Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SUMMIT COMMUNITY CARE CLINIC, INC.

NPI: 1821414293 · SILVERTHORNE, CO 80497 · Community Health Clinic/Center · NPI assigned 03/10/2014

$68K
Total Medicaid Paid
536
Total Claims
528
Beneficiaries
4
Codes Billed
2018-10
First Month
2022-12
Last Month

Provider Details

Authorized OfficialBECKER, DANIEL (CEO)
NPI Enumeration Date03/10/2014

Related Entities

Other providers sharing the same authorized official: BECKER, DANIEL

ProviderCityStateTotal Paid
SUMMIT COMMUNITY CARE CLINIC, INC. LEADVILLE CO $1.01M
INTERNATIONAL NEUROREHABILITATION INSTITUTE LUTHERVILLE MD $9K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 172 $25K
2019 115 $15K
2022 249 $28K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0999 Unspecified diagnostic procedure, by report 213 209 $64K
D1206 Topical application of fluoride varnish 144 142 $2K
D0190 167 165 $2K
D1120 Prophylaxis - child 12 12 $150.00