Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Colorado for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Colorado only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Colorado (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Summitstone Health Partners (NPI 1801268198)

Field	Value
Entity Type	Organization
Organization	Summitstone Health Partners
Address	1217 Riverside Ave
City	Fort Collins
State	CO
ZIP	80524
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	October 26, 2015

Payer Source	Total Paid
Medicaid	$6.8M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

29 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	4,710	$360	$1.7M
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	1,250	$1,170	$1.5M
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	3,500	$240	$833.5K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	2,190	$230	$499.3K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	1,390	$330	$459.1K
90876	In this service, the provider performs 45 minutes of psychophysiological therapy using biofeedback training along with psychotherapy to alter the behavior of the patient.	1,360	$270	$365.8K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	530	$370	$197.1K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	490	$400	$195K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	2,420	$70	$169.5K
H2011	Crisis intervention service, per 15 minutes	360	$440	$158.7K

Showing 1–10 of 29

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Colorado providers billing the same CPT/HCPCS codes.

Claims Volume vs. Colorado Distribution

Summitstone Health Partners — 0 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Colorado

Full comparison — all codes billed, vs. Colorado median

29 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1017	Targeted case management, each 15 minutes	146	310	640	$80	$494.3K
H2014	Skills training and development, per 15 minutes	138	140	870	$150	$457.7K
S5151	Unskilled respite care, not hospice; per diem	36	40	640	$130	$453.2K
H2031	Mental health clubhouse services, per diem	6	10	710	$140	$396.9K
H2011	Crisis intervention service, per 15 minutes	29	60	200	$170	$359.7K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	1,062	2,520	330	$100	$352K
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	46	50	480	$170	$282.5K
H0004	Behavioral health counseling and therapy, per 15 minutes	184	290	480	$70	$280.8K
H0005	Alcohol and/or drug services; group counseling by a clinician	113	170	940	$60	$276.5K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	454	2,630	430	$90	$268.2K

Showing 1–10 of 29

Related Providers

Other providers that share a Tax Identification Number (TIN) with Summitstone Health Partners, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ochsner Clinic LLC	LA	General Practice Physician	$0	$152.6M
Summitstone Health Partners	CO	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$7.4M
Charles Howard	CO	Clinical Psychologist	$4.6K	$0

Nearby Providers

Other providers in the same ZIP code as Summitstone Health Partners, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Front Range Clinic Inc.	CO	Family Medicine Physician	$0	$43.3M
Salud Family Health	CO	Federal Public Health Clinic/Center	$0	$24.4M
Poudre Valley Health Care Inc.	CO	General Acute Care Hospital	$0	$19.9M
Emergency Physicians Of The Rockies, PC	CO	Emergency Medicine Physician	$0	$13M
Chill, LLC	CO	Community/Behavioral Health Agency	$0	$11.7M
Ability In Motion, LLC	CO	Community/Behavioral Health Agency	$0	$8.3M
Poudre Valley Health Care,inc	CO	Clinic/Center	$0	$6.7M
Poudre Valley Health Care, Inc	CO	Medical Specialty Clinic/Center	$0	$3.9M
Fort Collins Kids Dentistry	CO	Pediatric Dentistry	$0	$3.5M
Elizabeth Chen	CO	Physician Assistant	$1.9M	$0

Summitstone Health Partners — Billing Profile & Reimbursement Data

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Summitstone Health Partners — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References