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 1609178524)

Field	Value
Entity Type	Organization
Organization	Peak Vista Community Health Centers
Address	34 Hybrook Rd South
City	Divide
State	CO
ZIP	80814
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	November 29, 2010

Payer Source	Total Paid
Medicaid	$7.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

53 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…	15,160	$190	$2.8M
D0999	N/A	7,620	$290	$2.2M
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…	3,090	$200	$618K
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,…	2,020	$200	$400.2K
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…	1,720	$200	$340.2K
H0023	Alcohol and/or drug outreach	1,920	$160	$315.4K
H0031	Mental health assessment, by non-physician	890	$160	$144.9K
D2392	Post 2 surface resin‑based composite	360	$200	$71.5K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	1,180	$50	$54.3K
D0150	Comprehensive oral evaluation – new or established patient	970	$40	$37.6K

Showing 1–10 of 53

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 — 0 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

53 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D0999	N/A	45	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…	127	2,520	330	$100	$352K
D2150	Amalgam - two surfaces, primary or permanent	46	60	280	$110	$314.9K
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…	497	2,630	430	$90	$268.2K
H0025	Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior)	66	100	320	$80	$229.2K
H0023	Alcohol and/or drug outreach	45	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…	246	260	380	$100	$161.6K
D2392	Post 2 surface resin‑based composite	317	690	290	$130	$148K
H0031	Mental health assessment, by non-physician	36	130	210	$140	$125K
90834	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…	577	590	200	$80	$119.9K

Showing 1–10 of 53

Related Providers

Other providers that share a Tax Identification Number (TIN) with Peak Vista Community Health Centers, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Peak Vista Community Health Centers	CO	Federally Qualified Health Center (FQHC)	$0	$37.8M
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 — Billing Profile & Reimbursement Data

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Peak Vista Community Health Centers — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References