NPI: 1972245959 · COLORADO SPRINGS, CO 80903 · Federally Qualified Health Center (FQHC) · NPI assigned 04/11/2022
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 | 04/11/2022 |
Other providers sharing the same authorized official: SPILLANE, RYAN
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 4,232 | $471K |
| 2023 | 10,497 | $1.23M |
| 2024 | 7,655 | $973K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0999 | Unspecified diagnostic procedure, by report | 1,990 | 1,634 | $767K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2,958 | 2,491 | $603K |
| H0031 | Mental health assessment, by non-physician | 2,627 | 1,544 | $590K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 2,542 | 2,146 | $552K |
| 90832 | Psychotherapy, 30 minutes with patient | 569 | 374 | $128K |
| 90834 | Psychotherapy, 45 minutes with patient | 107 | 55 | $19K |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 42 | 40 | $9K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 83 | 82 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | 372 | 368 | $297.00 |
| D0330 | Panoramic radiographic image | 121 | 120 | $282.00 |
| D0140 | Limited oral evaluation - problem focused | 335 | 330 | $94.00 |
| 96127 | 4,790 | 3,664 | $5.73 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 1,105 | 977 | $0.00 |
| 90661 | 54 | 53 | $0.00 | |
| D0274 | Bitewings - four radiographic images | 13 | 13 | $0.00 |
| D0270 | 42 | 42 | $0.00 | |
| D0220 | Intraoral - periapical first radiographic image | 275 | 270 | $0.00 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 18 | 12 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 4,048 | 3,326 | $0.00 |
| G8433 | Screening for depression not completed, documented patient or medical reason | 74 | 66 | $0.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | 25 | 24 | $0.00 |
| D7140 | Extraction, erupted tooth or exposed root | 49 | 26 | $0.00 |
| D0120 | Periodic oral evaluation - established patient | 43 | 43 | $0.00 |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 19 | 14 | $0.00 |
| 90686 | 28 | 28 | $0.00 | |
| D0210 | Intraoral - complete series of radiographic images | 29 | 28 | $0.00 |
| 36416 | 26 | 24 | $0.00 |