Medicaid Provider Spending

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

PEAK VISTA COMMUNITY HEALTH CENTERS

NPI: 1851693832 · COLORADO SPRINGS, CO 80918 · Federally Qualified Health Center (FQHC) · NPI assigned 11/24/2010

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

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

$8.31M
Total Medicaid Paid
85,673
Total Claims
65,333
Beneficiaries
46
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 Date11/24/2010

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 $28.65M
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 $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 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
2024 11,213 $1.25M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 31,471 24,702 $5.23M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 13,919 9,921 $1.90M
90832 Psychotherapy, 30 minutes with patient 1,906 1,043 $314K
H0023 Behavioral health outreach service (planned approach to reach a targeted population) 2,031 1,181 $258K
H0031 Mental health assessment, by non-physician 640 373 $141K
H0025 Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) 926 447 $112K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 328 312 $69K
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 3,693 2,312 $61K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 265 247 $58K
99441 133 129 $37K
99442 122 115 $34K
90460 Immunization administration through 18 years of age via any route, first or only component 1,786 1,548 $24K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 152 101 $20K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 74 68 $18K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,409 1,298 $16K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 72 70 $14K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 28 28 $7K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 15 15 $3K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 89 45 $1K
90461 328 295 $716.82
G8433 Screening for depression not completed, documented patient or medical reason 7,327 6,272 $232.80
90686 619 577 $209.59
96127 2,630 2,437 $4.98
G8510 Screening for depression is documented as negative, a follow-up plan is not required 11,867 8,544 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 63 61 $0.00
90688 948 856 $0.00
G0008 Administration of influenza virus vaccine 44 26 $0.00
36416 67 14 $0.00
90651 60 59 $0.00
90697 13 13 $0.00
90474 12 12 $0.00
90680 12 12 $0.00
90619 17 16 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 1,677 1,492 $0.00
90715 86 81 $0.00
1160F 125 123 $0.00
81002 317 189 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 62 60 $0.00
99173 71 65 $0.00
90472 Immunization administration, each additional vaccine (list separately) 28 27 $0.00
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 12 12 $0.00
90661 37 36 $0.00
99080 34 34 $0.00
90670 13 13 $0.00
82947 62 14 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 83 38 $0.00