Clinic
Peak Vista Community Health Centers
Peak Vista Community Health Centers was paid $2.99M by Medicaid between Jan 2018 and Dec 2024, across 36 billing codes. Its largest line is D0999, Unspecified diagnostic procedure, by report — 55% of everything it billed.
33Billing provider infoPEAK VISTA COMMUNITY HEALTH CENTERS
LIMON, CO 80828
LIMON, CO 80828
33aNPI1568881688assigned 04/16/2014
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$2.99M
24GClaims19,226
24DCodes billed36
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Colorado
Rank by total paid#76 of 197
Median peer was paid$1.11M
This provider vs. median2.7×
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 | 3,433 | $574K | |
| 2019 | 1,633 | $203K | |
| 2020 | 3,130 | $491K | |
| 2021 | 3,101 | $442K | |
| 2022 | 2,999 | $342K | |
| 2023 | 2,817 | $558K | |
| 2024incomplete | 2,113 | $375K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0999 | Unspecified diagnostic procedure, by report | 55% | 5,475 | 3,802 | $1.64M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 28% | 4,362 | 3,741 | $824K |
| 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 | 12% | 2,172 | 1,702 | $351K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.2% | 318 | 160 | $35K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 96 | 36 | $21K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 101 | 92 | $20K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 130 | 26 | $19K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 567 | 489 | $14K |
| D1110 | Prophylaxis - adult | <1% | 266 | 244 | $8K |
| H0031 | Mental health assessment, by non-physician | <1% | 41 | 13 | $7K |
| D1206 | Topical application of fluoride varnish | <1% | 595 | 539 | $7K |
| D0140 | Limited oral evaluation - problem focused | <1% | 166 | 129 | $7K |
24 more codes
| D0210 | Intraoral - complete series of radiographic images | <1% | 42 | $7K |
| D0120 | Dental checkup, returning patient | <1% | 801 | $6K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 26 | $6K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 90 | $5K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 69 | $5K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 12 | $2K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 643 | $1K |
| D1120 | Dental cleaning, child | <1% | 35 | $1K |
| D0330 | Panoramic radiographic image | <1% | 39 | $564.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 25 | $441.20 |
| G0467 | Community health center visit, returning patient | <1% | 67 | $316.89 |
| D0274 | Bitewings - four radiographic images | <1% | 211 | $260.00 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 15 | $209.59 |
| D1351 | Sealant - per tooth | <1% | 40 | $120.00 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 103 | $28.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 427 | $0.00 |
| 1160F | 0% | 18 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 36 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 1,575 | $0.00 |
| 96127 | 0% | 594 | $0.00 | |
| 90688 | 0% | 23 | $0.00 | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 0% | 17 | $0.00 |
| 36416 | 0% | 17 | $0.00 | |
| 90686 | 0% | 12 | $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.