Medicaid Provider Spending

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

PEAK VISTA COMMUNITY HEALTH CENTERS

NPI: 1609178524 · DIVIDE, CO 80814 · Federally Qualified Health Center (FQHC) · NPI assigned 11/29/2010

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

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

$7.30M
Total Medicaid Paid
54,016
Total Claims
44,492
Beneficiaries
53
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 Date11/29/2010

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 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 LIMON CO $2.99M
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 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

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal 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