Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Colorado for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Colorado only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Colorado (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Peak Vista Community Health Centers (NPI 1124321880)

Key Findings

Field	Value
Entity Type	Organization
Organization	Peak Vista Community Health Centers
Address	2828 International Circle
City	Colorado Springs
State	CO
ZIP	80910
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	December 17, 2010

Payer Source	Total Paid
Medicaid	$37.8M
Medicare	$0

PEAK VISTA COMMUNITY HEALTH CENTERS is effectively a Medicaid-centric provider: Total Medicare revenue is none (no Medicare billing on file) while Total Medicaid revenue is $37.8M, indicating that Medicaid is the dominant — effectively sole — payer represented in the claims dataset for this entity. This single-payer footprint should frame any comparative or utilization analysis.

Revenue concentration is very high: the precomputed top 3 Medicaid codes account for 64.2% of this provider's total Medicaid revenue, driven by 99213 ($14.9M, 70.9K claims, 39.4%), 99391 ($5.1M, 23.6K claims, 13.4%), and 99392 ($4.3M, 21.1K claims, 11.4%). Those three codes together show the practice’s financial dependence on established outpatient evaluation/management and preventive medicine visits.

The coded service mix is consistent with an FQHC primary-care and pediatric-preventive operation: very large volumes of preventive medicine codes 99391 (23.6K claims, $5.1M) and 99392 (21.1K claims, $4.3M), plus 99393 (13.4K claims, $2.8M) and 99394 (6.3K claims, $1.3M) indicate a heavy emphasis on routine well visits across age groups. High vaccination volumes (90460: 57.3K claims, $1.3M; 90461: 31.2K claims, $155.9K) further support a strong pediatric and preventive services platform typical of community health centers.

Primary care E/M activity is the top revenue driver: 99213 is the single largest Medicaid line item with 70.9K claims generating $14.9M and it ranks #21 of 2515 providers in-state (99th percentile; extreme outlier). Lower- and mid-level E/M codes such as 99212 (12.3K claims, $1.9M; 98th percentile) and 99214 (7.6K claims, $1.7M; 91st percentile) show robust visit volume across common outpatient visit levels, reinforcing that routine primary-care encounters form the backbone of revenue.

On pediatric/preventive leadership, the provider is a statewide outlier: 99391 and 99392 each rank #3 in-state (99th percentile; extreme outlier), 99394 ranks #2 (100th percentile), and 99381 ranks #1 of 54 providers (100th percentile). Vaccine administration codes 90460 and 90461 both rank #1 in-state (100th percentile), signaling exceptional scale in childhood immunizations and well-child throughput relative to peers.

Behavioral health is a significant ancillary service line: psychotherapy code 90832 shows 4.2K claims for $812.4K (2.1% of Medicaid revenue) and ranks #31 of 402 providers (93rd percentile), while non-physician mental health assessment H0031 reports 3.5K claims for $464.8K (1.2% of Medicaid revenue) and ranks #11 of 125 providers (92nd percentile). These volumes indicate integrated behavioral-health capacity within the FQHC model rather than negligible or purely referral-based behavioral services.

Competitive standing across Medicaid codes is consistently above typical state volumes for core primary-care and pediatric services: multiple codes are labeled as "extreme outlier" or in the 99–100th percentiles (e.g., 99213, 99391, 99392, 99394, 90460/90461), which positions PEAK VISTA as a major statewide provider for routine outpatient and preventive pediatric care. For some specialty or hospital E/M codes (e.g., 99233, 99462), ranks fall into more typical percentiles, indicating the center’s strength is concentrated in ambulatory primary and preventive care.

The provider has an established operational tenure: NPI enumerated on 2010-12-17 (~16 years ago), which, combined with the high and concentrated Medicaid volumes, suggests a sustained presence and scale in Colorado’s safety-net primary care market. This longevity strengthens the interpretation that observed code-volume patterns reflect an established service model rather than transient programmatic activity.

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

81 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	70,880	$210	$14.9M
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	23,640	$210	$5.1M
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	21,110	$210	$4.3M
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	13,350	$210	$2.8M
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	12,330	$160	$1.9M
D0999	N/A	4,220	$420	$1.8M
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	7,610	$230	$1.7M
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	6,280	$200	$1.3M
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	57,330	$20	$1.3M
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	4,170	$200	$812.4K

Showing 1–10 of 81

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Colorado providers billing the same CPT/HCPCS codes.

Claims Volume vs. Colorado Distribution

Peak Vista Community Health Centers — 9 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Colorado

Full comparison — all codes billed, vs. Colorado median

81 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D0999	N/A	58	150	2,140	$260	$2M
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	21	2,520	330	$100	$352K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	242	2,630	430	$90	$268.2K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	750	1,670	550	$100	$229.3K
H0025	Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior)	16	100	320	$80	$229.2K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	3	240	550	$110	$208.5K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	212	220	340	$60	$188.2K
H0023	Alcohol and/or drug outreach	46	190	360	$60	$163.1K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	3	260	380	$100	$161.6K
D2392	Post 2 surface resin‑based composite	609	690	290	$130	$148K

Showing 1–10 of 81

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kaaum Enterprises	CO	Developmental Disabilities Clinic/Center	$0	$34.3M
Peak Vista Community Health Centers	CO	Federally Qualified Health Center (FQHC)	$0	$19.9M
Diversus Health Inc	CO	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$11.2M
Summit Primary Care	CO	Family Medicine Physician	$0	$10.3M
Diversus Health Inc	CO	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$9.5M
Your Choice Residential	CO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$8.5M
Kids Crossing	CO	Voluntary or Charitable Agency	$0	$8M
Diversus Health Inc	CO	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$6.8M
Peak Vista Community Health Centers	CO	Federally Qualified Health Center (FQHC)	$0	$6.5M
Your Childs Eyes LLC	CO	Optometrist	$0	$4.5M

Peak Vista Community Health Centers — Billing Profile & Reimbursement Data

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Peak Vista Community Health Centers — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Peak Vista Community Health Centers	CO	Federally Qualified Health Center (FQHC)	$0	$28.6M
Peak Vista Community Health Centers	CO	Federally Qualified Health Center (FQHC)	$0	$21.7M
Peak Vista Community Health Centers	CO	Federally Qualified Health Center (FQHC)	$0	$16.9M
Peak Vista Community Health Centers	CO	Federally Qualified Health Center (FQHC)	$0	$14.3M
Peak Vista Community Health Centers	CO	Federally Qualified Health Center (FQHC)	$0	$13.3M
Peak Vista Community Health Centers	CO	Federally Qualified Health Center (FQHC)	$0	$12.4M
Peak Vista Community Health Centers	CO	Federally Qualified Health Center (FQHC)	$0	$9.2M
Peak Vista Community Health Centers	CO	Federally Qualified Health Center (FQHC)	$0	$8.3M
Peak Vista Community Health Centers	CO	Federally Qualified Health Center (FQHC)	$0	$7.7M
Peak Vista Community Health Centers	CO	Federally Qualified Health Center (FQHC)	$0	$7.3M