Clinic
Peak Vista Community Health Centers
Peak Vista Community Health Centers was paid $9.25M by Medicaid between Jan 2018 and Dec 2024, across 41 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 62% of everything it billed.
33Billing provider infoPEAK VISTA COMMUNITY HEALTH CENTERS
COLORADO SPRINGS, CO 80906
COLORADO SPRINGS, CO 80906
33aNPI1659674034assigned 12/07/2010
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$9.25M
24GClaims78,807
24DCodes billed41
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Colorado
Rank by total paid#37 of 197
Median peer was paid$1.11M
This provider vs. median8.4×
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 | 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 | |
| 2024incomplete | 12,455 | $1.37M |
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 | 62% | 30,149 | 27,292 | $5.70M |
| 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 | 28% | 13,965 | 12,573 | $2.56M |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 3.1% | 1,625 | 959 | $283K |
| H0031 | Mental health assessment, by non-physician | 1.7% | 965 | 582 | $157K |
| H0023 | Behavioral health outreach service (planned approach to reach a targeted population) | 1.3% | 988 | 671 | $116K |
| H0025 | Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) | 1.0% | 720 | 466 | $96K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 472 | 438 | $87K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,287 | 2,140 | $62K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 206 | 153 | $49K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 359 | 330 | $31K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 164 | 161 | $30K |
| G0467 | Community health center visit, returning patientFederally 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% | 1,071 | 954 | $29K |
29 more codes
| D0999 | Unspecified diagnostic procedure, by report | <1% | 44 | $22K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 74 | $13K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 29 | $5K |
| 90837 | Psychotherapy session, about an hour | <1% | 16 | $4K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 15 | $3K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 12 | $1K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 28 | $977.44 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 4,159 | $688.78 |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 26 | $368.20 |
| 96127 | <1% | 5,664 | $270.16 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 11,316 | $227.99 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 68 | $209.59 |
| 81002 | 0% | 40 | $0.00 | |
| G8511 | Screening for depression documented as positive, follow-up plan not documented, reason not given | 0% | 99 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 28 | $0.00 |
| 90715 | 0% | 37 | $0.00 | |
| 1160F | 0% | 69 | $0.00 | |
| 99173 | 0% | 17 | $0.00 | |
| 81025 | 0% | 15 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 77 | $0.00 |
| 90661 | 0% | 17 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 42 | $0.00 |
| G8433 | Screening for depression not completed, documented patient or medical reason | 0% | 2,031 | $0.00 |
| 90686 | 0% | 832 | $0.00 | |
| 90688 | 0% | 980 | $0.00 | |
| 36416 | 0% | 44 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 26 | $0.00 |
| D0210 | Intraoral - complete series of radiographic images | 0% | 19 | $0.00 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 12 | $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.