Summitstone Health Partners
Summitstone Health Partners was paid $189K by Medicaid between Nov 2018 and Apr 2022, across 5 billing codes. Its largest line is 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 — 79% of everything it billed.
LOVELAND, CO 80537
Next to other Clinic/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 | |
|---|---|---|---|
| 2018 | 348 | $48K | |
| 2019 | 549 | $106K | |
| 2020 | 155 | $30K | |
| 2022 | 13 | $5K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 79% | 772 | 211 | $150K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 8.2% | 76 | 16 | $15K |
| 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 | 5.5% | 61 | 18 | $10K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 4.6% | 143 | 33 | $9K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 2.6% | 13 | 13 | $5K |
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 | $7.38M |
| 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 | 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.