SUMMIT COMMUNITY CARE CLINIC, INC.
NPI: 1831219328
· FRISCO, CO 80443
· 261QF0400X
$8.27M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total 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 |
| 2024 |
4,325 |
$810K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0999 |
|
15,144 |
12,277 |
$4.51M |
| T1015 |
Clinic service |
5,560 |
4,506 |
$1.13M |
| 99213 |
|
6,008 |
4,602 |
$1.06M |
| 99214 |
|
3,512 |
2,787 |
$584K |
| 90837 |
|
2,456 |
950 |
$542K |
| 90834 |
|
760 |
459 |
$147K |
| D1110 |
|
2,139 |
1,970 |
$60K |
| 90832 |
|
360 |
116 |
$43K |
| 99391 |
|
185 |
113 |
$36K |
| D0150 |
|
651 |
602 |
$20K |
| D1206 |
|
671 |
528 |
$18K |
| D0274 |
|
803 |
726 |
$16K |
| D0190 |
|
454 |
337 |
$15K |
| D0350 |
|
149 |
122 |
$10K |
| H0031 |
Mh health assess by non-md |
38 |
14 |
$8K |
| D0120 |
|
2,005 |
1,951 |
$7K |
| D1120 |
|
99 |
84 |
$7K |
| D0240 |
|
121 |
97 |
$4K |
| 0012A |
|
123 |
114 |
$4K |
| 0001A |
|
105 |
95 |
$4K |
| 0002A |
|
91 |
79 |
$4K |
| D1351 |
|
64 |
13 |
$4K |
| D0210 |
|
145 |
130 |
$4K |
| 0011A |
|
119 |
115 |
$3K |
| 90791 |
|
13 |
12 |
$3K |
| 90480 |
|
68 |
64 |
$3K |
| D0140 |
|
208 |
187 |
$3K |
| G0511 |
Ccm/bhi by rhc/fqhc 20min mo |
285 |
181 |
$3K |
| D2392 |
|
244 |
185 |
$2K |
| 99173 |
|
172 |
138 |
$2K |
| 90688 |
|
84 |
66 |
$2K |
| G0467 |
Fqhc visit, estab pt |
58 |
37 |
$2K |
| T1017 |
Targeted case management |
27 |
15 |
$1K |
| 0031A |
|
30 |
30 |
$1K |
| 99429 |
|
17 |
12 |
$507.02 |
| 90471 |
|
646 |
503 |
$488.60 |
| 90460 |
|
223 |
150 |
$431.31 |
| 36415 |
|
899 |
693 |
$317.61 |
| 90682 |
|
13 |
13 |
$252.42 |
| 87635 |
|
17 |
16 |
$51.31 |
| 90472 |
|
97 |
66 |
$47.85 |
| D0220 |
|
155 |
154 |
$30.00 |
| 91320 |
|
39 |
34 |
$24.00 |
| 87804 |
|
16 |
15 |
$6.59 |
| 96127 |
|
53 |
41 |
$0.00 |
| 97802 |
|
54 |
47 |
$0.00 |
| 90698 |
|
21 |
12 |
$0.00 |
| G8510 |
Scr dep neg, no plan reqd |
83 |
62 |
$0.00 |
| 90677 |
|
25 |
25 |
$0.00 |
| D4910 |
|
70 |
70 |
$0.00 |
| 90461 |
|
63 |
40 |
$0.00 |
| 90658 |
|
18 |
17 |
$0.00 |
| 90670 |
|
25 |
14 |
$0.00 |
| 90687 |
|
22 |
12 |
$0.00 |
| 81025 |
|
18 |
12 |
$0.00 |