Clinic
Peak Vista Community Health Centers
Peak Vista Community Health Centers was paid $6.52M by Medicaid between Jan 2018 and Apr 2022, across 57 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 48% of everything it billed.
33Billing provider infoPEAK VISTA COMMUNITY HEALTH CENTERS
COLORADO SPRINGS, CO 80910
COLORADO SPRINGS, CO 80910
33aNPI1780982058assigned 03/10/2011
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$6.52M
24GClaims60,253
24DCodes billed57
24AFirst – last monthJan 2018 – Apr 2022
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Colorado
Rank by total paid#52 of 197
Median peer was paid$1.11M
This provider vs. median5.9×
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.
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 | 16,223 | $1.61M | |
| 2019 | 13,941 | $1.55M | |
| 2020 | 12,046 | $1.28M | |
| 2021 | 13,591 | $1.55M | |
| 2022 | 4,452 | $535K |
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 | 48% | 17,121 | 15,745 | $3.11M |
| 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 | 29% | 10,962 | 9,992 | $1.89M |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.8% | 2,084 | 1,990 | $311K |
| H0025 | Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) | 2.7% | 1,350 | 721 | $179K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.6% | 866 | 853 | $168K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.3% | 775 | 747 | $148K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.1% | 4,369 | 4,167 | $140K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.9% | 621 | 597 | $124K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.5% | 510 | 490 | $97K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 1.2% | 867 | 415 | $81K |
| H0031 | Mental health assessment, by non-physician | 1.1% | 655 | 362 | $70K |
| 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% | 2,164 | 1,980 | $48K |
45 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 920 | $38K |
| H0023 | Behavioral health outreach service (planned approach to reach a targeted population) | <1% | 264 | $28K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 147 | $27K |
| 54150 | <1% | 97 | $19K | |
| 90461 | <1% | 1,905 | $12K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 56 | $11K |
| 99381 | <1% | 33 | $7K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 144 | $4K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 15 | $3K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 13 | $2K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 12 | $2K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 5,007 | $227.99 |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 23 | $220.92 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 25 | $209.59 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 2,654 | $0.00 |
| 90710 | 0% | 181 | $0.00 | |
| 90715 | 0% | 64 | $0.00 | |
| 90700 | 0% | 24 | $0.00 | |
| 90670 | 0% | 739 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 103 | $0.00 |
| 90633 | 0% | 617 | $0.00 | |
| 99173 | 0% | 144 | $0.00 | |
| 90734 | 0% | 125 | $0.00 | |
| 81002 | 0% | 116 | $0.00 | |
| 81025 | 0% | 20 | $0.00 | |
| 90648 | 0% | 72 | $0.00 | |
| 1160F | 0% | 143 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 51 | $0.00 |
| Q2038 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) | 0% | 12 | $0.00 |
| G8511 | Screening for depression documented as positive, follow-up plan not documented, reason not given | 0% | 14 | $0.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 17 | $0.00 |
| 90680 | 0% | 357 | $0.00 | |
| 90698 | 0% | 420 | $0.00 | |
| 90686 | 0% | 1,327 | $0.00 | |
| 90651 | 0% | 340 | $0.00 | |
| 90688 | 0% | 1,070 | $0.00 | |
| 36416 | 0% | 85 | $0.00 | |
| 90744 | 0% | 227 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 127 | $0.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 79 | $0.00 |
| 90723 | 0% | 14 | $0.00 | |
| 90697 | 0% | 26 | $0.00 | |
| 3044F | 0% | 12 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 52 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 16 | $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 officialPRATT, CINDY (CHIEF FINANCIAL OFFICER)
Parent organizationPEAK VISTA COMMUNITY HEALTH CENTERS
| Provider | Location | Paid |
|---|---|---|
| Peak Vista Community Health Centers | Colorado Springs, CO | $6.63M |
| Peak Vista Community Health Centers | Colorado Springs, CO | $3.53M |
| Peak Vista Community Health Centers | Colorado Springs, CO | $1.45M |
| Peak Vista Community Health Centers | Kiowa, CO | $905K |
| Peak Vista Community Health Centers | Peyton, CO | $157K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.