NPI: 1609178524 · DIVIDE, CO 80814 · Federally Qualified Health Center (FQHC) · NPI assigned 11/29/2010
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 | 11/29/2010 |
Other providers sharing the same authorized official: SPILLANE, RYAN
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 8,880 | $1.21M |
| 2019 | 4,653 | $559K |
| 2020 | 7,622 | $1.12M |
| 2021 | 7,199 | $1.03M |
| 2022 | 8,417 | $1.04M |
| 2023 | 10,790 | $1.44M |
| 2024 | 6,455 | $904K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15,162 | 13,668 | $2.82M |
| D0999 | Unspecified diagnostic procedure, by report | 7,621 | 5,046 | $2.21M |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 3,090 | 2,839 | $617K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2,021 | 1,835 | $400K |
| 90832 | Psychotherapy, 30 minutes with patient | 1,718 | 748 | $341K |
| H0023 | Behavioral health outreach service (planned approach to reach a targeted population) | 1,923 | 1,228 | $315K |
| H0031 | Mental health assessment, by non-physician | 889 | 545 | $145K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 363 | 148 | $72K |
| D1110 | Prophylaxis - adult | 1,180 | 917 | $55K |
| D0150 | Comprehensive oral evaluation - new or established patient | 965 | 770 | $38K |
| D0120 | Periodic oral evaluation - established patient | 1,562 | 1,263 | $34K |
| D7140 | Extraction, erupted tooth or exposed root | 186 | 52 | $29K |
| D0210 | Intraoral - complete series of radiographic images | 338 | 237 | $28K |
| D0140 | Limited oral evaluation - problem focused | 746 | 594 | $24K |
| D1206 | Topical application of fluoride varnish | 677 | 517 | $18K |
| D0274 | Bitewings - four radiographic images | 634 | 516 | $17K |
| H0025 | Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) | 92 | 52 | $16K |
| 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 | 466 | 426 | $14K |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 61 | 54 | $12K |
| D1120 | Prophylaxis - child | 285 | 204 | $11K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 61 | 58 | $11K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 675 | 640 | $10K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 47 | 43 | $9K |
| D0220 | Intraoral - periapical first radiographic image | 1,405 | 1,212 | $9K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 68 | 36 | $7K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 77 | 49 | $6K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 198 | 190 | $5K |
| 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 15 | 13 | $3K |
| D1351 | Sealant - per tooth | 55 | 12 | $3K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 13 | 13 | $2K |
| D0272 | Bitewings - two radiographic images | 48 | 24 | $2K |
| 90791 | Psychiatric diagnostic evaluation | 12 | 12 | $1K |
| D4910 | 24 | 24 | $1K | |
| 90834 | Psychotherapy, 45 minutes with patient | 14 | 12 | $1K |
| 90461 | 139 | 133 | $1K | |
| H0032 | Mental health service plan development by non-physician | 15 | 15 | $800.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 5,087 | 4,809 | $455.98 |
| D0230 | Intraoral - periapical each additional radiographic image | 399 | 396 | $336.00 |
| 96127 | 3,309 | 2,951 | $4.90 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 1,678 | 1,527 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 24 | 24 | $0.00 |
| 1160F | 71 | 68 | $0.00 | |
| 81002 | 30 | 25 | $0.00 | |
| D0270 | 24 | 24 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 13 | 12 | $0.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 30 | 28 | $0.00 |
| D0190 | 14 | 14 | $0.00 | |
| 99173 | 16 | 16 | $0.00 | |
| 90688 | 274 | 259 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 12 | 12 | $0.00 |
| 90686 | 103 | 98 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 12 | 12 | $0.00 |
| G8433 | Screening for depression not completed, documented patient or medical reason | 75 | 72 | $0.00 |