Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PEAK VISTA COMMUNITY HEALTH CENTERS

NPI: 1124321880 · COLORADO SPRINGS, CO 80910 · Federally Qualified Health Center (FQHC) · NPI assigned 12/17/2010

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official SPILLANE, RYAN controls 20+ related entities in our dataset. Read more

$37.80M
Total Medicaid Paid
418,695
Total Claims
389,104
Beneficiaries
81
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSPILLANE, RYAN (CHIEF FINANCIAL OFFICER)
Parent OrganizationPEAK VISTA COMMUNITY HEALTH CENTERS
NPI Enumeration Date12/17/2010

Related Entities

Other providers sharing the same authorized official: SPILLANE, RYAN

ProviderCityStateTotal Paid
PEAK VISTA COMMUNITY HEALTH CENTERS COLORADO SPRINGS CO $28.65M
PEAK VISTA COMMUNITY HEALTH CENTERS COLORADO SPRINGS CO $21.68M
PEAK VISTA COMMUNITY HEALTH CENTERS COLORADO SPRINGS CO $19.94M
PEAK VISTA COMMUNITY HEALTH CENTERS COLORADO SPRINGS CO $16.91M
PEAK VISTA COMMUNITY HEALTH CENTERS COLORADO SPRINGS CO $14.27M
PEAK VISTA COMMUNITY HEALTH CENTERS FOUNTAIN CO $13.25M
PEAK VISTA COMMUNITY HEALTH CENTERS COLORADO SPRINGS CO $12.36M
PEAK VISTA COMMUNITY HEALTH CENTERS COLORADO SPRINGS CO $9.25M
PEAK VISTA COMMUNITY HEALTH CENTERS COLORADO SPRINGS CO $8.31M
PEAK VISTA COMMUNITY HEALTH CENTERS COLORADO SPRINGS CO $7.74M
PEAK VISTA COMMUNITY HEALTH CENTERS DIVIDE CO $7.30M
PEAK VISTA COMMUNITY HEALTH CENTERS COLORADO SPRINGS CO $7.23M
PEAK VISTA COMMUNITY HEALTH CENTERS STRASBURG CO $4.87M
PEAK VISTA COMMUNITY HEALTH CENTERS COLORADO SPRINGS CO $4.18M
PEAK VISTA COMMUNITY HEALTH CENTERS COLORADO SPRINGS CO $3.78M
PEAK VISTA COMMUNITY HEALTH CENTERS LIMON CO $2.99M
PEAK VISTA COMMUNITY HEALTH CENTERS COLORADO SPRINGS CO $2.67M
PEAK VISTA COMMUNITY HEALTH CENTERS COLORADO SPRINGS CO $1.61M
PEAK VISTA COMMUNITY HEALTH CENTERS COLORADO SPRINGS CO $749K
PEAK VISTA COMMUNITY HEALTH CENTERS FLAGLER CO $569K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 50,921 $5.49M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 70,875 64,070 $14.88M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 23,637 22,231 $5.06M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 21,107 20,430 $4.33M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 13,352 12,878 $2.79M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 12,333 11,312 $1.91M
D0999 Unspecified diagnostic procedure, by report 4,217 3,770 $1.79M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,607 6,966 $1.73M
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 6,279 5,952 $1.28M
90460 Immunization administration through 18 years of age via any route, first or only component 57,325 53,264 $1.25M
90832 Psychotherapy, 30 minutes with patient 4,166 2,954 $813K
H0031 Mental health assessment, by non-physician 3,495 2,180 $463K
H0025 Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) 2,906 1,697 $328K
99381 1,324 1,291 $298K
H0023 Behavioral health outreach service (planned approach to reach a targeted population) 1,910 1,186 $294K
90837 Psychotherapy, 53 minutes with patient 698 413 $184K
90461 31,188 29,848 $152K
90834 Psychotherapy, 45 minutes with patient 435 295 $115K
99460 658 574 $48K
99238 Hospital discharge day management, 30 minutes or less 864 754 $41K
99441 59 57 $16K
99350 Prolong home eval add 15m 56 53 $12K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 3,500 3,328 $6K
99345 Prolong home eval add 15m 14 12 $3K
99462 74 67 $3K
99233 Prolong inpt eval add15 m 19 12 $2K
99232 Subsequent hospital care, per day, moderate complexity 26 12 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 14 13 $1K
90472 Immunization administration, each additional vaccine (list separately) 2,488 2,351 $782.52
96110 Developmental screening, with scoring and documentation, per standardized instrument 29,124 28,118 $420.58
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 72 68 $410.69
81002 435 415 $401.46
90686 16,981 16,276 $209.59
90697 5,866 5,675 $117.80
96127 6,053 5,514 $9.80
90670 16,109 15,406 $0.00
90648 690 662 $0.00
90633 8,088 7,754 $0.00
90710 1,131 1,083 $0.00
90734 1,550 1,455 $0.00
D0220 Intraoral - periapical first radiographic image 454 451 $0.00
90715 528 497 $0.00
90700 1,032 995 $0.00
1160F 751 708 $0.00
90621 244 237 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 558 545 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 1,914 1,717 $0.00
D0330 Panoramic radiographic image 798 797 $0.00
90707 1,102 1,066 $0.00
D0270 41 40 $0.00
D0274 Bitewings - four radiographic images 289 288 $0.00
G8482 Influenza immunization administered or previously received 27 27 $0.00
99173 24 24 $0.00
J1050 Injection, medroxyprogesterone acetate, 1 mg 14 13 $0.00
D1110 Prophylaxis - adult 60 60 $0.00
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 13 13 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 35 27 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 13,349 12,341 $0.00
90688 4,108 3,738 $0.00
90698 7,948 7,594 $0.00
90677 3,417 3,347 $0.00
90680 12,205 11,728 $0.00
90619 440 422 $0.00
D0120 Periodic oral evaluation - established patient 951 949 $0.00
90651 2,752 2,549 $0.00
90744 4,830 4,601 $0.00
D0140 Limited oral evaluation - problem focused 476 471 $0.00
96161 458 447 $0.00
96380 137 137 $0.00
90716 1,171 1,133 $0.00
90696 481 460 $0.00
D0210 Intraoral - complete series of radiographic images 49 49 $0.00
D0150 Comprehensive oral evaluation - new or established patient 674 674 $0.00
D1206 Topical application of fluoride varnish 136 132 $0.00
88720 78 63 $0.00
D7140 Extraction, erupted tooth or exposed root 49 16 $0.00
99417 Prolong home eval add 15m 132 126 $0.00
99050 12 12 $0.00
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 30 29 $0.00
90474 163 148 $0.00
36416 27 24 $0.00
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 13 13 $0.00