SUMMIT MEDICAL CLINIC, PC
NPI: 1992709653
· COLORADO SPRINGS, CO 80907
· 207R00000X
$2.93M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
15,075 |
$447K |
| 2019 |
15,626 |
$444K |
| 2020 |
17,373 |
$455K |
| 2021 |
21,002 |
$457K |
| 2022 |
18,530 |
$437K |
| 2023 |
30,017 |
$412K |
| 2024 |
16,383 |
$277K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
27,989 |
17,219 |
$1.35M |
| 99213 |
|
20,654 |
15,315 |
$844K |
| G8510 |
Scr dep neg, no plan reqd |
41,149 |
26,056 |
$133K |
| 99406 |
|
11,602 |
7,281 |
$83K |
| 90832 |
|
2,401 |
1,034 |
$68K |
| 90960 |
|
1,495 |
1,074 |
$57K |
| 90791 |
|
1,062 |
711 |
$57K |
| 99203 |
|
780 |
690 |
$55K |
| 99215 |
Prolong outpt/office vis |
449 |
350 |
$36K |
| 99396 |
|
270 |
226 |
$21K |
| 90674 |
|
1,201 |
1,022 |
$20K |
| 90471 |
|
1,372 |
1,117 |
$19K |
| 96125 |
|
532 |
295 |
$16K |
| 99497 |
|
954 |
728 |
$15K |
| 99204 |
|
289 |
129 |
$15K |
| G0108 |
Diab manage trn per indiv |
636 |
385 |
$14K |
| 0012A |
|
370 |
363 |
$14K |
| 0011A |
|
378 |
366 |
$12K |
| 90837 |
|
177 |
108 |
$12K |
| 96127 |
|
2,177 |
1,509 |
$12K |
| G8431 |
Pos clin depres scrn f/u doc |
628 |
520 |
$10K |
| 99212 |
|
689 |
561 |
$8K |
| 99232 |
|
162 |
60 |
$7K |
| 90962 |
|
127 |
35 |
$7K |
| 99395 |
|
60 |
55 |
$5K |
| 90834 |
|
164 |
81 |
$5K |
| 83036 |
|
2,034 |
1,075 |
$5K |
| 87502 |
|
60 |
54 |
$4K |
| 0013A |
|
120 |
116 |
$4K |
| 81002 |
|
2,562 |
1,839 |
$4K |
| 90661 |
|
162 |
117 |
$3K |
| 90688 |
|
213 |
195 |
$3K |
| 93000 |
|
183 |
159 |
$2K |
| 0134A |
|
55 |
43 |
$2K |
| 71270 |
|
66 |
49 |
$2K |
| 94010 |
|
56 |
45 |
$1K |
| 90756 |
|
52 |
49 |
$808.80 |
| 90833 |
|
22 |
19 |
$646.74 |
| 95251 |
|
82 |
47 |
$594.89 |
| 99397 |
|
81 |
45 |
$471.68 |
| 0004A |
|
18 |
18 |
$452.98 |
| 90961 |
|
29 |
12 |
$352.68 |
| 90694 |
|
117 |
65 |
$247.66 |
| G0442 |
Annual alcohol screen 15 min |
1,315 |
1,008 |
$175.00 |
| 99000 |
|
58 |
56 |
$173.85 |
| G2211 |
Complex e/m visit add on |
513 |
361 |
$138.00 |
| 93010 |
|
38 |
29 |
$80.53 |
| 99491 |
Ccm add 20min |
14 |
12 |
$69.48 |
| G0444 |
Depression screen annual |
135 |
92 |
$50.00 |
| G2012 |
Brief check in by md/qhp |
19 |
17 |
$17.72 |
| 96161 |
|
750 |
611 |
$17.12 |
| 1160F |
|
1,767 |
1,217 |
$0.00 |
| 1159F |
|
1,596 |
1,142 |
$0.00 |
| 98960 |
|
826 |
625 |
$0.00 |
| 2014F |
|
452 |
321 |
$0.00 |
| 1494F |
|
63 |
40 |
$0.00 |
| G8427 |
Docrev cur meds by elig clin |
14 |
12 |
$0.00 |
| 3288F |
|
210 |
149 |
$0.00 |
| 99071 |
|
17 |
14 |
$0.00 |
| G8483 |
Flu imm no admin doc rea |
154 |
121 |
$0.00 |
| 91313 |
|
55 |
43 |
$0.00 |
| 90653 |
|
57 |
47 |
$0.00 |
| 1090F |
|
17 |
14 |
$0.00 |
| 91300 |
|
23 |
23 |
$0.00 |
| 1003F |
|
17 |
14 |
$0.00 |
| G0008 |
Admin influenza virus vac |
198 |
136 |
$0.00 |
| M1296 |
Calc bmi norm parameters |
439 |
312 |
$0.00 |
| G0439 |
Ppps, subseq visit |
244 |
177 |
$0.00 |
| 4000F |
|
212 |
176 |
$0.00 |
| 91301 |
|
781 |
738 |
$0.00 |
| 1170F |
|
17 |
14 |
$0.00 |
| 1000F |
|
121 |
68 |
$0.00 |
| 91306 |
|
87 |
86 |
$0.00 |
| 1130F |
|
17 |
14 |
$0.00 |
| 1055F |
|
17 |
14 |
$0.00 |
| 81001 |
|
40 |
28 |
$0.00 |
| 99385 |
|
14 |
12 |
$0.00 |
| 3008F |
|
14 |
13 |
$0.00 |
| 90673 |
|
16 |
16 |
$0.00 |