NPI: 1437622206 · COLORADO SPRINGS, CO 80916 · Federally Qualified Health Center (FQHC) · NPI assigned 01/04/2019
Authorized official SPILLANE, RYAN controls 20+ related entities in our dataset. Read more
| Authorized Official | SPILLANE, RYAN (CHIEF FINANCIAL OFFICER) |
| Parent Organization | PEAK VISTA COMMUNITY HEALTH CENTERS |
| NPI Enumeration Date | 01/04/2019 |
Other providers sharing the same authorized official: SPILLANE, RYAN
| Year | Claims | Total 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 |
| 2024 | 23,086 | $2.78M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 21,127 | 19,266 | $4.36M |
| D0999 | Unspecified diagnostic procedure, by report | 12,755 | 10,561 | $3.90M |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 12,325 | 11,219 | $2.45M |
| H0031 | Mental health assessment, by non-physician | 2,371 | 1,657 | $612K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2,037 | 1,974 | $468K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1,747 | 1,616 | $417K |
| 90832 | Psychotherapy, 30 minutes with patient | 1,605 | 1,057 | $341K |
| H0023 | Behavioral health outreach service (planned approach to reach a targeted population) | 2,831 | 1,640 | $332K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1,417 | 1,361 | $329K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1,112 | 1,037 | $253K |
| H0025 | Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) | 2,021 | 1,106 | $236K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 986 | 920 | $222K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 5,086 | 4,642 | $61K |
| 99215 | Prolong outpt/office vis | 185 | 163 | $42K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2,160 | 1,904 | $31K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 806 | 502 | $26K |
| 99441 | 87 | 82 | $24K | |
| D0210 | Intraoral - complete series of radiographic images | 904 | 779 | $23K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2,541 | 2,406 | $23K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 128 | 50 | $21K |
| 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 94 | 79 | $16K |
| 90834 | Psychotherapy, 45 minutes with patient | 79 | 53 | $11K |
| D7140 | Extraction, erupted tooth or exposed root | 435 | 169 | $10K |
| 99381 | 38 | 38 | $9K | |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 51 | 41 | $9K |
| D4346 | 88 | 53 | $7K | |
| 90461 | 2,285 | 2,182 | $6K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 329 | 209 | $6K |
| D0140 | Limited oral evaluation - problem focused | 674 | 624 | $4K |
| D1110 | Prophylaxis - adult | 924 | 890 | $4K |
| D0120 | Periodic oral evaluation - established patient | 1,425 | 1,388 | $4K |
| D1206 | Topical application of fluoride varnish | 525 | 475 | $4K |
| 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 | 86 | 78 | $3K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 12 | 12 | $2K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 14 | 12 | $2K |
| D0330 | Panoramic radiographic image | 102 | 95 | $2K |
| D0274 | Bitewings - four radiographic images | 687 | 677 | $2K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1,054 | 944 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 781 | 750 | $1K |
| D0145 | Oral evaluation for a patient under three years of age | 21 | 13 | $704.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 15,528 | 14,130 | $455.98 |
| D1120 | Prophylaxis - child | 60 | 54 | $420.00 |
| 96127 | 10,345 | 9,458 | $292.11 | |
| D0230 | Intraoral - periapical each additional radiographic image | 12 | 12 | $56.00 |
| 90670 | 802 | 764 | $0.00 | |
| 90633 | 734 | 703 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 6,519 | 5,869 | $0.00 |
| 90700 | 39 | 38 | $0.00 | |
| 90710 | 99 | 99 | $0.00 | |
| 99173 | 118 | 118 | $0.00 | |
| 90648 | 24 | 24 | $0.00 | |
| 90715 | 152 | 134 | $0.00 | |
| D0190 | 160 | 160 | $0.00 | |
| 1160F | 145 | 142 | $0.00 | |
| G8511 | Screening for depression documented as positive, follow-up plan not documented, reason not given | 84 | 80 | $0.00 |
| 81025 | 70 | 66 | $0.00 | |
| 90734 | 13 | 13 | $0.00 | |
| 90707 | 43 | 39 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 56 | 54 | $0.00 |
| 90621 | 13 | 13 | $0.00 | |
| D4910 | 12 | 12 | $0.00 | |
| G8433 | Screening for depression not completed, documented patient or medical reason | 1,226 | 1,101 | $0.00 |
| 90680 | 645 | 613 | $0.00 | |
| 90619 | 218 | 211 | $0.00 | |
| 90686 | 1,543 | 1,441 | $0.00 | |
| 90696 | 83 | 83 | $0.00 | |
| 90688 | 1,289 | 1,220 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1,654 | 1,593 | $0.00 |
| 90651 | 462 | 433 | $0.00 | |
| 90474 | 43 | 42 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 63 | 63 | $0.00 |
| 90697 | 867 | 826 | $0.00 | |
| 90677 | 528 | 509 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 14 | 12 | $0.00 |
| 90716 | 77 | 76 | $0.00 | |
| 36416 | 63 | 63 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 58 | 56 | $0.00 |
| 90732 | 15 | 15 | $0.00 | |
| 91301 | 133 | 125 | $0.00 |