Clinic
Peak Vista Community Health Centers
Peak Vista Community Health Centers was paid $14.27M by Medicaid between Feb 2019 and Dec 2024, across 79 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 31% of everything it billed.
33Billing provider infoPEAK VISTA COMMUNITY HEALTH CENTERS
COLORADO SPRINGS, CO 80916
COLORADO SPRINGS, CO 80916
33aNPI1437622206assigned 01/04/2019
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$14.27M
24GClaims127,944
24DCodes billed79
24AFirst – last monthFeb 2019 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Colorado
Rank by total paid#23 of 197
Median peer was paid$1.11M
This provider vs. median13×
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 | |
|---|---|---|---|
| 2019 | 5,720 | $559K | |
| 2020 | 22,637 | $2.55M | |
| 2021 | 20,159 | $2.28M | |
| 2022 | 24,056 | $2.59M | |
| 2023 | 32,286 | $3.51M | |
| 2024incomplete | 23,086 | $2.78M |
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 | 31% | 21,127 | 19,266 | $4.36M |
| D0999 | Unspecified diagnostic procedure, by report | 27% | 12,755 | 10,561 | $3.90M |
| 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 | 17% | 12,325 | 11,219 | $2.45M |
| H0031 | Mental health assessment, by non-physician | 4.3% | 2,371 | 1,657 | $612K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.3% | 2,037 | 1,974 | $468K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.9% | 1,747 | 1,616 | $417K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 2.4% | 1,605 | 1,057 | $341K |
| H0023 | Behavioral health outreach service (planned approach to reach a targeted population) | 2.3% | 2,831 | 1,640 | $332K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.3% | 1,417 | 1,361 | $329K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.8% | 1,112 | 1,037 | $253K |
| H0025 | Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) | 1.7% | 2,021 | 1,106 | $236K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.6% | 986 | 920 | $222K |
67 more codes
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 5,086 | $61K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 185 | $42K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 2,160 | $31K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 806 | $26K |
| 99441 | <1% | 87 | $24K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 904 | $23K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,541 | $23K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 128 | $21K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 94 | $16K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 79 | $11K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 435 | $10K |
| 99381 | <1% | 38 | $9K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 51 | $9K |
| D4346 | <1% | 88 | $7K | |
| 90461 | <1% | 2,285 | $6K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 329 | $6K |
| D0140 | Limited oral evaluation - problem focused | <1% | 674 | $4K |
| D1110 | Prophylaxis - adult | <1% | 924 | $4K |
| D0120 | Dental checkup, returning patient | <1% | 1,425 | $4K |
| D1206 | Topical application of fluoride varnish | <1% | 525 | $4K |
| G0467 | Community health center visit, returning patient | <1% | 86 | $3K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 12 | $2K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 14 | $2K |
| D0330 | Panoramic radiographic image | <1% | 102 | $2K |
| D0274 | Bitewings - four radiographic images | <1% | 687 | $2K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,054 | $1K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 781 | $1K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 21 | $704.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 15,528 | $455.98 |
| D1120 | Dental cleaning, child | <1% | 60 | $420.00 |
| 96127 | <1% | 10,345 | $292.11 | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 12 | $56.00 |
| 90670 | 0% | 802 | $0.00 | |
| 90633 | 0% | 734 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 6,519 | $0.00 |
| 90700 | 0% | 39 | $0.00 | |
| 90710 | 0% | 99 | $0.00 | |
| 99173 | 0% | 118 | $0.00 | |
| 90648 | 0% | 24 | $0.00 | |
| 90715 | 0% | 152 | $0.00 | |
| D0190 | 0% | 160 | $0.00 | |
| 1160F | 0% | 145 | $0.00 | |
| G8511 | Screening for depression documented as positive, follow-up plan not documented, reason not given | 0% | 84 | $0.00 |
| 81025 | 0% | 70 | $0.00 | |
| 90734 | 0% | 13 | $0.00 | |
| 90707 | 0% | 43 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 56 | $0.00 |
| 90621 | 0% | 13 | $0.00 | |
| D4910 | 0% | 12 | $0.00 | |
| G8433 | Screening for depression not completed, documented patient or medical reason | 0% | 1,226 | $0.00 |
| 90680 | 0% | 645 | $0.00 | |
| 90619 | 0% | 218 | $0.00 | |
| 90686 | 0% | 1,543 | $0.00 | |
| 90696 | 0% | 83 | $0.00 | |
| 90688 | 0% | 1,289 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 1,654 | $0.00 |
| 90651 | 0% | 462 | $0.00 | |
| 90474 | 0% | 43 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 63 | $0.00 |
| 90697 | 0% | 867 | $0.00 | |
| 90677 | 0% | 528 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 14 | $0.00 |
| 90716 | 0% | 77 | $0.00 | |
| 36416 | 0% | 63 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 58 | $0.00 |
| 90732 | 0% | 15 | $0.00 | |
| 91301 | 0% | 133 | $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.