
| 80353 | <1% | 306 | $4K | |
| 80359 | <1% | 306 | $4K | |
| 80367 | <1% | 306 | $4K | |
| 80371 | <1% | 306 | $4K | |
| 80350 | <1% | 306 | $4K | |
| 80357 | <1% | 306 | $4K | |
| 80346 | <1% | 306 | $4K | |
| 80361 | <1% | 306 | $4K | |
| 80356 | <1% | 306 | $4K | |
| 80366 | <1% | 306 | $4K | |
| 80332 | <1% | 306 | $4K | |
| 80365 | <1% | 306 | $4K | |
| 80354 | <1% | 306 | $4K | |
| 80348 | <1% | 306 | $4K | |
| 80360 | <1% | 306 | $4K | |
| 80372 | <1% | 306 | $4K | |
| 80338 | <1% | 306 | $4K | |
| 80323 | <1% | 306 | $4K | |
| 80362 | <1% | 306 | $4K | |
| 80369 | <1% | 306 | $4K | |
| 80339 | <1% | 306 | $4K | |
| 80342 | <1% | 306 | $4K | |
| 80373 | <1% | 306 | $4K | |
| 80355 | <1% | 306 | $4K | |
| 80329 | <1% | 305 | $4K | |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 395 | $4K |
| 99205 | Prolong outpt/office vis | <1% | 101 | $3K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 24 | $2K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 14 | $2K |
| 94010 | <1% | 29 | $833.09 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 48 | $770.80 |
| 90686 | <1% | 48 | $736.77 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 23 | $733.38 |
| 81025 | <1% | 54 | $402.24 | |
| 99406 | <1% | 47 | $397.76 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 66 | $127.71 |
| 97802 | <1% | 13 | $92.28 | |
| 86328 | <1% | 14 | $44.78 | |
| J0592 | Injection, buprenorphine hydrochloride, 0.1 mg | 0% | 16 | $0.00 |
| 99497 | 0% | 28 | $0.00 | |
| 99408 | 0% | 27 | $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 officialO'NEILL, MITCH (BILLING MANAGER)