Medicaid Provider Spending

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

PEAK VISTA COMMUNITY HEALTH CENTERS

NPI: 1194276105 · COLORADO SPRINGS, CO 80910 · Federally Qualified Health Center (FQHC) · NPI assigned 10/14/2016

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

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

$12.36M
Total Medicaid Paid
99,034
Total Claims
88,156
Beneficiaries
42
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 Date10/14/2016

Related Entities

Other providers sharing the same authorized official: SPILLANE, RYAN

ProviderCityStateTotal Paid
PEAK VISTA COMMUNITY HEALTH CENTERS COLORADO SPRINGS CO $37.80M
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 $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 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
2024 9,234 $1.23M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 31,887 28,873 $5.79M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 27,283 25,004 $5.04M
H0031 Mental health assessment, by non-physician 3,854 2,242 $479K
90832 Psychotherapy, 30 minutes with patient 1,499 1,208 $273K
H0025 Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) 2,344 1,330 $246K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,357 1,045 $220K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 580 547 $114K
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 3,201 2,851 $82K
H0023 Behavioral health outreach service (planned approach to reach a targeted population) 167 102 $26K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 99 97 $20K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,455 2,288 $17K
90460 Immunization administration through 18 years of age via any route, first or only component 716 682 $15K
90792 Psychiatric diagnostic evaluation with medical services 39 38 $12K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 39 39 $8K
90791 Psychiatric diagnostic evaluation 81 45 $6K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 19 19 $4K
H0032 Mental health service plan development by non-physician 42 42 $2K
90461 282 273 $408.57
G8510 Screening for depression is documented as negative, a follow-up plan is not required 7,267 6,748 $236.60
98925 13 12 $207.59
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 14 12 $202.51
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 15 12 $198.98
96127 3,767 3,521 $51.15
G8433 Screening for depression not completed, documented patient or medical reason 5,992 5,599 $36.80
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 3,525 3,211 $0.00
90670 165 158 $0.00
1160F 138 135 $0.00
90472 Immunization administration, each additional vaccine (list separately) 177 139 $0.00
90687 28 26 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 81 79 $0.00
G8511 Screening for depression documented as positive, follow-up plan not documented, reason not given 33 33 $0.00
90715 41 40 $0.00
98926 13 13 $0.00
80305 68 65 $0.00
81002 16 14 $0.00
90686 666 596 $0.00
90698 41 40 $0.00
90688 907 859 $0.00
3044F 15 14 $0.00
90680 16 15 $0.00
90744 13 13 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 79 77 $0.00