SUMMIT ASSESSMENTS AND THERAPY LLC
NPI 1780161919, organization, Monument, CO, Counselor, Mental Health
- Listed on the CO Medicaid exclusion list since September 22, 2022.
- Medicaid still paid claims in 1 later month, $198 in total.
Paid after the action
Months in which Medicaid paid claims for this provider after a public action that should have triggered a screening check. This is a record of payments, not a determination that they were improper.
| list | identity check | action date | window closed | months paid after | first | last | paid after | 12 months before |
|---|---|---|---|---|---|---|---|---|
| CO Medicaid exclusion list state list extracted from https://hcpf.colorado.gov/sites/hcpf/files/terminations%20for%20cause%20ef.%208.7.26.xlsx (pandas claude colmap) | Exact NPI, name verified | Sep 22, 2022 | still open | 1 | Oct 2022 | Oct 2022 | $198 | $224K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | SUMMIT ASSESSMENTS AND THERAPY LLC |
| Type | Organization |
| Status | Active |
| NPI issued | July 20, 2018, last updated August 19, 2021 |
| Practice location | 325 SECOND ST STE U, Monument, CO 80132-9217, 719-477-3758 |
| Authorized official | MARTHA SUTHERLAND (owner) |
| Specialties | Counselor, Mental Health (101YM0800X, primary) |
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.
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 96131 | Evaluation of psychological test, each additional hour | $143K | 48% | $147 | $170 (top 5% from $515) | too few months to rank | |
| 90791 | Psychiatric diagnostic evaluation | $55K | 19% | $134 | $105 (top 5% from $228) | too few months to rank | |
| 96130 | Evaluation of psychological test, first hour | $51K | 17% | $121 | $84 (top 5% from $233) | too few months to rank | |
| 96136 | Administration of psychological or neuropsychological test, first 30 minutes | $24K | 8% | $57 | $36 (top 5% from $90) | too few months to rank | |
| 96137 | Administration of psychological or neuropsychological test, each additional 30 minutes | $20K | 7% | $49 | $116 (top 5% from $454) | too few months to rank | |
| 90837 | Psychotherapy, 1 hourhistory of abuse | $5K | 2% | $140 | $191 (top 5% from $442) | too few months to rank | |
| 98967 | Telephone medical discussion provided by nonphysician professional, 11-20 minutes | $36 | 0% | $0.24 | $12 (top 5% from $134) | too few months to rank | |
| 98966 | Telephone medical discussion provided by nonphysician professional, 5-10 minutes | $6 | 0% | $0.09 | $2.13 (top 5% from $62) | too few months to rank |
In this area
51 providers in El Paso County, CO carry an indicator in the public record, with $34.6M at stake between them. The most common is more hours than a day holds, on 40 of them, followed by part of a provider network on 6. 1 is tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | TANNA SKINNER Colorado Springs, CO, ranked 214 | $34K |
|
| 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 |
|
| 3 | NOBEL HOSPICE CARE INC Colorado Springs, CO, ranked 5183 | $0 |
|
Recent enforcement in CO
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
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.