Medicaid Provider Spending

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

PEAK VISTA COMMUNITY HEALTH CENTERS

NPI: 1568881688 · LIMON, CO 80828 · Federally Qualified Health Center (FQHC) · NPI assigned 04/16/2014

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

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

$2.99M
Total Medicaid Paid
19,226
Total Claims
15,212
Beneficiaries
36
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 Date04/16/2014

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 $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 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 3,433 $574K
2019 1,633 $203K
2020 3,130 $491K
2021 3,101 $442K
2022 2,999 $342K
2023 2,817 $558K
2024 2,113 $375K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0999 Unspecified diagnostic procedure, by report 5,475 3,802 $1.64M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,362 3,741 $824K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,172 1,702 $351K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 318 160 $35K
90832 Psychotherapy, 30 minutes with patient 96 36 $21K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 101 92 $20K
D7140 Extraction, erupted tooth or exposed root 130 26 $19K
D0150 Comprehensive oral evaluation - new or established patient 567 489 $14K
D1110 Prophylaxis - adult 266 244 $8K
H0031 Mental health assessment, by non-physician 41 13 $7K
D1206 Topical application of fluoride varnish 595 539 $7K
D0140 Limited oral evaluation - problem focused 166 129 $7K
D0210 Intraoral - complete series of radiographic images 42 14 $7K
D0120 Periodic oral evaluation - established patient 801 753 $6K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 26 26 $6K
90460 Immunization administration through 18 years of age via any route, first or only component 90 82 $5K
D2391 Resin-based composite - one surface, posterior, primary or permanent 69 38 $5K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 12 12 $2K
D0220 Intraoral - periapical first radiographic image 643 612 $1K
D1120 Prophylaxis - child 35 26 $1K
D0330 Panoramic radiographic image 39 39 $564.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 25 23 $441.20
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 67 40 $316.89
D0274 Bitewings - four radiographic images 211 206 $260.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 15 14 $209.59
D1351 Sealant - per tooth 40 12 $120.00
D0230 Intraoral - periapical each additional radiographic image 103 103 $28.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 427 374 $0.00
1160F 18 18 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 36 33 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 1,575 1,326 $0.00
96127 594 430 $0.00
90688 23 18 $0.00
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 17 12 $0.00
36416 17 16 $0.00
90686 12 12 $0.00