Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CO › Fort Collins › NPI 1801268198
Clinic

Summitstone Health Partners

Summitstone Health Partners was paid $6.79M by Medicaid between Oct 2018 and Dec 2022, across 29 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 25% of everything it billed.

33Billing provider infoSUMMITSTONE HEALTH PARTNERS
FORT COLLINS, CO 80524
33aNPI1801268198assigned 10/26/2015
28Total paid$6.79M
24GClaims23,310
24DCodes billed29
24AFirst – last monthOct 2018 – Dec 2022
Compared with peers

Next to other Mental Health Clinic/Center (Including Community Mental Health Center) providers in Colorado

Rank by total paid#12 of 151
Median peer was paid$285K
This provider vs. median24×

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.

Entity ProliferationAuthorized official DODDS, CYNTHIA controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$250K$500K$750K2018201920202021202220232024
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
YearClaimsPaid
2018218$58K
20191,340$318K
2020932$174K
20216,064$1.79M
202214,756$4.45M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
90837 Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient 25% 4,705 2,700 $1.68M
H0018 Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem 22% 1,249 416 $1.46M
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 12% 3,502 2,791 $835K
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient 7.4% 2,190 1,341 $500K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 6.8% 1,387 1,031 $459K
90876 5.4% 1,360 505 $366K
90791 Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation 2.9% 527 479 $197K
90792 Psychiatric diagnostic evaluation with medical services 2.9% 490 400 $195K
90853 Group psychotherapy (other than of a multiple-family group) 2.5% 2,421 1,042 $168K
H2011 Crisis intervention service, per 15 minutes 2.3% 359 250 $159K
90832 Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient 2.2% 829 647 $148K
H2000 Comprehensive multidisciplinary evaluation 1.4% 622 530 $95K
17 more codes
99213 Doctor's office visit, returning patient (routine) 1.3% 550 $91K
T1017 Case management, billed per 15 minutes 1.3% 737 $89K
H0023 Behavioral health outreach service (planned approach to reach a targeted population) <1% 500 $62K
90847 Family psychotherapy with the patient present, 50 minutes <1% 224 $62K
H2031 Mental health clubhouse services, per diem <1% 198 $58K
99348 <1% 159 $32K
H0004 Behavioral health counseling and therapy, per 15 minutes <1% 206 $32K
H0005 Alcohol and/or drug services; group counseling by a clinician <1% 270 $22K
H2030 Mental health clubhouse services, per 15 minutes <1% 201 $20K
H0006 Alcohol and/or drug services; case management <1% 268 $18K
H0002 Behavioral health screening to determine eligibility for admission to treatment program <1% 170 $13K
90846 Family psychotherapy without the patient present, 50 minutes <1% 18 $5K
99349 <1% 15 $5K
90785 <1% 113 $4K
S5151 Unskilled respite care, not hospice; per diem <1% 12 $4K
H2014 Skills training and development, per 15 minutes <1% 14 $3K
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% 14 $3K

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 officialDODDS, CYNTHIA (CEO)
Parent organizationSUMMITSTONE HEALTH PARTNERS
Same official

Other billing entities under DODDS, CYNTHIA

Full network →
ProviderLocationPaid
Summitstone Health PartnersFort Collins, CO$7.38M
Summitstone Health PartnersFort Collins, CO$1.90M
Summitstone Health PartnersLoveland, CO$1.80M
Summitstone Health PartnersEstes Park, CO$985K
Summitstone Health PartnersFort Collins, CO$976K
Summitstone Health PartnersFort Collins, CO$841K
Summitstone Health PartnersLoveland, CO$565K
Summitstone Health PartnersLoveland, CO$522K
Summitstone Health PartnersLoveland, CO$485K
Summitstone Health PartnersFort Collins, CO$440K
Summitstone Health PartnersFort Collins, CO$423K
Summitstone Health PartnersFort Collins, CO$372K
Summitstone Health PartnersEstes Park, CO$290K
Summitstone Health PartnersLoveland, CO$189K
Summitstone Health PartnersFort Collins, CO$147K
Summitstone Health PartnersFort Collins, CO$104K
Longview Behavioral HealthFort Collins, CO$54K
Summitstone Health PartnersFort Collins, CO$46K
Summitstone Health PartnersFort Collins, CO$28K
Summitstone Health PartnersFort Collins, CO$14K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.