Medicaid Provider Spending

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

PEAK VISTA COMMUNITY HEALTH CENTERS

NPI: 1639714041 · COLORADO SPRINGS, CO 80909 · Federally Qualified Health Center (FQHC) · NPI assigned 11/08/2019

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

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

$4.18M
Total Medicaid Paid
35,448
Total Claims
30,957
Beneficiaries
54
Codes Billed
2020-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSPILLANE, RYAN (CHIEF FINANCIAL OFFICER)
Parent OrganizationPEAK VISTA COMMUNITY HEALTH CENTERS
NPI Enumeration Date11/08/2019

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 $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
2020 4,354 $550K
2021 5,160 $615K
2022 8,014 $934K
2023 9,790 $1.11M
2024 8,130 $975K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 9,867 8,865 $2.09M
D0999 Unspecified diagnostic procedure, by report 1,304 1,087 $439K
H0031 Mental health assessment, by non-physician 2,630 1,415 $435K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,375 1,284 $298K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 957 929 $223K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 795 772 $191K
90832 Psychotherapy, 30 minutes with patient 684 394 $161K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 431 414 $102K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 376 340 $77K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 283 259 $60K
99381 169 166 $39K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 787 739 $30K
90460 Immunization administration through 18 years of age via any route, first or only component 2,093 1,808 $20K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 51 51 $10K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 15 14 $3K
H0025 Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) 114 37 $3K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 3,077 2,851 $227.99
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 1,895 1,727 $227.99
96127 2,967 2,441 $52.95
90619 58 53 $0.00
90474 14 14 $0.00
90688 422 395 $0.00
99050 36 36 $0.00
90680 351 344 $0.00
90686 516 481 $0.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 280 279 $0.00
90677 170 168 $0.00
G8433 Screening for depression not completed, documented patient or medical reason 266 261 $0.00
D0150 Comprehensive oral evaluation - new or established patient 115 115 $0.00
90697 419 410 $0.00
90651 104 96 $0.00
83036 Hemoglobin; glycosylated (A1C) 28 27 $0.00
D0140 Limited oral evaluation - problem focused 47 47 $0.00
90696 69 61 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 33 33 $0.00
90716 26 25 $0.00
D4342 23 12 $0.00
36416 28 27 $0.00
90633 389 382 $0.00
90461 1,211 1,161 $0.00
90710 88 80 $0.00
90670 444 434 $0.00
90700 12 12 $0.00
90472 Immunization administration, each additional vaccine (list separately) 117 102 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 28 28 $0.00
81002 43 42 $0.00
90707 41 39 $0.00
81025 12 12 $0.00
1160F 63 63 $0.00
D0220 Intraoral - periapical first radiographic image 49 49 $0.00
90715 15 15 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 34 34 $0.00
90734 14 14 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 13 13 $0.00