Clinic
Peak Vista Community Health Centers
Peak Vista Community Health Centers was paid $21.68M by Medicaid between Jan 2018 and Dec 2024, across 67 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 69% of everything it billed.
33Billing provider infoPEAK VISTA COMMUNITY HEALTH CENTERS
COLORADO SPRINGS, CO 80917
COLORADO SPRINGS, CO 80917
33aNPI1689977365assigned 12/17/2010
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$21.68M
24GClaims190,920
24DCodes billed67
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Colorado
Rank by total paid#17 of 197
Median peer was paid$1.11M
This provider vs. median20×
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 | 30,952 | $3.12M | |
| 2019 | 40,378 | $3.72M | |
| 2020 | 37,720 | $4.07M | |
| 2021 | 43,005 | $4.58M | |
| 2022 | 18,556 | $2.68M | |
| 2023 | 11,774 | $1.97M | |
| 2024incomplete | 8,535 | $1.55M |
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 | 69% | 73,300 | 68,854 | $14.85M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.3% | 8,407 | 7,705 | $1.59M |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 5.8% | 7,143 | 6,678 | $1.25M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.2% | 4,805 | 4,587 | $905K |
| 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 | 3.9% | 4,074 | 3,834 | $838K |
| D0999 | Unspecified diagnostic procedure, by report | 3.1% | 2,400 | 1,950 | $669K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.3% | 15,137 | 14,291 | $503K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.3% | 1,465 | 1,387 | $276K |
| 99381 | <1% | 992 | 956 | $196K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 818 | 779 | $153K |
| H0031 | Mental health assessment, by non-physician | <1% | 895 | 649 | $101K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 291 | 278 | $55K |
55 more codes
| 90461 | <1% | 8,999 | $55K | |
| D1206 | Topical application of fluoride varnish | <1% | 1,962 | $40K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 1,300 | $38K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 348 | $38K |
| H0023 | Behavioral health outreach service (planned approach to reach a targeted population) | <1% | 299 | $30K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 211 | $23K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 116 | $22K |
| D0190 | <1% | 862 | $17K | |
| 99383 | <1% | 55 | $10K | |
| D1120 | Dental cleaning, child | <1% | 451 | $10K |
| H0025 | Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) | <1% | 77 | $7K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 107 | $2K |
| D0240 | <1% | 73 | $1K | |
| 99051 | <1% | 994 | $1K | |
| G0467 | Community health center visit, returning patient | <1% | 25 | $777.76 |
| 81002 | <1% | 4,873 | $221.60 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 40 | $209.59 |
| 90670 | 0% | 5,771 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 8,402 | $0.00 |
| 90633 | 0% | 2,128 | $0.00 | |
| G8511 | Screening for depression documented as positive, follow-up plan not documented, reason not given | 0% | 117 | $0.00 |
| 90707 | 0% | 507 | $0.00 | |
| 90734 | 0% | 203 | $0.00 | |
| 90700 | 0% | 360 | $0.00 | |
| 90648 | 0% | 266 | $0.00 | |
| 81025 | 0% | 2,268 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 211 | $0.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 1,394 | $0.00 |
| 90715 | 0% | 77 | $0.00 | |
| 90710 | 0% | 85 | $0.00 | |
| 1160F | 0% | 578 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 102 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 25 | $0.00 |
| 99173 | 0% | 138 | $0.00 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 0% | 218 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 19 | $0.00 |
| 90688 | 0% | 1,617 | $0.00 | |
| 90698 | 0% | 4,137 | $0.00 | |
| 90680 | 0% | 3,634 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 4,513 | $0.00 |
| 90716 | 0% | 520 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 5,367 | $0.00 |
| 90697 | 0% | 148 | $0.00 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 24 | $0.00 |
| 90686 | 0% | 3,531 | $0.00 | |
| 90744 | 0% | 2,722 | $0.00 | |
| 96161 | 0% | 598 | $0.00 | |
| 90651 | 0% | 382 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 105 | $0.00 |
| 99050 | 0% | 13 | $0.00 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | 0% | 54 | $0.00 |
| 90696 | 0% | 77 | $0.00 | |
| 3049F | 0% | 14 | $0.00 | |
| 99000 | 0% | 49 | $0.00 | |
| 3044F | 0% | 27 | $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 (INTERIM 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.