Medicaid Provider Spending

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

PEAK VISTA COMMUNITY HEALTH CENTERS

NPI: 1437622206 · COLORADO SPRINGS, CO 80916 · Federally Qualified Health Center (FQHC) · NPI assigned 01/04/2019

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

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

$14.27M
Total Medicaid Paid
127,944
Total Claims
113,188
Beneficiaries
79
Codes Billed
2019-02
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSPILLANE, RYAN (CHIEF FINANCIAL OFFICER)
Parent OrganizationPEAK VISTA COMMUNITY HEALTH CENTERS
NPI Enumeration Date01/04/2019

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 FOUNTAIN CO $13.25M
PEAK VISTA COMMUNITY HEALTH CENTERS COLORADO SPRINGS CO $12.36M
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
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

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal 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