NPI: 1851710065 · STRASBURG, CO 80136 · Federally Qualified Health Center (FQHC) · NPI assigned 04/15/2014
Authorized official SPILLANE, RYAN controls 20+ related entities in our dataset. Read more
| Authorized Official | SPILLANE, RYAN (CHIEF FINANCIAL OFFICER) |
| Parent Organization | PEAK VISTA COMMUNITY HEALTH CENTERS |
| NPI Enumeration Date | 04/15/2014 |
Other providers sharing the same authorized official: SPILLANE, RYAN
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,508 | $651K |
| 2019 | 4,349 | $510K |
| 2020 | 4,148 | $653K |
| 2021 | 4,441 | $643K |
| 2022 | 4,887 | $662K |
| 2023 | 8,676 | $1.06M |
| 2024 | 5,210 | $696K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12,707 | 11,044 | $2.44M |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 6,157 | 5,276 | $1.10M |
| D0999 | Unspecified diagnostic procedure, by report | 2,954 | 2,165 | $889K |
| H0031 | Mental health assessment, by non-physician | 807 | 403 | $195K |
| H0025 | Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) | 800 | 314 | $135K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 195 | 180 | $25K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 394 | 371 | $22K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 119 | 111 | $20K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 295 | 286 | $8K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 28 | 12 | $7K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 50 | 28 | $7K |
| D1110 | Prophylaxis - adult | 87 | 71 | $4K |
| 99442 | 35 | 16 | $4K | |
| D1206 | Topical application of fluoride varnish | 159 | 139 | $3K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 30 | 28 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | 40 | 31 | $2K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 18 | 13 | $2K |
| D0120 | Periodic oral evaluation - established patient | 236 | 228 | $2K |
| D1120 | Prophylaxis - child | 17 | 12 | $910.00 |
| D0220 | Intraoral - periapical first radiographic image | 51 | 39 | $744.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 16 | 15 | $683.97 |
| D0274 | Bitewings - four radiographic images | 41 | 41 | $195.00 |
| 1160F | 66 | 66 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 1,010 | 849 | $0.00 |
| H0023 | Behavioral health outreach service (planned approach to reach a targeted population) | 19 | 14 | $0.00 |
| 90461 | 15 | 14 | $0.00 | |
| 90734 | 14 | 13 | $0.00 | |
| 99173 | 14 | 12 | $0.00 | |
| 96127 | 3,836 | 3,146 | $0.00 | |
| 90686 | 98 | 91 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 4,968 | 4,458 | $0.00 |
| 90688 | 323 | 309 | $0.00 | |
| G8433 | Screening for depression not completed, documented patient or medical reason | 465 | 411 | $0.00 |
| H0049 | Alcohol and/or drug screening | 109 | 93 | $0.00 |
| 91303 | 17 | 16 | $0.00 | |
| D0140 | Limited oral evaluation - problem focused | 12 | 12 | $0.00 |
| 90651 | 17 | 15 | $0.00 |