Clinic
Peak Vista Community Health Centers
Peak Vista Community Health Centers was paid $37.80M by Medicaid between Jan 2018 and Dec 2024, across 81 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.
33Billing provider infoPEAK VISTA COMMUNITY HEALTH CENTERS
COLORADO SPRINGS, CO 80910
COLORADO SPRINGS, CO 80910
33aNPI1124321880assigned 12/17/2010
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$37.80M
24GClaims418,695
24DCodes billed81
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Colorado
Rank by total paid#5 of 197
Median peer was paid$1.11M
This provider vs. median34×
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 | 62,994 | $5.08M | |
| 2019 | 59,320 | $4.99M | |
| 2020 | 56,222 | $4.94M | |
| 2021 | 65,041 | $5.25M | |
| 2022 | 59,076 | $5.20M | |
| 2023 | 65,121 | $6.84M | |
| 2024incomplete | 50,921 | $5.49M |
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 | 39% | 70,875 | 64,070 | $14.88M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 13% | 23,637 | 22,231 | $5.06M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 11% | 21,107 | 20,430 | $4.33M |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.4% | 13,352 | 12,878 | $2.79M |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 5.1% | 12,333 | 11,312 | $1.91M |
| D0999 | Unspecified diagnostic procedure, by report | 4.7% | 4,217 | 3,770 | $1.79M |
| 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 | 4.6% | 7,607 | 6,966 | $1.73M |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.4% | 6,279 | 5,952 | $1.28M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3.3% | 57,325 | 53,264 | $1.25M |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 2.1% | 4,166 | 2,954 | $813K |
| H0031 | Mental health assessment, by non-physician | 1.2% | 3,495 | 2,180 | $463K |
| H0025 | Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) | <1% | 2,906 | 1,697 | $328K |
69 more codes
| 99381 | <1% | 1,324 | $298K | |
| H0023 | Behavioral health outreach service (planned approach to reach a targeted population) | <1% | 1,910 | $294K |
| 90837 | Psychotherapy session, about an hour | <1% | 698 | $184K |
| 90461 | <1% | 31,188 | $152K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 435 | $115K |
| 99460 | <1% | 658 | $48K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 864 | $41K |
| 99441 | <1% | 59 | $16K | |
| 99350 | Prolong home eval add 15m | <1% | 56 | $12K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 3,500 | $6K |
| 99345 | Prolong home eval add 15m | <1% | 14 | $3K |
| 99462 | <1% | 74 | $3K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 19 | $2K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 26 | $1K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 14 | $1K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 2,488 | $782.52 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 29,124 | $420.58 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 72 | $410.69 |
| 81002 | <1% | 435 | $401.46 | |
| 90686 | <1% | 16,981 | $209.59 | |
| 90697 | <1% | 5,866 | $117.80 | |
| 96127 | <1% | 6,053 | $9.80 | |
| 90670 | 0% | 16,109 | $0.00 | |
| 90648 | 0% | 690 | $0.00 | |
| 90633 | 0% | 8,088 | $0.00 | |
| 90710 | 0% | 1,131 | $0.00 | |
| 90734 | 0% | 1,550 | $0.00 | |
| D0220 | Intraoral - periapical first radiographic image | 0% | 454 | $0.00 |
| 90715 | 0% | 528 | $0.00 | |
| 90700 | 0% | 1,032 | $0.00 | |
| 1160F | 0% | 751 | $0.00 | |
| 90621 | 0% | 244 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 558 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 1,914 | $0.00 |
| D0330 | Panoramic radiographic image | 0% | 798 | $0.00 |
| 90707 | 0% | 1,102 | $0.00 | |
| D0270 | 0% | 41 | $0.00 | |
| D0274 | Bitewings - four radiographic images | 0% | 289 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 27 | $0.00 |
| 99173 | 0% | 24 | $0.00 | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 0% | 14 | $0.00 |
| D1110 | Prophylaxis - adult | 0% | 60 | $0.00 |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 0% | 13 | $0.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 35 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 13,349 | $0.00 |
| 90688 | 0% | 4,108 | $0.00 | |
| 90698 | 0% | 7,948 | $0.00 | |
| 90677 | 0% | 3,417 | $0.00 | |
| 90680 | 0% | 12,205 | $0.00 | |
| 90619 | 0% | 440 | $0.00 | |
| D0120 | Dental checkup, returning patient | 0% | 951 | $0.00 |
| 90651 | 0% | 2,752 | $0.00 | |
| 90744 | 0% | 4,830 | $0.00 | |
| D0140 | Limited oral evaluation - problem focused | 0% | 476 | $0.00 |
| 96161 | 0% | 458 | $0.00 | |
| 96380 | 0% | 137 | $0.00 | |
| 90716 | 0% | 1,171 | $0.00 | |
| 90696 | 0% | 481 | $0.00 | |
| D0210 | Intraoral - complete series of radiographic images | 0% | 49 | $0.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 674 | $0.00 |
| D1206 | Topical application of fluoride varnish | 0% | 136 | $0.00 |
| 88720 | 0% | 78 | $0.00 | |
| D7140 | Extraction, erupted tooth or exposed root | 0% | 49 | $0.00 |
| 99417 | Prolong home eval add 15m | 0% | 132 | $0.00 |
| 99050 | 0% | 12 | $0.00 | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 30 | $0.00 |
| 90474 | 0% | 163 | $0.00 | |
| 36416 | 0% | 27 | $0.00 | |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 0% | 13 | $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.