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.
FORT COLLINS, CO 80524
Next to other Mental Health Clinic/Center (Including Community Mental Health 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 | 218 | $58K | |
| 2019 | 1,340 | $318K | |
| 2020 | 932 | $174K | |
| 2021 | 6,064 | $1.79M | |
| 2022 | 14,756 | $4.45M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Summitstone Health Partners | Fort Collins, CO | $7.38M |
| 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 | Loveland, CO | $189K |
| 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.