Medicaid Provider Spending

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

PEAK VISTA COMMUNITY HEALTH CENTERS

NPI: 1689977365 · COLORADO SPRINGS, CO 80917 · Federally Qualified Health Center (FQHC) · NPI assigned 12/17/2010

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

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

$21.68M
Total Medicaid Paid
190,920
Total Claims
179,012
Beneficiaries
67
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSPILLANE, RYAN (INTERIM CHIEF FINANCIAL OFFICER)
Parent OrganizationPEAK VISTA COMMUNITY HEALTH CENTERS
NPI Enumeration Date12/17/2010

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 $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 $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 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
2024 8,535 $1.55M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 73,300 68,854 $14.85M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 8,407 7,705 $1.59M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 7,143 6,678 $1.25M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 4,805 4,587 $905K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,074 3,834 $838K
D0999 Unspecified diagnostic procedure, by report 2,400 1,950 $669K
90460 Immunization administration through 18 years of age via any route, first or only component 15,137 14,291 $503K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,465 1,387 $276K
99381 992 956 $196K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 818 779 $153K
H0031 Mental health assessment, by non-physician 895 649 $101K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 291 278 $55K
90461 8,999 8,626 $55K
D1206 Topical application of fluoride varnish 1,962 1,635 $40K
D0145 Oral evaluation for a patient under three years of age 1,300 1,077 $38K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 348 291 $38K
H0023 Behavioral health outreach service (planned approach to reach a targeted population) 299 123 $30K
90832 Psychotherapy, 30 minutes with patient 211 141 $23K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 116 110 $22K
D0190 862 717 $17K
99383 55 54 $10K
D1120 Prophylaxis - child 451 377 $10K
H0025 Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) 77 33 $7K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 107 102 $2K
D0240 73 58 $1K
99051 994 967 $1K
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 25 24 $777.76
81002 4,873 4,634 $221.60
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 40 39 $209.59
90670 5,771 5,553 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 8,402 8,099 $0.00
90633 2,128 2,037 $0.00
G8511 Screening for depression documented as positive, follow-up plan not documented, reason not given 117 114 $0.00
90707 507 486 $0.00
90734 203 185 $0.00
90700 360 343 $0.00
90648 266 250 $0.00
81025 2,268 2,148 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 211 188 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,394 1,353 $0.00
90715 77 66 $0.00
90710 85 79 $0.00
1160F 578 570 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 102 101 $0.00
90472 Immunization administration, each additional vaccine (list separately) 25 17 $0.00
99173 138 130 $0.00
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 218 216 $0.00
G8482 Influenza immunization administered or previously received 19 18 $0.00
90688 1,617 1,487 $0.00
90698 4,137 4,008 $0.00
90680 3,634 3,520 $0.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 4,513 4,327 $0.00
90716 520 499 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 5,367 4,943 $0.00
90697 148 148 $0.00
J1885 Injection, ketorolac tromethamine, per 15 mg 24 24 $0.00
90686 3,531 3,362 $0.00
90744 2,722 2,627 $0.00
96161 598 500 $0.00
90651 382 347 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 105 103 $0.00
99050 13 13 $0.00
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 54 34 $0.00
90696 77 71 $0.00
3049F 14 14 $0.00
99000 49 49 $0.00
3044F 27 27 $0.00