NPI: 1124320106 · FOUNTAIN, CO 80817 · Federally Qualified Health Center (FQHC) · NPI assigned 11/24/2010
Authorized official SPILLANE, RYAN controls 20+ related entities in our dataset. Read more
| Authorized Official | SPILLANE, RYAN (CHIEF FINANCIAL OFFICER) |
| Parent Organization | PEAK VISTA COMMUNITY HEALTH CENTERS |
| NPI Enumeration Date | 11/24/2010 |
Other providers sharing the same authorized official: SPILLANE, RYAN
| Year | Claims | Total 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 |
| 2024 | 15,055 | $1.84M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 38,429 | 35,031 | $7.22M |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 14,024 | 13,011 | $2.60M |
| D0999 | Unspecified diagnostic procedure, by report | 5,616 | 4,283 | $1.62M |
| H0031 | Mental health assessment, by non-physician | 4,500 | 2,504 | $754K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1,214 | 1,136 | $198K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 818 | 803 | $164K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3,351 | 3,179 | $120K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 575 | 572 | $116K |
| H0023 | Behavioral health outreach service (planned approach to reach a targeted population) | 728 | 477 | $75K |
| 90791 | Psychiatric diagnostic evaluation | 699 | 357 | $62K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3,134 | 2,962 | $58K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 206 | 198 | $50K |
| G0467 | Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 1,418 | 1,299 | $35K |
| 99441 | 99 | 91 | $26K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 100 | 99 | $23K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 88 | 87 | $16K |
| H0025 | Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) | 158 | 135 | $13K |
| 90832 | Psychotherapy, 30 minutes with patient | 78 | 55 | $13K |
| D1110 | Prophylaxis - adult | 472 | 437 | $12K |
| D0150 | Comprehensive oral evaluation - new or established patient | 761 | 701 | $10K |
| D0190 | 308 | 245 | $8K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 43 | 38 | $7K |
| D1206 | Topical application of fluoride varnish | 472 | 413 | $7K |
| D0210 | Intraoral - complete series of radiographic images | 310 | 283 | $6K |
| 90834 | Psychotherapy, 45 minutes with patient | 157 | 29 | $5K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 28 | 26 | $5K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 520 | 331 | $3K |
| 90837 | Psychotherapy, 53 minutes with patient | 15 | 12 | $3K |
| 99383 | 14 | 13 | $3K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 140 | 127 | $3K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 521 | 493 | $2K |
| 90461 | 847 | 802 | $2K | |
| 99173 | 420 | 414 | $462.79 | |
| D0220 | Intraoral - periapical first radiographic image | 973 | 941 | $403.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 500 | 491 | $280.00 |
| D0274 | Bitewings - four radiographic images | 263 | 256 | $260.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 7,912 | 7,349 | $227.99 |
| 90651 | 166 | 160 | $221.60 | |
| D0120 | Periodic oral evaluation - established patient | 556 | 549 | $112.00 |
| D1120 | Prophylaxis - child | 15 | 13 | $70.00 |
| 96127 | 6,742 | 6,325 | $63.96 | |
| D0272 | Bitewings - two radiographic images | 15 | 13 | $49.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 10,064 | 9,513 | $10.00 |
| 90697 | 62 | 62 | $0.00 | |
| 90688 | 1,493 | 1,376 | $0.00 | |
| D0140 | Limited oral evaluation - problem focused | 342 | 334 | $0.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | 106 | 104 | $0.00 |
| 36416 | 588 | 514 | $0.00 | |
| 90686 | 1,658 | 1,596 | $0.00 | |
| G8433 | Screening for depression not completed, documented patient or medical reason | 2,607 | 2,417 | $0.00 |
| 90619 | 93 | 93 | $0.00 | |
| 99050 | 130 | 130 | $0.00 | |
| 3044F | 12 | 12 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 93 | 93 | $0.00 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 13 | 13 | $0.00 |
| 90680 | 57 | 57 | $0.00 | |
| D7140 | Extraction, erupted tooth or exposed root | 17 | 13 | $0.00 |
| 90677 | 52 | 52 | $0.00 | |
| 3017F | 12 | 12 | $0.00 | |
| 90698 | 12 | 12 | $0.00 | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 134 | 99 | $0.00 |
| 90715 | 330 | 316 | $0.00 | |
| 90621 | 29 | 29 | $0.00 | |
| 90687 | 150 | 143 | $0.00 | |
| 81025 | 72 | 65 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 89 | 87 | $0.00 |
| 90670 | 84 | 79 | $0.00 | |
| 81002 | 225 | 202 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 47 | 47 | $0.00 |
| 1160F | 233 | 228 | $0.00 | |
| 90661 | 17 | 17 | $0.00 | |
| D0270 | 12 | 12 | $0.00 | |
| 90633 | 44 | 41 | $0.00 | |
| D4910 | 12 | 12 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 96 | 96 | $0.00 |
| G8511 | Screening for depression documented as positive, follow-up plan not documented, reason not given | 27 | 27 | $0.00 |
| 90734 | 19 | 19 | $0.00 | |
| 82947 | 94 | 76 | $0.00 |