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 1962740381)

Field	Value
Entity Type	Organization
Organization	Peak Vista Community Health Centers
Address	3207 N Academy Blvd
City	Colorado Springs
State	CO
ZIP	80917
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	January 18, 2013

Payer Source	Total Paid
Medicaid	$16.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

67 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…	45,440	$190	$8.7M
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…	24,570	$190	$4.7M
H0031	Mental health assessment, by non-physician	6,810	$160	$1.1M
H0023	Alcohol and/or drug outreach	2,800	$170	$481.9K
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,…	1,960	$170	$323.9K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	1,770	$170	$293K
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…	1,030	$220	$229.6K
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…	970	$230	$224.8K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	920	$220	$198.6K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	620	$210	$129.8K

Showing 1–10 of 67

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 — 3 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

67 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D0999	N/A	143	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…	38	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…	58	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…	1,198	1,670	550	$100	$229.3K
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…	95	240	550	$110	$208.5K
H0023	Alcohol and/or drug outreach	37	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…	87	260	380	$100	$161.6K
H0031	Mental health assessment, by non-physician	2	130	210	$140	$125K
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,…	76	690	140	$90	$118.4K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	65	290	160	$110	$111.1K

Showing 1–10 of 67

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	$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

Nearby Providers

Other providers in the same ZIP code as 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	$7.2M
Peak Vista Community Health Centers	CO	Federally Qualified Health Center (FQHC)	$0	$6.6M
Child Development Center Of Colorado Springs, Inc.	CO	Prosthetic/Orthotic Supplier	$0	$5.2M
Apex Physical Medicine And Rehabilitation Professional LLC	CO	Physical Medicine & Rehabilitation Physician	$0	$4.5M
Ambulnz Co, LLC	CO	Ambulance	$717.3K	$3.7M
Austinbluffs Dental Prof. LLC	CO	General Practice Dentistry	$0	$4.3M
Smile Two Professionals	CO	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$3.9M
Peak Vista Community Health Centers	CO	Federally Qualified Health Center (FQHC)	$0	$3.8M
Colorado Springs Oral And Facial Surgery	CO	Oral and Maxillofacial Surgery (Dentist)	$0	$3.6M
John Bissell	CO	Pain Medicine Physician	$609.7K	$0

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

Nearby Providers

Frequently Asked Questions

References