Clinic
Summit Community Care Clinic, INC.
Summit Community Care Clinic, INC. was paid $2.15M by Medicaid between Feb 2018 and Dec 2024, across 24 billing codes. Its largest line is 90832, psychotherapy session, about 30 minutes — 37% of everything it billed.
33Billing provider infoSUMMIT COMMUNITY CARE CLINIC, INC.
BRECKENRIDGE, CO 80424
BRECKENRIDGE, CO 80424
33aNPI1639595986assigned 03/11/2014
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$2.15M
24GClaims14,198
24DCodes billed24
24AFirst – last monthFeb 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Colorado
Rank by total paid#81 of 197
Median peer was paid$1.11M
This provider vs. median1.9×
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 | 1,141 | $155K | |
| 2019 | 1,517 | $273K | |
| 2020 | 973 | $145K | |
| 2021 | 643 | $108K | |
| 2022 | 1,623 | $299K | |
| 2023 | 5,756 | $767K | |
| 2024incomplete | 2,545 | $404K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 37% | 3,899 | 1,444 | $804K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 34% | 3,254 | 1,274 | $739K |
| D0999 | Unspecified diagnostic procedure, by report | 13% | 959 | 883 | $281K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.9% | 450 | 347 | $105K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 4.0% | 441 | 182 | $86K |
| H0031 | Mental health assessment, by non-physician | 1.7% | 145 | 58 | $36K |
| 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 | 1.2% | 143 | 92 | $25K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 249 | 141 | $18K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 86 | 69 | $13K |
| 90785 | <1% | 1,568 | 430 | $13K | |
| D1206 | Topical application of fluoride varnish | <1% | 676 | 644 | $11K |
| D0190 | <1% | 526 | 513 | $7K |
12 more codes
| H0023 | Behavioral health outreach service (planned approach to reach a targeted population) | <1% | 23 | $4K |
| 99173 | <1% | 270 | $3K | |
| D0350 | <1% | 31 | $1K | |
| 96127 | <1% | 929 | $922.43 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 137 | $777.98 |
| D1110 | Prophylaxis - adult | <1% | 15 | $400.00 |
| D1120 | Dental cleaning, child | <1% | 35 | $378.00 |
| D0274 | Bitewings - four radiographic images | <1% | 15 | $355.00 |
| 90688 | <1% | 21 | $140.24 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 16 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 296 | $0.00 |
| D0240 | 0% | 14 | $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 officialCOGDILL, JOSH (CEO)
| Provider | Location | Paid |
|---|---|---|
| Summit Community Care Clinic, INC. | Frisco, CO | $8.27M |
| Summit Community Care Clinic | Frisco, CO | $251K |
| Summit Community Care Clinic, INC. | Leadville, CO | $100K |
| Summit Community Care Clinic, INC. | Frisco, CO | $40K |
| Summit Community Care Clinic, INC. | Dillon, CO | $33K |
| Summit Community Care Clinic, INC. | Fairplay, CO | $5K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.