Clinic
Peak Vista Community Health Centers
Peak Vista Community Health Centers was paid $12.36M by Medicaid between Jan 2018 and Dec 2024, across 42 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 47% of everything it billed.
33Billing provider infoPEAK VISTA COMMUNITY HEALTH CENTERS
COLORADO SPRINGS, CO 80910
COLORADO SPRINGS, CO 80910
33aNPI1194276105assigned 10/14/2016
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$12.36M
24GClaims99,034
24DCodes billed42
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Colorado
Rank by total paid#26 of 197
Median peer was paid$1.11M
This provider vs. median11×
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 | 10,289 | $1.36M | |
| 2019 | 19,344 | $2.36M | |
| 2020 | 16,443 | $2.08M | |
| 2021 | 14,567 | $1.84M | |
| 2022 | 14,465 | $1.98M | |
| 2023 | 14,692 | $1.51M | |
| 2024incomplete | 9,234 | $1.23M |
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 | 47% | 31,887 | 28,873 | $5.79M |
| 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 | 41% | 27,283 | 25,004 | $5.04M |
| H0031 | Mental health assessment, by non-physician | 3.9% | 3,854 | 2,242 | $479K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 2.2% | 1,499 | 1,208 | $273K |
| H0025 | Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) | 2.0% | 2,344 | 1,330 | $246K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.8% | 1,357 | 1,045 | $220K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 580 | 547 | $114K |
| G0467 | Community health center visit, returning patientFederally 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% | 3,201 | 2,851 | $82K |
| H0023 | Behavioral health outreach service (planned approach to reach a targeted population) | <1% | 167 | 102 | $26K |
| 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% | 99 | 97 | $20K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,455 | 2,288 | $17K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 716 | 682 | $15K |
30 more codes
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 39 | $12K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 39 | $8K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 81 | $6K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 19 | $4K |
| H0032 | Mental health service plan development by non-physician | <1% | 42 | $2K |
| 90461 | <1% | 282 | $408.57 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 7,267 | $236.60 |
| 98925 | <1% | 13 | $207.59 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 14 | $202.51 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 15 | $198.98 |
| 96127 | <1% | 3,767 | $51.15 | |
| G8433 | Screening for depression not completed, documented patient or medical reason | <1% | 5,992 | $36.80 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 3,525 | $0.00 |
| 90670 | 0% | 165 | $0.00 | |
| 1160F | 0% | 138 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 177 | $0.00 |
| 90687 | 0% | 28 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 81 | $0.00 |
| G8511 | Screening for depression documented as positive, follow-up plan not documented, reason not given | 0% | 33 | $0.00 |
| 90715 | 0% | 41 | $0.00 | |
| 98926 | 0% | 13 | $0.00 | |
| 80305 | 0% | 68 | $0.00 | |
| 81002 | 0% | 16 | $0.00 | |
| 90686 | 0% | 666 | $0.00 | |
| 90698 | 0% | 41 | $0.00 | |
| 90688 | 0% | 907 | $0.00 | |
| 3044F | 0% | 15 | $0.00 | |
| 90680 | 0% | 16 | $0.00 | |
| 90744 | 0% | 13 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 79 | $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.