Clinic
Peak Vista Community Health Centers
Peak Vista Community Health Centers was paid $7.30M by Medicaid between Jan 2018 and Dec 2024, across 53 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.
33Billing provider infoPEAK VISTA COMMUNITY HEALTH CENTERS
DIVIDE, CO 80814
DIVIDE, CO 80814
33aNPI1609178524assigned 11/29/2010
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$7.30M
24GClaims54,016
24DCodes billed53
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Colorado
Rank by total paid#45 of 197
Median peer was paid$1.11M
This provider vs. median6.6×
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 | 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 | |
| 2024incomplete | 6,455 | $904K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 39% | 15,162 | 13,668 | $2.82M |
| D0999 | Unspecified diagnostic procedure, by report | 30% | 7,621 | 5,046 | $2.21M |
| 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 | 8.5% | 3,090 | 2,839 | $617K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 5.5% | 2,021 | 1,835 | $400K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 4.7% | 1,718 | 748 | $341K |
| H0023 | Behavioral health outreach service (planned approach to reach a targeted population) | 4.3% | 1,923 | 1,228 | $315K |
| H0031 | Mental health assessment, by non-physician | 2.0% | 889 | 545 | $145K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 363 | 148 | $72K |
| D1110 | Prophylaxis - adult | <1% | 1,180 | 917 | $55K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 965 | 770 | $38K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 1,562 | 1,263 | $34K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 186 | 52 | $29K |
41 more codes
| D0210 | Intraoral - complete series of radiographic images | <1% | 338 | $28K |
| D0140 | Limited oral evaluation - problem focused | <1% | 746 | $24K |
| D1206 | Topical application of fluoride varnish | <1% | 677 | $18K |
| D0274 | Bitewings - four radiographic images | <1% | 634 | $17K |
| H0025 | Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) | <1% | 92 | $16K |
| G0467 | Community health center visit, returning patient | <1% | 466 | $14K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 61 | $12K |
| D1120 | Dental cleaning, child | <1% | 285 | $11K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 61 | $11K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 675 | $10K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 47 | $9K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,405 | $9K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 68 | $7K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 77 | $6K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 198 | $5K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 15 | $3K |
| D1351 | Sealant - per tooth | <1% | 55 | $3K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 13 | $2K |
| D0272 | Bitewings - two radiographic images | <1% | 48 | $2K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 12 | $1K |
| D4910 | <1% | 24 | $1K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 14 | $1K |
| 90461 | <1% | 139 | $1K | |
| H0032 | Mental health service plan development by non-physician | <1% | 15 | $800.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 5,087 | $455.98 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 399 | $336.00 |
| 96127 | <1% | 3,309 | $4.90 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 1,678 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 24 | $0.00 |
| 1160F | 0% | 71 | $0.00 | |
| 81002 | 0% | 30 | $0.00 | |
| D0270 | 0% | 24 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 13 | $0.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 30 | $0.00 |
| D0190 | 0% | 14 | $0.00 | |
| 99173 | 0% | 16 | $0.00 | |
| 90688 | 0% | 274 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 12 | $0.00 |
| 90686 | 0% | 103 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 12 | $0.00 |
| G8433 | Screening for depression not completed, documented patient or medical reason | 0% | 75 | $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.