Medicaid Provider Spending

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

PEAK VISTA COMMUNITY HEALTH CENTERS

NPI: 1962740381 · COLORADO SPRINGS, CO 80917 · Federally Qualified Health Center (FQHC) · NPI assigned 01/18/2013

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

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

$16.91M
Total Medicaid Paid
155,911
Total Claims
140,069
Beneficiaries
67
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 Date01/18/2013

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 $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 22,468 $2.55M
2019 19,899 $1.95M
2020 15,217 $1.74M
2021 16,322 $1.93M
2022 22,550 $2.54M
2023 34,562 $3.07M
2024 24,893 $3.12M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 45,440 41,321 $8.71M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 24,572 22,311 $4.72M
H0031 Mental health assessment, by non-physician 6,814 4,057 $1.05M
H0023 Behavioral health outreach service (planned approach to reach a targeted population) 2,802 1,534 $482K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,963 1,821 $325K
99215 Prolong outpt/office vis 1,765 1,577 $294K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,025 1,001 $230K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 969 922 $225K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 915 884 $198K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 618 590 $130K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 451 428 $91K
90460 Immunization administration through 18 years of age via any route, first or only component 4,417 4,134 $78K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 312 293 $60K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 226 221 $59K
90837 Psychotherapy, 53 minutes with patient 165 92 $41K
99442 142 138 $39K
99441 119 118 $34K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,453 2,334 $31K
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 1,680 1,492 $30K
90832 Psychotherapy, 30 minutes with patient 143 116 $29K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 98 97 $24K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 423 332 $9K
D0999 Unspecified diagnostic procedure, by report 29 29 $7K
90461 1,899 1,828 $4K
99381 14 13 $3K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 27,250 24,987 $690.24
96127 12,205 11,192 $392.49
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 20 12 $220.92
90472 Immunization administration, each additional vaccine (list separately) 103 96 $207.59
90670 612 597 $0.00
90715 363 340 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 3,286 3,101 $0.00
1160F 115 114 $0.00
90661 77 77 $0.00
90648 13 13 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 41 38 $0.00
90633 448 430 $0.00
81002 186 172 $0.00
90710 108 107 $0.00
81025 30 27 $0.00
90707 59 58 $0.00
90621 30 29 $0.00
99173 80 73 $0.00
90700 41 39 $0.00
90734 13 12 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 78 77 $0.00
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 14 14 $0.00
G8511 Screening for depression documented as positive, follow-up plan not documented, reason not given 25 24 $0.00
D0190 13 13 $0.00
G8433 Screening for depression not completed, documented patient or medical reason 5,661 5,373 $0.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 343 335 $0.00
90686 1,711 1,657 $0.00
90697 435 424 $0.00
90696 68 66 $0.00
90688 1,325 1,255 $0.00
90677 168 165 $0.00
90651 494 459 $0.00
90680 283 281 $0.00
99050 149 148 $0.00
90619 335 317 $0.00
J1885 Injection, ketorolac tromethamine, per 15 mg 48 43 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 78 77 $0.00
90744 14 12 $0.00
90698 41 40 $0.00
90716 31 31 $0.00
36416 38 36 $0.00
3044F 25 25 $0.00