NPI: 1568881688 · LIMON, CO 80828 · Federally Qualified Health Center (FQHC) · NPI assigned 04/16/2014
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 | 04/16/2014 |
Other providers sharing the same authorized official: SPILLANE, RYAN
| Year | Claims | Total 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 |
| Code | Description | Claims | Beneficiaries | Total 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 |