Clinic
Peak Vista Community Health Centers
Peak Vista Community Health Centers was paid $13.25M by Medicaid between Jan 2018 and Dec 2024, across 78 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 54% of everything it billed.
33Billing provider infoPEAK VISTA COMMUNITY HEALTH CENTERS
FOUNTAIN, CO 80817
FOUNTAIN, CO 80817
33aNPI1124320106assigned 11/24/2010
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$13.25M
24GClaims116,530
24DCodes billed78
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Colorado
Rank by total paid#24 of 197
Median peer was paid$1.11M
This provider vs. median12×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official SPILLANE, RYAN controls 20+ related entities in our dataset. Read more
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 | |
|---|---|---|---|
| 2018 | 17,842 | $2.31M | |
| 2019 | 16,829 | $1.98M | |
| 2020 | 17,438 | $1.92M | |
| 2021 | 17,469 | $1.99M | |
| 2022 | 15,485 | $1.53M | |
| 2023 | 16,412 | $1.68M | |
| 2024incomplete | 15,055 | $1.84M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 54% | 38,429 | 35,031 | $7.22M |
| 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 | 20% | 14,024 | 13,011 | $2.60M |
| D0999 | Unspecified diagnostic procedure, by report | 12% | 5,616 | 4,283 | $1.62M |
| H0031 | Mental health assessment, by non-physician | 5.7% | 4,500 | 2,504 | $754K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.5% | 1,214 | 1,136 | $198K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.2% | 818 | 803 | $164K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 3,351 | 3,179 | $120K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 575 | 572 | $116K |
| H0023 | Behavioral health outreach service (planned approach to reach a targeted population) | <1% | 728 | 477 | $75K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 699 | 357 | $62K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 3,134 | 2,962 | $58K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 206 | 198 | $50K |
66 more codes
| G0467 | Community health center visit, returning patient | <1% | 1,418 | $35K |
| 99441 | <1% | 99 | $26K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 100 | $23K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 88 | $16K |
| H0025 | Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) | <1% | 158 | $13K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 78 | $13K |
| D1110 | Prophylaxis - adult | <1% | 472 | $12K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 761 | $10K |
| D0190 | <1% | 308 | $8K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 43 | $7K |
| D1206 | Topical application of fluoride varnish | <1% | 472 | $7K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 310 | $6K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 157 | $5K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 28 | $5K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 520 | $3K |
| 90837 | Psychotherapy session, about an hour | <1% | 15 | $3K |
| 99383 | <1% | 14 | $3K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 140 | $3K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 521 | $2K |
| 90461 | <1% | 847 | $2K | |
| 99173 | <1% | 420 | $462.79 | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 973 | $403.00 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 500 | $280.00 |
| D0274 | Bitewings - four radiographic images | <1% | 263 | $260.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 7,912 | $227.99 |
| 90651 | <1% | 166 | $221.60 | |
| D0120 | Dental checkup, returning patient | <1% | 556 | $112.00 |
| D1120 | Dental cleaning, child | <1% | 15 | $70.00 |
| 96127 | <1% | 6,742 | $63.96 | |
| D0272 | Bitewings - two radiographic images | <1% | 15 | $49.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 10,064 | $10.00 |
| 90697 | 0% | 62 | $0.00 | |
| 90688 | 0% | 1,493 | $0.00 | |
| D0140 | Limited oral evaluation - problem focused | 0% | 342 | $0.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 106 | $0.00 |
| 36416 | 0% | 588 | $0.00 | |
| 90686 | 0% | 1,658 | $0.00 | |
| G8433 | Screening for depression not completed, documented patient or medical reason | 0% | 2,607 | $0.00 |
| 90619 | 0% | 93 | $0.00 | |
| 99050 | 0% | 130 | $0.00 | |
| 3044F | 0% | 12 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 93 | $0.00 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 13 | $0.00 |
| 90680 | 0% | 57 | $0.00 | |
| D7140 | Extraction, erupted tooth or exposed root | 0% | 17 | $0.00 |
| 90677 | 0% | 52 | $0.00 | |
| 3017F | 0% | 12 | $0.00 | |
| 90698 | 0% | 12 | $0.00 | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 0% | 134 | $0.00 |
| 90715 | 0% | 330 | $0.00 | |
| 90621 | 0% | 29 | $0.00 | |
| 90687 | 0% | 150 | $0.00 | |
| 81025 | 0% | 72 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 89 | $0.00 |
| 90670 | 0% | 84 | $0.00 | |
| 81002 | 0% | 225 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 47 | $0.00 |
| 1160F | 0% | 233 | $0.00 | |
| 90661 | 0% | 17 | $0.00 | |
| D0270 | 0% | 12 | $0.00 | |
| 90633 | 0% | 44 | $0.00 | |
| D4910 | 0% | 12 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 96 | $0.00 |
| G8511 | Screening for depression documented as positive, follow-up plan not documented, reason not given | 0% | 27 | $0.00 |
| 90734 | 0% | 19 | $0.00 | |
| 82947 | 0% | 94 | $0.00 |
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 officialSPILLANE, RYAN (CHIEF FINANCIAL OFFICER)
Parent organizationPEAK VISTA COMMUNITY HEALTH CENTERS
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.