Clinic
Peak Vista Community Health Centers
Peak Vista Community Health Centers was paid $8.31M by Medicaid between Jan 2018 and Dec 2024, across 46 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 63% of everything it billed.
33Billing provider infoPEAK VISTA COMMUNITY HEALTH CENTERS
COLORADO SPRINGS, CO 80918
COLORADO SPRINGS, CO 80918
33aNPI1851693832assigned 11/24/2010
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$8.31M
24GClaims85,673
24DCodes billed46
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Colorado
Rank by total paid#39 of 197
Median peer was paid$1.11M
This provider vs. median7.5×
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 | 19,135 | $948K | |
| 2019 | 12,417 | $1.05M | |
| 2020 | 12,100 | $1.33M | |
| 2021 | 9,645 | $1.31M | |
| 2022 | 7,554 | $1.02M | |
| 2023 | 13,609 | $1.40M | |
| 2024incomplete | 11,213 | $1.25M |
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 | 63% | 31,471 | 24,702 | $5.23M |
| 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 | 23% | 13,919 | 9,921 | $1.90M |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 3.8% | 1,906 | 1,043 | $314K |
| H0023 | Behavioral health outreach service (planned approach to reach a targeted population) | 3.1% | 2,031 | 1,181 | $258K |
| H0031 | Mental health assessment, by non-physician | 1.7% | 640 | 373 | $141K |
| H0025 | Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) | 1.3% | 926 | 447 | $112K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 328 | 312 | $69K |
| 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% | 3,693 | 2,312 | $61K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 265 | 247 | $58K |
| 99441 | <1% | 133 | 129 | $37K | |
| 99442 | <1% | 122 | 115 | $34K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 1,786 | 1,548 | $24K |
34 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 152 | $20K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 74 | $18K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,409 | $16K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 72 | $14K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 28 | $7K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 15 | $3K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 89 | $1K |
| 90461 | <1% | 328 | $716.82 | |
| G8433 | Screening for depression not completed, documented patient or medical reason | <1% | 7,327 | $232.80 |
| 90686 | <1% | 619 | $209.59 | |
| 96127 | <1% | 2,630 | $4.98 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 11,867 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 63 | $0.00 |
| 90688 | 0% | 948 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 44 | $0.00 |
| 36416 | 0% | 67 | $0.00 | |
| 90651 | 0% | 60 | $0.00 | |
| 90697 | 0% | 13 | $0.00 | |
| 90474 | 0% | 12 | $0.00 | |
| 90680 | 0% | 12 | $0.00 | |
| 90619 | 0% | 17 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 1,677 | $0.00 |
| 90715 | 0% | 86 | $0.00 | |
| 1160F | 0% | 125 | $0.00 | |
| 81002 | 0% | 317 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 62 | $0.00 |
| 99173 | 0% | 71 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 28 | $0.00 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 12 | $0.00 |
| 90661 | 0% | 37 | $0.00 | |
| 99080 | 0% | 34 | $0.00 | |
| 90670 | 0% | 13 | $0.00 | |
| 82947 | 0% | 62 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 83 | $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.