Clinic
Peak Vista Community Health Centers
Peak Vista Community Health Centers was paid $6.63M by Medicaid between Jan 2018 and Jan 2023, across 35 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 57% of everything it billed.
33Billing provider infoPEAK VISTA COMMUNITY HEALTH CENTERS
COLORADO SPRINGS, CO 80917
COLORADO SPRINGS, CO 80917
33aNPI1164769782assigned 01/16/2013
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$6.63M
24GClaims60,649
24DCodes billed35
24AFirst – last monthJan 2018 – Jan 2023
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Colorado
Rank by total paid#51 of 197
Median peer was paid$1.11M
This provider vs. median6.0×
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.
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 | 26,887 | $2.03M | |
| 2019 | 14,310 | $1.86M | |
| 2020 | 12,509 | $1.67M | |
| 2021 | 6,659 | $1.04M | |
| 2022 | 258 | $43K | |
| 2023 | 26 | $3K |
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 | 57% | 26,961 | 18,917 | $3.80M |
| 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 | 31% | 15,461 | 10,746 | $2.09M |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 5.1% | 2,658 | 1,783 | $338K |
| H0023 | Behavioral health outreach service (planned approach to reach a targeted population) | 2.6% | 1,648 | 1,031 | $171K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 1,501 | 1,030 | $40K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,154 | 954 | $34K |
| H0025 | Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) | <1% | 405 | 212 | $32K |
| H0031 | Mental health assessment, by non-physician | <1% | 198 | 113 | $30K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 158 | 135 | $27K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 133 | 101 | $19K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 151 | 93 | $18K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 82 | 72 | $14K |
23 more codes
| G0467 | Community health center visit, returning patient | <1% | 541 | $6K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 32 | $5K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 14 | $3K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 12 | $2K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 56 | $2K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 46 | $1K |
| 90461 | <1% | 417 | $397.96 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 6,645 | $225.99 |
| 90686 | 0% | 196 | $0.00 | |
| 90688 | 0% | 1,290 | $0.00 | |
| 90651 | 0% | 23 | $0.00 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | 0% | 14 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 29 | $0.00 |
| 96127 | 0% | 12 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 522 | $0.00 |
| 81025 | 0% | 14 | $0.00 | |
| 81002 | 0% | 127 | $0.00 | |
| 99173 | 0% | 17 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 40 | $0.00 |
| G8511 | Screening for depression documented as positive, follow-up plan not documented, reason not given | 0% | 12 | $0.00 |
| 1160F | 0% | 50 | $0.00 | |
| 90734 | 0% | 17 | $0.00 | |
| 90633 | 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 officialPRATT, CINDY (CHIEF FINANCIAL OFFICER)
Parent organizationPEAK VISTA COMMUNITY HEALTH CENTERS
| Provider | Location | Paid |
|---|---|---|
| Peak Vista Community Health Centers | Colorado Springs, CO | $6.52M |
| Peak Vista Community Health Centers | Colorado Springs, CO | $3.53M |
| Peak Vista Community Health Centers | Colorado Springs, CO | $1.45M |
| Peak Vista Community Health Centers | Kiowa, CO | $905K |
| Peak Vista Community Health Centers | Peyton, CO | $157K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.