Clinic
Hopelight Medical Clinic
Hopelight Medical Clinic was paid $12.29M by Medicaid between Jan 2018 and Nov 2024, across 20 billing codes. Its largest line is 97153, applied behavior analysis (autism therapy), per 15 minutes — 84% of everything it billed.
33Billing provider infoHOPELIGHT MEDICAL CLINIC
LONGMONT, CO 80501
LONGMONT, CO 80501
33aNPI1841696465assigned 11/10/2014
33bProvider typePrimary Care Clinic/Center
28Total paid$12.29M
24GClaims67,135
24DCodes billed20
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Colorado
Rank by total paid#2 of 101
Median peer was paid$140K
This provider vs. median88×
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 | 5,721 | $585K | |
| 2019 | 7,406 | $884K | |
| 2020 | 11,979 | $1.81M | |
| 2021 | 10,183 | $1.74M | |
| 2022 | 8,967 | $1.33M | |
| 2023 | 12,589 | $2.55M | |
| 2024incomplete | 10,290 | $3.39M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97153 | Applied behavior analysis (autism therapy), per 15 minutesAdaptive behavior treatment by protocol, administered by technician, each 15 minutes | 84% | 44,110 | 4,420 | $10.28M |
| 97155 | Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes | 8.1% | 10,587 | 2,447 | $991K |
| H0046 | Mental health services, not otherwise specified | 4.8% | 5,708 | 411 | $585K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 1.4% | 1,417 | 433 | $176K |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | 1.2% | 2,390 | 566 | $149K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 680 | 584 | $40K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 527 | 239 | $36K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 112 | 52 | $8K |
| 97151 | <1% | 37 | 32 | $8K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 439 | 391 | $4K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 47 | 45 | $4K |
| 96127 | <1% | 742 | 655 | $3K |
8 more codes
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 20 | $2K |
| 0012A | <1% | 60 | $2K | |
| 0011A | <1% | 57 | $1K | |
| 0031A | <1% | 35 | $660.14 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 31 | $480.82 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 12 | $362.52 |
| 36415 | Collection of venous blood by venipuncture | <1% | 91 | $225.72 |
| 99000 | <1% | 33 | $81.50 |
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 officialBOWEN, EDWARD (EXECUTIVE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Hopelight Medical Clinic | Longmont, CO | $1.23M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.