Clinic
Peak Vista Community Health Centers
Peak Vista Community Health Centers was paid $7.23M by Medicaid between Jan 2018 and Oct 2024, across 50 billing codes. Its largest line is D0999, Unspecified diagnostic procedure, by report — 77% of everything it billed.
33Billing provider infoPEAK VISTA COMMUNITY HEALTH CENTERS
COLORADO SPRINGS, CO 80917
COLORADO SPRINGS, CO 80917
33aNPI1730166034assigned 12/28/2005
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$7.23M
24GClaims49,416
24DCodes billed50
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Colorado
Rank by total paid#46 of 197
Median peer was paid$1.11M
This provider vs. median6.5×
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 | 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 | |
| 2024incomplete | 239 | $40K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0999 | Unspecified diagnostic procedure, by report | 77% | 21,119 | 14,773 | $5.58M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.2% | 801 | 708 | $162K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.8% | 1,016 | 526 | $130K |
| D1110 | Prophylaxis - adult | 1.8% | 2,152 | 1,771 | $130K |
| D1206 | Topical application of fluoride varnish | 1.8% | 3,881 | 3,124 | $128K |
| 0011A | 1.6% | 3,251 | 3,213 | $116K | |
| 0012A | 1.5% | 2,876 | 2,830 | $109K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.5% | 1,885 | 1,557 | $107K |
| D7140 | Extraction, erupted tooth or exposed root | 1.2% | 567 | 181 | $83K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.0% | 727 | 340 | $75K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 1.0% | 2,484 | 1,996 | $74K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 1,170 | 873 | $65K |
38 more codes
| D0210 | Intraoral - complete series of radiographic images | <1% | 593 | $58K |
| H1005 | Prenatal care, at-risk enhanced service package (includes h1001-h1004) | <1% | 142 | $52K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 227 | $41K |
| D0140 | Limited oral evaluation - problem focused | <1% | 526 | $38K |
| D4910 | <1% | 218 | $31K | |
| D1120 | Dental cleaning, child | <1% | 782 | $31K |
| D0190 | <1% | 685 | $27K | |
| D0274 | Bitewings - four radiographic images | <1% | 638 | $23K |
| 0072A | <1% | 349 | $21K | |
| 0064A | <1% | 500 | $19K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 147 | $17K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 730 | $16K |
| 0071A | <1% | 228 | $13K | |
| 0031A | <1% | 310 | $11K | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 83 | $11K |
| 0124A | <1% | 169 | $10K | |
| D4342 | <1% | 56 | $10K | |
| 0051A | <1% | 148 | $9K | |
| 0002A | <1% | 97 | $5K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 32 | $5K |
| 0134A | <1% | 77 | $4K | |
| 0052A | <1% | 70 | $4K | |
| 0013A | <1% | 108 | $4K | |
| 0001A | <1% | 85 | $4K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 13 | $3K |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 46 | $3K |
| D1351 | Sealant - per tooth | <1% | 39 | $2K |
| D0240 | <1% | 29 | $1K | |
| 0034A | <1% | 27 | $1K | |
| 90661 | <1% | 28 | $843.74 | |
| 0004A | <1% | 21 | $823.60 | |
| 0054A | <1% | 18 | $658.88 | |
| D0272 | Bitewings - two radiographic images | <1% | 12 | $588.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 43 | $414.50 |
| 90686 | <1% | 14 | $329.84 | |
| 59025 | Fetal non-stress test | 0% | 116 | $0.00 |
| 80305 | 0% | 68 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 13 | $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.