Medicaid Provider Spending

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

PEAK VISTA COMMUNITY HEALTH CENTERS

NPI: 1841593225 · COLORADO SPRINGS, CO 80910 · Federally Qualified Health Center (FQHC) · NPI assigned 12/07/2010

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

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

$28.65M
Total Medicaid Paid
225,376
Total Claims
195,692
Beneficiaries
64
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSPILLANE, RYAN (CHIEF FINANCIAL OFFICER)
Parent OrganizationPEAK VISTA COMMUNITY HEALTH CENTERS
NPI Enumeration Date12/07/2010

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 $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 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 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
2024 37,479 $4.36M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 98,718 84,736 $19.58M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 14,597 13,279 $2.90M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 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) 6,769 3,726 $814K
H0031 Mental health assessment, by non-physician 4,245 2,624 $647K
H1005 Prenatal care, at-risk enhanced service package (includes h1001-h1004) 832 772 $425K
90832 Psychotherapy, 30 minutes with patient 1,476 1,135 $343K
H0023 Behavioral health outreach service (planned approach to reach a targeted population) 3,022 2,229 $334K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 5,107 4,676 $331K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 272 244 $176K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 824 783 $150K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 556 537 $119K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 596 561 $105K
90460 Immunization administration through 18 years of age via any route, first or only component 2,151 2,013 $81K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,735 1,591 $45K
59514 50 40 $33K
90834 Psychotherapy, 45 minutes with patient 103 75 $23K
99238 Hospital discharge day management, 30 minutes or less 335 330 $21K
99283 Emergency department visit for the evaluation and management, moderate severity 79 75 $20K
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 726 673 $13K
99284 Emergency department visit for the evaluation and management, high severity 61 54 $11K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 63 59 $11K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 46 44 $11K
59430 52 51 $11K
99282 Emergency department visit for the evaluation and management, low to moderate severity 64 51 $10K
H0002 Behavioral health screening to determine eligibility for admission to treatment program 133 51 $9K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 29 29 $8K
81025 7,615 7,103 $3K
90837 Psychotherapy, 53 minutes with patient 17 12 $3K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 15 15 $3K
99281 Emergency department visit for the evaluation and management, self-limited or minor 16 13 $3K
59025 Fetal non-stress test 562 471 $3K
99231 Subsequent hospital care, per day, straightforward or low complexity 39 37 $1K
H2011 Crisis intervention service, per 15 minutes 28 28 $720.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 15,750 14,555 $474.68
90461 1,144 1,093 $408.57
G8433 Screening for depression not completed, documented patient or medical reason 25,409 22,650 $35.00
96127 6,238 5,699 $5.70
90688 1,102 1,036 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 287 278 $0.00
90698 282 271 $0.00
90686 794 726 $0.00
J1950 Injection, leuprolide acetate (for depot suspension), per 3.75 mg 99 92 $0.00
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 24 24 $0.00
90680 111 102 $0.00
90744 45 43 $0.00
G0008 Administration of influenza virus vaccine 17 17 $0.00
3044F 22 21 $0.00
58301 12 12 $0.00
J1050 Injection, medroxyprogesterone acetate, 1 mg 3,417 3,154 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 316 307 $0.00
90670 646 622 $0.00
1160F 484 470 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 5,180 4,595 $0.00
81002 98 86 $0.00
90633 75 73 $0.00
90472 Immunization administration, each additional vaccine (list separately) 181 160 $0.00
87220 12 12 $0.00
90715 16 16 $0.00
90648 12 12 $0.00
G8482 Influenza immunization administered or previously received 15 15 $0.00
90681 12 12 $0.00
96160 12 12 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 14 14 $0.00