Providers
All 51 in CO
CHRISTOPHER B ESTEP, PsyD, LPC,
NPI 1154519569, individual, Colorado Springs, CO, Psychologist, Counseling
4
Evidence tier
structure or single-organization volume
- Hours beyond a day in 22 months, but with up to 615 patients a month across 4 billing organizations, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
- 61% of Medicaid dollars are on codes with a history of abuse.
score 53 of 100, rank 8119, $2.7M at stake
Hours billed per day
Medicaid billing converted into hours of hands-on care per day. The lower bound counts one unit per claim line and needs no price; the other two divide dollars by a unit price, the conservative one at 1.5 times the price. The clinician on the claim may be a supervisor under state rules, so billing organizations are counted too.
| month | what was found | hours per day, lower bound | hours per day, at price | hours per day, conservative | per working day | patients | billing organizations | codes | paid |
|---|---|---|---|---|---|---|---|---|---|
| Jun 2021 | More hours than a day holds, even counting one unit per claim line | 25.1 | 23.1 | 15.4 | 21.0 | 367 | 2 | 90791 90832 90834 90837 90847 96130 96131 96136 96137 | $62K |
| Jul 2021 | More hours than a day holds, even counting one unit per claim line | 27.5 | 27.9 | 18.6 | 26.2 | 494 | 2 | 90791 90832 90834 90837 90847 96130 96131 96136 96137 | $79K |
| Aug 2021 | More hours than a day holds, even counting one unit per claim line | 27.6 | 27.6 | 18.4 | 25.9 | 500 | 3 | 90791 90832 90834 90837 90847 96130 96131 96136 96137 | $78K |
| Oct 2021 | More hours than a day holds, even counting one unit per claim line | 27.0 | 25.2 | 16.8 | 24.8 | 401 | 2 | 90791 90832 90834 90837 90847 96130 96131 96136 96137 | $70K |
| Mar 2022 | More hours than a day holds, even counting one unit per claim line | 29.6 | 28.6 | 19.0 | 25.7 | 500 | 3 | 90791 90832 90834 90837 96112 96130 96131 96132 96133 96136 96137 | $96K |
| Apr 2022 | More hours than a day holds, even counting one unit per claim line | 35.8 | 30.2 | 20.2 | 28.8 | 527 | 4 | 90791 90832 90834 90837 90847 96130 96131 96132 96133 96136 96137 | $99K |
| May 2022 | More hours than a day holds, even counting one unit per claim line | 39.0 | 32.9 | 21.9 | 30.9 | 538 | 4 | 90791 90832 90834 90837 90847 96112 96130 96131 96132 96133 96136 96137 | $109K |
| Jun 2022 | More hours than a day holds, even counting one unit per claim line | 29.2 | 25.1 | 16.8 | 22.9 | 404 | 3 | 90791 90832 90834 90837 96130 96131 96136 96137 | $72K |
| Jul 2022 | More hours than a day holds, even counting one unit per claim line | 27.1 | 25.9 | 17.2 | 25.5 | 467 | 4 | 90791 90832 90834 90837 96112 96130 96131 96136 96137 | $78K |
| Aug 2022 | More hours than a day holds, even counting one unit per claim line | 42.1 | 33.7 | 22.4 | 30.2 | 615 | 4 | 90791 90832 90834 90837 90847 96112 96130 96131 96132 96133 96136 96137 | $106K |
| Sep 2022 | More hours than a day holds, even counting one unit per claim line | 27.8 | 26.4 | 17.6 | 24.0 | 419 | 4 | 90791 90832 90834 90837 90847 96130 96131 96136 96137 | $76K |
| Nov 2022 | More hours than a day holds, even counting one unit per claim line | 33.4 | 29.0 | 19.4 | 26.4 | 445 | 3 | 90791 90832 90834 90837 90847 96112 96130 96132 96133 96136 96137 | $89K |
| Dec 2022 | More hours than a day holds, even counting one unit per claim line | 27.0 | 29.1 | 19.4 | 27.4 | 392 | 3 | 90791 90832 90834 90837 90846 90847 96112 | $85K |
| Jan 2023 | More hours than a day holds, even counting one unit per claim line | 28.8 | 27.5 | 18.3 | 25.9 | 386 | 3 | 90791 90832 90834 90837 90847 | $88K |
| Mar 2023 | More hours than a day holds, even counting one unit per claim line | 35.1 | 31.4 | 21.0 | 28.2 | 460 | 2 | 90791 90832 90834 90837 90846 90847 96112 96130 96132 96133 96136 96137 | $107K |
| Apr 2023 | More hours than a day holds, even counting one unit per claim line | 24.5 | 25.4 | 17.0 | 25.4 | 334 | 3 | 90791 90832 90834 90837 90847 96112 96130 | $79K |
| May 2023 | More hours than a day holds, even counting one unit per claim line | 43.1 | 44.5 | 29.7 | 40.0 | 319 | 3 | 90791 90834 90837 90847 96112 | $142K |
| Jun 2023 | More hours than a day holds, even counting one unit per claim line | 35.0 | 30.1 | 20.1 | 27.4 | 422 | 3 | 90791 90832 90834 90837 90847 96112 96130 96136 96137 | $96K |
| Jul 2023 | More hours than a day holds, even counting one unit per claim line | 38.5 | 31.8 | 21.2 | 31.3 | 522 | 3 | 90791 90832 90834 90837 90847 96112 96130 96131 96132 96133 96136 96137 | $111K |
| Aug 2023 | More hours than a day holds, even counting one unit per claim line | 32.6 | 29.9 | 19.9 | 26.9 | 383 | 3 | 90791 90834 90837 90847 96112 96130 96136 96137 | $98K |
| Sep 2023 | More hours than a day holds, even counting one unit per claim line | 30.3 | 26.9 | 18.0 | 25.7 | 379 | 3 | 90791 90832 90834 90837 90847 96112 96130 96132 96136 96137 | $85K |
| Oct 2023 | More hours than a day holds, even counting one unit per claim line | 27.8 | 23.8 | 15.9 | 22.3 | 342 | 2 | 90791 90832 90834 90837 96112 96130 96132 96133 96136 96137 | $80K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | CHRISTOPHER B ESTEP, PsyD, LPC, |
| Type | Individual |
| Status | Active |
| NPI issued | October 10, 2007, last updated February 27, 2012 |
| Practice location | 875 W MORENO AVE, Colorado Springs, CO 80905, 719-572-6200 |
| Mailing address | 2828 INTERNATIONAL CIR, Colorado Springs, CO 80910-3127 |
| Specialties | Counselor, Professional (101YP2500X, license 4642 CO) Psychologist, Counseling (103TC1900X, primary, license 3464 CO) |
Procedures billed
The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.
Medicaid, largest codes
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 90837 | Psychotherapy, 1 hourhistory of abuse | $1.7M | 61% | $270 | $191 (top 5% from $442) | 78th percentile | |
| 90791 | Psychiatric diagnostic evaluation | $250K | 9% | $139 | $105 (top 5% from $228) | 78th percentile | |
| 90834 | Psychotherapy, 45 minutes | $127K | 5% | $104 | $101 (top 5% from $318) | 52nd percentile | |
| 96131 | Evaluation of psychological test, each additional hour | $120K | 4% | $144 | $170 (top 5% from $515) | 42nd percentile | |
| 96112 | Administration of developmental test, first hour | $89K | 3% | $296 | $114 (top 5% from $506) | 91st percentile | |
| 96130 | Evaluation of psychological test, first hour | $79K | 3% | $136 | $84 (top 5% from $233) | 83rd percentile | |
| 90832 | Psychotherapy, 30 minutes | $73K | 3% | $86 | $59 (top 5% from $239) | 74th percentile | |
| 96137 | Administration of psychological or neuropsychological test, each additional 30 minutes | $61K | 2% | $101 | $116 (top 5% from $454) | 44th percentile |
In this area
51 providers in El Paso County, CO carry an indicator in the public record, with $32.0M at stake between them. The most common is more hours than a day holds, on 39 of them, followed by part of a provider network on 6. 2 are tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | TANNA SKINNER Colorado Springs, CO, ranked 214 | $34K |
|
| 1 | SUMMIT ASSESSMENTS AND THERAPY LLC Monument, CO, ranked 436 | $198 |
|
| 3 | COMFORT CARE FAMILY PRACTICE, INC. Colorado Springs, CO, ranked 1323 | $131K |
|
| 3 | MGA HOME HEALTHCARE COLORADO, LLC Colorado Springs, CO, ranked 1329 | $127K |
|
| 3 | COMFORT CARE FAMILY PRACTICE, INC. Fountain, CO, ranked 1591 | $5K |
|
| 3 | COMFORT CARE FAMILY PRACTICE, INC. Colorado Springs, CO, ranked 2322 | $0 |
|
| 3 | CENTER AT CENTENNIAL, LLC Colorado Springs, CO, ranked 3147 | $0 |
|
| 3 | CENTER AT CENTENNIAL, LLC Colorado Springs, CO, ranked 3211 | $0 |
|
Recent enforcement in CO
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
DOJIndictedJun 23, 2026
Colorado Man Charged In Medicaid Fraud Scheme Connected To Arapahoe County Adult Daycare
Omer offered three $500 kickback payments in exchange for referrals of Medicaid beneficiaries for adult daycare, and $10,000 in other kickback payments described as marketing expenses or office supply, to induce beneficiaries to attend Nadina Adult Daycare Center.
DOJCivil settlementNov 24, 2025
Southern Colorado Hospital and Doctors Agree to Pay $650,000 to Resolve Allegations That They Unlawfully Prescribed Opioids and Other Controlled Substances
Three physicians employed by Mt. San Rafael Hospital allegedly issued invalid prescriptions for controlled substances including opioids not for a legitimate medical purpose or outside the usual course of professional practice, and caused claims for those prescriptions to be submitted to Medicare and other federal health care programs.
DOJCivil settlementDec 3, 2024
$2 Million Resolves Kickback Allegations Relating to Denver Neuromonitoring Company
Assure paid remuneration to surgeons through joint venture companies to induce them to order intraoperative neuromonitoring services, resulting in claims submitted to federally funded healthcare programs.
DOJIndictedSep 24, 2024
Seven People Charged With Over $40 Million In Medicare And Medicaid Fraud
Defendants, through genetic testing laboratories they owned and operated, paid kickbacks and bribes to marketing companies for referrals for medically unnecessary genetic testing, resulting in more than $40 million in false and fraudulent claims paid by Medicare and Colorado Medicaid, and three defendants laundered the proceeds.
Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.