Medicaid Provider Spending

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

SUMMITSTONE HEALTH PARTNERS

NPI: 1447714357 · FORT COLLINS, CO 80525 · Mental Health Clinic/Center (Including Community Mental Health Center) · NPI assigned 01/24/2019

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official DODDS, CYNTHIA controls 20+ related entities in our dataset. Read more

$7.38M
Total Medicaid Paid
197,950
Total Claims
92,617
Beneficiaries
57
Codes Billed
2020-09
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDODDS, CYNTHIA (CEO)
Parent OrganizationSUMMITSTONE HEALTH PARTNERS
NPI Enumeration Date01/24/2019

Related Entities

Other providers sharing the same authorized official: DODDS, CYNTHIA

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 109 $176K
2021 1,108 $943K
2022 2,060 $818K
2023 126,643 $3.77M
2024 68,030 $1.67M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90837 Psychotherapy, 53 minutes with patient 28,955 17,773 $1.33M
H2011 Crisis intervention service, per 15 minutes 7,368 3,787 $1.09M
H2036 Alcohol and/or other drug treatment program, per diem 2,282 98 $736K
H0018 Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem 2,637 781 $731K
J2426 Injection, paliperidone palmitate extended release (invega sustenna), 1 mg 274 228 $608K
H0033 Oral medication administration, direct observation 45,309 3,759 $417K
J2315 Injection, naltrexone, depot form, 1 mg 210 186 $264K
H0038 Self-help/peer services, per 15 minutes 5,730 2,607 $224K
T1017 Targeted case management, each 15 minutes 11,245 6,939 $208K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 10,570 8,382 $182K
90834 Psychotherapy, 45 minutes with patient 6,705 4,929 $170K
H0004 Behavioral health counseling and therapy, per 15 minutes 6,265 4,071 $159K
90791 Psychiatric diagnostic evaluation 2,110 1,962 $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 3,476 896 $131K
H0023 Behavioral health outreach service (planned approach to reach a targeted population) 6,129 3,609 $111K
H0005 Alcohol and/or drug services; group counseling by a clinician 5,794 2,609 $98K
90853 Group psychotherapy (other than of a multiple-family group) 10,816 5,076 $93K
H0006 Alcohol and/or drug services; case management 3,824 2,574 $72K
H2000 Comprehensive multidisciplinary evaluation 3,136 1,820 $67K
90832 Psychotherapy, 30 minutes with patient 3,361 2,359 $63K
H0046 Mental health services, not otherwise specified 1,672 577 $61K
J0401 Injection, aripiprazole (abilify maintena), 1 mg 25 24 $51K
99215 Prolong outpt/office vis 2,686 1,850 $36K
S9485 Crisis intervention mental health services, per diem 373 323 $27K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,254 1,148 $26K
H2031 Mental health clubhouse services, per diem 2,992 1,009 $22K
H0002 Behavioral health screening to determine eligibility for admission to treatment program 1,620 1,101 $21K
H0031 Mental health assessment, by non-physician 648 403 $20K
90792 Psychiatric diagnostic evaluation with medical services 432 314 $19K
H0001 Alcohol and/or drug assessment 338 208 $18K
90847 Family psychotherapy with the patient present, 50 minutes 959 667 $16K
H0011 Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) 234 142 $16K
H0039 Assertive community treatment, face-to-face, per 15 minutes 580 272 $15K
H2027 Psychoeducational service, per 15 minutes 1,747 1,020 $15K
H2032 Activity therapy, per 15 minutes 1,095 700 $14K
80305 2,399 1,355 $14K
H2014 Skills training and development, per 15 minutes 781 487 $14K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,183 1,322 $12K
90876 1,106 467 $12K
90846 Family psychotherapy without the patient present, 50 minutes 219 144 $10K
H0034 Medication training and support, per 15 minutes 742 580 $9K
H0025 Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) 612 452 $8K
H0036 Community psychiatric supportive treatment, face-to-face, per 15 minutes 318 195 $6K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,021 318 $6K
H2030 Mental health clubhouse services, per 15 minutes 2,862 1,286 $5K
90785 1,081 676 $4K
H0032 Mental health service plan development by non-physician 423 333 $4K
H2023 Supported employment, per 15 minutes 770 399 $3K
S5151 Unskilled respite care, not hospice; per diem 24 17 $825.03
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 48 38 $749.99
81025 189 118 $723.24
99205 Prolong outpt/office vis 23 13 $506.22
99348 91 53 $215.62
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 18 16 $196.60
S5150 Unskilled respite care, not hospice; per 15 minutes 40 17 $91.68
96127 129 115 $24.50
99347 20 13 $0.00