Medicaid Provider Spending

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

PEAK VISTA COMMUNITY HEALTH CENTERS

NPI: 1659674034 · COLORADO SPRINGS, CO 80906 · Federally Qualified Health Center (FQHC) · NPI assigned 12/07/2010

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

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

$9.25M
Total Medicaid Paid
78,807
Total Claims
70,601
Beneficiaries
41
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 Date12/07/2010

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 $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 $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 12,289 $1.57M
2019 12,176 $1.60M
2020 11,436 $1.26M
2021 11,245 $1.27M
2022 8,427 $1.03M
2023 10,779 $1.15M
2024 12,455 $1.37M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 30,149 27,292 $5.70M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 13,965 12,573 $2.56M
90832 Psychotherapy, 30 minutes with patient 1,625 959 $283K
H0031 Mental health assessment, by non-physician 965 582 $157K
H0023 Behavioral health outreach service (planned approach to reach a targeted population) 988 671 $116K
H0025 Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) 720 466 $96K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 472 438 $87K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,287 2,140 $62K
90834 Psychotherapy, 45 minutes with patient 206 153 $49K
90460 Immunization administration through 18 years of age via any route, first or only component 359 330 $31K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 164 161 $30K
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 1,071 954 $29K
D0999 Unspecified diagnostic procedure, by report 44 44 $22K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 74 70 $13K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 29 27 $5K
90837 Psychotherapy, 53 minutes with patient 16 13 $4K
99215 Prolong outpt/office vis 15 13 $3K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 12 12 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 28 26 $977.44
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 4,159 3,744 $688.78
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 26 15 $368.20
96127 5,664 5,232 $270.16
G8510 Screening for depression is documented as negative, a follow-up plan is not required 11,316 10,474 $227.99
90472 Immunization administration, each additional vaccine (list separately) 68 54 $209.59
81002 40 40 $0.00
G8511 Screening for depression documented as positive, follow-up plan not documented, reason not given 99 90 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 28 28 $0.00
90715 37 28 $0.00
1160F 69 68 $0.00
99173 17 17 $0.00
81025 15 14 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 77 71 $0.00
90661 17 17 $0.00
83036 Hemoglobin; glycosylated (A1C) 42 42 $0.00
G8433 Screening for depression not completed, documented patient or medical reason 2,031 1,929 $0.00
90686 832 775 $0.00
90688 980 938 $0.00
36416 44 44 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 26 26 $0.00
D0210 Intraoral - complete series of radiographic images 19 19 $0.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 12 12 $0.00