Summit Pointe

Summit Pointe was paid $72.11M by Medicaid between Jan 2018 and Dec 2024, across 48 billing codes. Its largest line is T1017, case management, billed per 15 minutes — 33% of everything it billed.

33Billing provider infoSUMMIT POINTE
BATTLE CREEK, MI 49017

33aNPI1700833555assigned 05/27/2006

33bProvider typeClinical Social Worker

28Total paid$72.11M

24GClaims517,208

24DCodes billed48

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Clinical Social Worker providers in Michigan

Rank by total paid#2 of 411

Median peer was paid$49K

This provider vs. median1,473×

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	74,123	$10.67M
2019	70,291	$10.44M
2020	70,672	$9.31M
2021	67,834	$9.82M
2022	68,567	$11.55M
2023	76,110	$10.81M
2024incomplete	89,611	$9.51M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
T1017	Case management, billed per 15 minutesTargeted case management, each 15 minutes	33%	73,153	42,554	$24.07M
H0039	Assertive community treatment, face-to-face, per 15 minutes	11%	42,441	3,900	$7.76M
T1016	Case management, each 15 minutes	8.7%	21,015	14,356	$6.28M
H0036	Community psychiatric support and treatment, per 15 minutesCommunity psychiatric supportive treatment, face-to-face, per 15 minutes	6.2%	8,754	1,952	$4.48M
90834	Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient	5.1%	45,585	35,597	$3.71M
90837	Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient	4.8%	35,139	26,201	$3.48M
H0038	Self-help/peer services, per 15 minutes	3.7%	44,244	14,714	$2.64M
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	3.6%	4,368	3,988	$2.62M
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	3.3%	36,658	33,926	$2.37M
H0031	Mental health assessment, by non-physician	2.4%	11,520	11,426	$1.71M
H2015	Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes	2.4%	16,556	5,510	$1.70M
H2011	Crisis intervention service, per 15 minutes	1.8%	3,380	2,987	$1.31M

36 more codes

H0002	Behavioral health screening to determine eligibility for admission to treatment program	1.6%	7,285	$1.13M
99214	Doctor's office visit, returning patient (more involved)	1.5%	10,748	$1.11M
97153	Applied behavior analysis (autism therapy), per 15 minutes	1.5%	7,675	$1.08M
90832	Psychotherapy session, about 30 minutes	1.2%	16,590	$833K
99205	Prolong outpt/office vis	<1%	3,342	$635K
H2021	Community-based wrap-around services, per 15 minutes	<1%	5,300	$534K
S0280	Medical home program, comprehensive care coordination and planning, initial plan	<1%	9,095	$498K
90847	Family psychotherapy with the patient present, 50 minutes	<1%	5,001	$489K
90853	Group psychotherapy (other than of a multiple-family group)	<1%	16,721	$468K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	14,032	$387K
0365T		<1%	3,190	$382K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	8,197	$331K
97155	Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes	<1%	2,294	$288K
H2022	Community-based wrap-around services, per diem	<1%	778	$265K
H2023	Supported employment, per 15 minutes	<1%	1,651	$264K
H2033	Multisystemic therapy for juveniles, per 15 minutes	<1%	1,159	$224K
S5111	Home care training, family; per session	<1%	1,576	$220K
H0004	Behavioral health counseling and therapy, per 15 minutes	<1%	595	$166K
99215	Doctor's office visit, returning patient (complex)	<1%	938	$121K
99204	Doctor's office visit, new patient (more involved)	<1%	845	$117K
0368T		<1%	1,417	$85K
90791	Psychiatric diagnostic evaluation	<1%	1,000	$83K
0364T		<1%	3,249	$81K
0369T		<1%	743	$50K
96112		<1%	155	$25K
H2000	Comprehensive multidisciplinary evaluation	<1%	356	$21K
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%	207	$20K
99203	Doctor's office visit, new patient (routine)	<1%	125	$12K
96113		<1%	102	$10K
97156		<1%	137	$9K
H0001	Alcohol and/or drug assessment	<1%	1,738	$6K
90846	Family psychotherapy without the patient present, 50 minutes	<1%	37	$4K
99417	Prolong home eval add 15m	<1%	47	$3K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	31	$1K
H0034	Medication training and support, per 15 minutes	<1%	25	$812.00
T1040	Medicaid certified community behavioral health clinic services, per diem	<1%	48,014	$348.00

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 officialBRINKER, ERVIN (CEO)