Summitstone Health Partners
Summitstone Health Partners was paid $7.38M by Medicaid between Sep 2020 and Dec 2024, across 57 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 18% of everything it billed.
FORT COLLINS, CO 80525
Next to other Mental Health Clinic/Center (Including Community Mental Health 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 | |
|---|---|---|---|
| 2020 | 109 | $176K | |
| 2021 | 1,108 | $943K | |
| 2022 | 2,060 | $818K | |
| 2023 | 126,643 | $3.77M | |
| 2024incomplete | 68,030 | $1.67M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 18% | 28,955 | 17,773 | $1.33M |
| H2011 | Crisis intervention service, per 15 minutes | 15% | 7,368 | 3,787 | $1.09M |
| H2036 | Alcohol and/or other drug treatment program, per diem | 10.0% | 2,282 | 98 | $736K |
| H0018 | Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem | 9.9% | 2,637 | 781 | $731K |
| J2426 | Injection, paliperidone palmitate extended release (invega sustenna), 1 mg | 8.2% | 274 | 228 | $608K |
| H0033 | Oral medication administration, direct observation | 5.7% | 45,309 | 3,759 | $417K |
| J2315 | Injection, naltrexone, depot form, 1 mg | 3.6% | 210 | 186 | $264K |
| H0038 | Self-help/peer services, per 15 minutes | 3.0% | 5,730 | 2,607 | $224K |
| T1017 | Case management, billed per 15 minutesTargeted case management, each 15 minutes | 2.8% | 11,245 | 6,939 | $208K |
| 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 | 2.5% | 10,570 | 8,382 | $182K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 2.3% | 6,705 | 4,929 | $170K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 2.2% | 6,265 | 4,071 | $159K |
45 more codes
| 90791 | Psychiatric diagnostic evaluation | 1.8% | 2,110 | $135K |
| H0015 | Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education | 1.8% | 3,476 | $131K |
| H0023 | Behavioral health outreach service (planned approach to reach a targeted population) | 1.5% | 6,129 | $111K |
| H0005 | Alcohol and/or drug services; group counseling by a clinician | 1.3% | 5,794 | $98K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 1.3% | 10,816 | $93K |
| H0006 | Alcohol and/or drug services; case management | <1% | 3,824 | $72K |
| H2000 | Comprehensive multidisciplinary evaluation | <1% | 3,136 | $67K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 3,361 | $63K |
| H0046 | Mental health services, not otherwise specified | <1% | 1,672 | $61K |
| J0401 | Injection, aripiprazole (abilify maintena), 1 mg | <1% | 25 | $51K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 2,686 | $36K |
| S9485 | Crisis intervention mental health services, per diem | <1% | 373 | $27K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 1,254 | $26K |
| H2031 | Mental health clubhouse services, per diem | <1% | 2,992 | $22K |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | <1% | 1,620 | $21K |
| H0031 | Mental health assessment, by non-physician | <1% | 648 | $20K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 432 | $19K |
| H0001 | Alcohol and/or drug assessment | <1% | 338 | $18K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 959 | $16K |
| H0011 | Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) | <1% | 234 | $16K |
| H0039 | Assertive community treatment, face-to-face, per 15 minutes | <1% | 580 | $15K |
| H2027 | Psychoeducational service, per 15 minutes | <1% | 1,747 | $15K |
| H2032 | Activity therapy, per 15 minutes | <1% | 1,095 | $14K |
| 80305 | <1% | 2,399 | $14K | |
| H2014 | Skills training and development, per 15 minutes | <1% | 781 | $14K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 2,183 | $12K |
| 90876 | <1% | 1,106 | $12K | |
| 90846 | Family psychotherapy without the patient present, 50 minutes | <1% | 219 | $10K |
| H0034 | Medication training and support, per 15 minutes | <1% | 742 | $9K |
| H0025 | Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) | <1% | 612 | $8K |
| H0036 | Community psychiatric support and treatment, per 15 minutes | <1% | 318 | $6K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,021 | $6K |
| H2030 | Mental health clubhouse services, per 15 minutes | <1% | 2,862 | $5K |
| 90785 | <1% | 1,081 | $4K | |
| H0032 | Mental health service plan development by non-physician | <1% | 423 | $4K |
| H2023 | Supported employment, per 15 minutes | <1% | 770 | $3K |
| S5151 | Unskilled respite care, not hospice; per diem | <1% | 24 | $825.03 |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 48 | $749.99 |
| 81025 | <1% | 189 | $723.24 | |
| 99205 | Prolong outpt/office vis | <1% | 23 | $506.22 |
| 99348 | <1% | 91 | $215.62 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 18 | $196.60 |
| S5150 | Respite care, billed per 15 minutes | <1% | 40 | $91.68 |
| 96127 | <1% | 129 | $24.50 | |
| 99347 | 0% | 20 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| 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 | Loveland, CO | $485K |
| 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.