Summit Headache and Neurologic Institute, PC

Summit Headache and Neurologic Institute, PC was paid $269K by Medicaid between Aug 2018 and Sep 2024, across 5 billing codes. Its largest line is J0585, Injection, onabotulinumtoxina, 1 unit — 61% of everything it billed.

33Billing provider infoSUMMIT HEADACHE AND NEUROLOGIC INSTITUTE, PC
ENGLEWOOD, CO 80113

33aNPI1528344942assigned 10/30/2011

33bProvider typeNeurology Physician

28Total paid$269K

24GClaims2,719

24DCodes billed5

24AFirst – last monthAug 2018 – Sep 2024

Compared with peers

Next to other Neurology Physician providers in Colorado

Rank by total paid#11 of 54

Median peer was paid$15K

This provider vs. median17×

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
2018	14	$1K
2019	287	$25K
2020	598	$45K
2021	785	$79K
2022	591	$58K
2023	361	$59K
2024incomplete	83	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
J0585	Injection, onabotulinumtoxina, 1 unit	61%	176	158	$164K
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	30%	1,082	1,041	$82K
96127		5.8%	1,353	1,283	$16K
64615		2.3%	76	71	$6K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	<1%	32	30	$2K

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 officialSCHNUR, CORI (PRESIDENT)