Clinic
Summit Community Care Clinic, INC.
Summit Community Care Clinic, INC. was paid $8.27M by Medicaid between Jan 2018 and Dec 2024, across 55 billing codes. Its largest line is D0999, Unspecified diagnostic procedure, by report — 55% of everything it billed.
33Billing provider infoSUMMIT COMMUNITY CARE CLINIC, INC.
FRISCO, CO 80443
FRISCO, CO 80443
33aNPI1831219328assigned 03/30/2007
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$8.27M
24GClaims45,525
24DCodes billed55
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Colorado
Rank by total paid#40 of 197
Median peer was paid$1.11M
This provider vs. median7.5×
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 | 7,033 | $1.33M | |
| 2019 | 8,137 | $1.54M | |
| 2020 | 6,022 | $1.09M | |
| 2021 | 5,894 | $1.15M | |
| 2022 | 5,522 | $1.06M | |
| 2023 | 8,592 | $1.29M | |
| 2024incomplete | 4,325 | $810K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0999 | Unspecified diagnostic procedure, by report | 55% | 15,144 | 12,277 | $4.51M |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 14% | 5,560 | 4,506 | $1.13M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 6,008 | 4,602 | $1.06M |
| 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 | 7.1% | 3,512 | 2,787 | $584K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 6.6% | 2,456 | 950 | $542K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 1.8% | 760 | 459 | $147K |
| D1110 | Prophylaxis - adult | <1% | 2,139 | 1,970 | $60K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 360 | 116 | $43K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 185 | 113 | $36K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 651 | 602 | $20K |
| D1206 | Topical application of fluoride varnish | <1% | 671 | 528 | $18K |
| D0274 | Bitewings - four radiographic images | <1% | 803 | 726 | $16K |
43 more codes
| D0190 | <1% | 454 | $15K | |
| D0350 | <1% | 149 | $10K | |
| H0031 | Mental health assessment, by non-physician | <1% | 38 | $8K |
| D0120 | Dental checkup, returning patient | <1% | 2,005 | $7K |
| D1120 | Dental cleaning, child | <1% | 99 | $7K |
| D0240 | <1% | 121 | $4K | |
| 0012A | <1% | 123 | $4K | |
| 0001A | <1% | 105 | $4K | |
| 0002A | <1% | 91 | $4K | |
| D1351 | Sealant - per tooth | <1% | 64 | $4K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 145 | $4K |
| 0011A | <1% | 119 | $3K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 13 | $3K |
| 90480 | <1% | 68 | $3K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 208 | $3K |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | <1% | 285 | $3K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 244 | $2K |
| 99173 | <1% | 172 | $2K | |
| 90688 | <1% | 84 | $2K | |
| G0467 | Community health center visit, returning patient | <1% | 58 | $2K |
| T1017 | Case management, billed per 15 minutes | <1% | 27 | $1K |
| 0031A | <1% | 30 | $1K | |
| 99429 | <1% | 17 | $507.02 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 646 | $488.60 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 223 | $431.31 |
| 36415 | Collection of venous blood by venipuncture | <1% | 899 | $317.61 |
| 90682 | <1% | 13 | $252.42 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 17 | $51.31 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 97 | $47.85 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 155 | $30.00 |
| 91320 | <1% | 39 | $24.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 16 | $6.59 |
| 96127 | 0% | 53 | $0.00 | |
| 97802 | 0% | 54 | $0.00 | |
| 90698 | 0% | 21 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 83 | $0.00 |
| 90677 | 0% | 25 | $0.00 | |
| D4910 | 0% | 70 | $0.00 | |
| 90461 | 0% | 63 | $0.00 | |
| 90658 | 0% | 18 | $0.00 | |
| 90670 | 0% | 25 | $0.00 | |
| 90687 | 0% | 22 | $0.00 | |
| 81025 | 0% | 18 | $0.00 |
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 officialCOGDILL, JOSH (CEO)
| Provider | Location | Paid |
|---|---|---|
| Summit Community Care Clinic, INC. | Breckenridge, CO | $2.15M |
| Summit Community Care Clinic | Frisco, CO | $251K |
| Summit Community Care Clinic, INC. | Leadville, CO | $100K |
| Summit Community Care Clinic, INC. | Frisco, CO | $40K |
| Summit Community Care Clinic, INC. | Dillon, CO | $33K |
| Summit Community Care Clinic, INC. | Fairplay, CO | $5K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.