Clinic
Peak Vista Community Health Centers
Peak Vista Community Health Centers was paid $4.18M by Medicaid between Jan 2020 and Dec 2024, across 54 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 50% of everything it billed.
33Billing provider infoPEAK VISTA COMMUNITY HEALTH CENTERS
COLORADO SPRINGS, CO 80909
COLORADO SPRINGS, CO 80909
33aNPI1639714041assigned 11/08/2019
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$4.18M
24GClaims35,448
24DCodes billed54
24AFirst – last monthJan 2020 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Colorado
Rank by total paid#63 of 197
Median peer was paid$1.11M
This provider vs. median3.8×
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 | |
|---|---|---|---|
| 2020 | 4,354 | $550K | |
| 2021 | 5,160 | $615K | |
| 2022 | 8,014 | $934K | |
| 2023 | 9,790 | $1.11M | |
| 2024incomplete | 8,130 | $975K |
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 | 50% | 9,867 | 8,865 | $2.09M |
| D0999 | Unspecified diagnostic procedure, by report | 11% | 1,304 | 1,087 | $439K |
| H0031 | Mental health assessment, by non-physician | 10% | 2,630 | 1,415 | $435K |
| 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 | 7.1% | 1,375 | 1,284 | $298K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.3% | 957 | 929 | $223K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.6% | 795 | 772 | $191K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 3.8% | 684 | 394 | $161K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.4% | 431 | 414 | $102K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.8% | 376 | 340 | $77K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.4% | 283 | 259 | $60K |
| 99381 | <1% | 169 | 166 | $39K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 787 | 739 | $30K |
42 more codes
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 2,093 | $20K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 51 | $10K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 15 | $3K |
| H0025 | Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) | <1% | 114 | $3K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 3,077 | $227.99 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 1,895 | $227.99 |
| 96127 | <1% | 2,967 | $52.95 | |
| 90619 | 0% | 58 | $0.00 | |
| 90474 | 0% | 14 | $0.00 | |
| 90688 | 0% | 422 | $0.00 | |
| 99050 | 0% | 36 | $0.00 | |
| 90680 | 0% | 351 | $0.00 | |
| 90686 | 0% | 516 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 280 | $0.00 |
| 90677 | 0% | 170 | $0.00 | |
| G8433 | Screening for depression not completed, documented patient or medical reason | 0% | 266 | $0.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 115 | $0.00 |
| 90697 | 0% | 419 | $0.00 | |
| 90651 | 0% | 104 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 28 | $0.00 |
| D0140 | Limited oral evaluation - problem focused | 0% | 47 | $0.00 |
| 90696 | 0% | 69 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 33 | $0.00 |
| 90716 | 0% | 26 | $0.00 | |
| D4342 | 0% | 23 | $0.00 | |
| 36416 | 0% | 28 | $0.00 | |
| 90633 | 0% | 389 | $0.00 | |
| 90461 | 0% | 1,211 | $0.00 | |
| 90710 | 0% | 88 | $0.00 | |
| 90670 | 0% | 444 | $0.00 | |
| 90700 | 0% | 12 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 117 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 28 | $0.00 |
| 81002 | 0% | 43 | $0.00 | |
| 90707 | 0% | 41 | $0.00 | |
| 81025 | 0% | 12 | $0.00 | |
| 1160F | 0% | 63 | $0.00 | |
| D0220 | Intraoral - periapical first radiographic image | 0% | 49 | $0.00 |
| 90715 | 0% | 15 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 34 | $0.00 |
| 90734 | 0% | 14 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 13 | $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.