Medicaid Provider Spending

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

PEAK VISTA COMMUNITY HEALTH CENTERS

NPI: 1730166034 · COLORADO SPRINGS, CO 80917 · Federally Qualified Health Center (FQHC) · NPI assigned 12/28/2005

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

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

$7.23M
Total Medicaid Paid
49,416
Total Claims
38,287
Beneficiaries
50
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialSPILLANE, RYAN (INTERIM CHIEF FINANCIAL OFFICER)
Parent OrganizationPEAK VISTA COMMUNITY HEALTH CENTERS
NPI Enumeration Date12/28/2005

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 $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 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 9,373 $1.66M
2019 19,650 $3.25M
2020 11,751 $1.95M
2021 6,857 $251K
2022 1,354 $73K
2023 192 $17K
2024 239 $40K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0999 Unspecified diagnostic procedure, by report 21,119 14,773 $5.58M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 801 708 $162K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 1,016 526 $130K
D1110 Prophylaxis - adult 2,152 1,771 $130K
D1206 Topical application of fluoride varnish 3,881 3,124 $128K
0011A 3,251 3,213 $116K
0012A 2,876 2,830 $109K
D0150 Comprehensive oral evaluation - new or established patient 1,885 1,557 $107K
D7140 Extraction, erupted tooth or exposed root 567 181 $83K
D2391 Resin-based composite - one surface, posterior, primary or permanent 727 340 $75K
D0120 Periodic oral evaluation - established patient 2,484 1,996 $74K
D0145 Oral evaluation for a patient under three years of age 1,170 873 $65K
D0210 Intraoral - complete series of radiographic images 593 518 $58K
H1005 Prenatal care, at-risk enhanced service package (includes h1001-h1004) 142 102 $52K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 227 219 $41K
D0140 Limited oral evaluation - problem focused 526 479 $38K
D4910 218 182 $31K
D1120 Prophylaxis - child 782 621 $31K
D0190 685 542 $27K
D0274 Bitewings - four radiographic images 638 508 $23K
0072A 349 346 $21K
0064A 500 490 $19K
90792 Psychiatric diagnostic evaluation with medical services 147 74 $17K
D0220 Intraoral - periapical first radiographic image 730 644 $16K
0071A 228 224 $13K
0031A 310 299 $11K
D2150 Silver amalgam - two surfaces, primary or permanent 83 52 $11K
0124A 169 165 $10K
D4342 56 25 $10K
0051A 148 141 $9K
0002A 97 97 $5K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 32 13 $5K
0134A 77 76 $4K
0052A 70 70 $4K
0013A 108 108 $4K
0001A 85 85 $4K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 13 13 $3K
99281 Emergency department visit for the evaluation and management, self-limited or minor 46 13 $3K
D1351 Sealant - per tooth 39 12 $2K
D0240 29 29 $1K
0034A 27 27 $1K
90661 28 28 $843.74
0004A 21 21 $823.60
0054A 18 18 $658.88
D0272 Bitewings - two radiographic images 12 12 $588.00
90460 Immunization administration through 18 years of age via any route, first or only component 43 42 $414.50
90686 14 14 $329.84
59025 Fetal non-stress test 116 39 $0.00
80305 68 34 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 13 13 $0.00