Clinic
Peak Vista Community Health Centers
Peak Vista Community Health Centers was paid $28.65M by Medicaid between Jan 2018 and Dec 2024, across 64 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 68% of everything it billed.
33Billing provider infoPEAK VISTA COMMUNITY HEALTH CENTERS
COLORADO SPRINGS, CO 80910
COLORADO SPRINGS, CO 80910
33aNPI1841593225assigned 12/07/2010
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$28.65M
24GClaims225,376
24DCodes billed64
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Colorado
Rank by total paid#7 of 197
Median peer was paid$1.11M
This provider vs. median26×
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 | 37,049 | $4.24M | |
| 2019 | 28,129 | $3.43M | |
| 2020 | 20,519 | $3.05M | |
| 2021 | 31,837 | $4.37M | |
| 2022 | 30,404 | $4.69M | |
| 2023 | 39,959 | $4.50M | |
| 2024incomplete | 37,479 | $4.36M |
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 | 68% | 98,718 | 84,736 | $19.58M |
| 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 | 10% | 14,597 | 13,279 | $2.90M |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 8.4% | 12,617 | 11,396 | $2.40M |
| H0025 | Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) | 2.8% | 6,769 | 3,726 | $814K |
| H0031 | Mental health assessment, by non-physician | 2.3% | 4,245 | 2,624 | $647K |
| H1005 | Prenatal care, at-risk enhanced service package (includes h1001-h1004) | 1.5% | 832 | 772 | $425K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 1.2% | 1,476 | 1,135 | $343K |
| H0023 | Behavioral health outreach service (planned approach to reach a targeted population) | 1.2% | 3,022 | 2,229 | $334K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.2% | 5,107 | 4,676 | $331K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | <1% | 272 | 244 | $176K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 824 | 783 | $150K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 556 | 537 | $119K |
52 more codes
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 596 | $105K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 2,151 | $81K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,735 | $45K |
| 59514 | <1% | 50 | $33K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 103 | $23K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 335 | $21K |
| 99283 | Emergency room visit (moderate) | <1% | 79 | $20K |
| G0467 | Community health center visit, returning patient | <1% | 726 | $13K |
| 99284 | Emergency room visit (serious) | <1% | 61 | $11K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 63 | $11K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 46 | $11K |
| 59430 | <1% | 52 | $11K | |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 64 | $10K |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | <1% | 133 | $9K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 29 | $8K |
| 81025 | <1% | 7,615 | $3K | |
| 90837 | Psychotherapy session, about an hour | <1% | 17 | $3K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 15 | $3K |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 16 | $3K |
| 59025 | Fetal non-stress test | <1% | 562 | $3K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 39 | $1K |
| H2011 | Crisis intervention service, per 15 minutes | <1% | 28 | $720.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 15,750 | $474.68 |
| 90461 | <1% | 1,144 | $408.57 | |
| G8433 | Screening for depression not completed, documented patient or medical reason | <1% | 25,409 | $35.00 |
| 96127 | <1% | 6,238 | $5.70 | |
| 90688 | 0% | 1,102 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 287 | $0.00 |
| 90698 | 0% | 282 | $0.00 | |
| 90686 | 0% | 794 | $0.00 | |
| J1950 | Injection, leuprolide acetate (for depot suspension), per 3.75 mg | 0% | 99 | $0.00 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | 0% | 24 | $0.00 |
| 90680 | 0% | 111 | $0.00 | |
| 90744 | 0% | 45 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 17 | $0.00 |
| 3044F | 0% | 22 | $0.00 | |
| 58301 | 0% | 12 | $0.00 | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 0% | 3,417 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 316 | $0.00 |
| 90670 | 0% | 646 | $0.00 | |
| 1160F | 0% | 484 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 5,180 | $0.00 |
| 81002 | 0% | 98 | $0.00 | |
| 90633 | 0% | 75 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 181 | $0.00 |
| 87220 | 0% | 12 | $0.00 | |
| 90715 | 0% | 16 | $0.00 | |
| 90648 | 0% | 12 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 15 | $0.00 |
| 90681 | 0% | 12 | $0.00 | |
| 96160 | 0% | 12 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 14 | $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 (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.