Clinic
Summit Primary Care
Summit Primary Care was paid $58K by Medicaid between Aug 2023 and Dec 2024, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 73% of everything it billed.
33Billing provider infoSUMMIT PRIMARY CARE
LA JUNTA, CO 81050
LA JUNTA, CO 81050
33aNPI1861199986assigned 02/09/2023
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$58K
24GClaims1,766
24DCodes billed7
24AFirst – last monthAug 2023 – Dec 2024
Compared with peers
Next to other Multi-Specialty Clinic/Center providers in Colorado
Rank by total paid#56 of 106
Median peer was paid$75K
This provider vs. median0.8×
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 | |
|---|---|---|---|
| 2023 | 188 | $4K | |
| 2024incomplete | 1,578 | $54K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 73% | 537 | 477 | $43K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 11% | 647 | 516 | $6K |
| 82075 | 10% | 226 | 202 | $6K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.6% | 16 | 15 | $2K |
| 96127 | 1.7% | 313 | 283 | $986.41 | |
| 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% | 13 | 13 | $545.84 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 14 | 12 | $398.28 |
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 officialONEILL, MICHELLE (BILLING MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Summit Primary Care | Colorado Springs, CO | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.