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PEAK VISTA COMMUNITY HEALTH CENTERS

Clinic/Center, Federally Qualified Health Center (FQHC)·COLORADO SPRINGS, CO·NPI: 1841593225Share

Compared to Clinic/Center, Federally Qualified Health Center (FQHC) Peers

Total spending distribution among 16 providers in this specialty

P25MedianP75P90

This provider's total spending of $28.6M is at the below 25th percentile among 16 Clinic/Center, Federally Qualified Health Center (FQHC) providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$28.6M

$28,647,561

Total Claims

225K

Beneficiaries

196K

1.2 claims/patient

Avg Cost/Claim

$127

Monthly Spending Trend

Yearly Spending

2018
$4.2M
-19%
2019
$3.4M
-11%
2020
$3.0M
+44%
2021
$4.4M
+7%
2022
$4.7M
-4%
2023
$4.5M
-3%
2024
$4.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 68% of total spending.

99213Top 1%

Office/outpatient visit, est. patient, low-mod complexity

$19.6M

99K claims · 68.3%

Your Cost: $198.34/claim|Median: $37.81
5.2× median
99214Top 1%

Office/outpatient visit, est. patient, mod-high complexity

$2.9M

15K claims · 10.1%

Your Cost: $198.80/claim|Median: $53.41
3.7× median
99212Top 5%

Office/outpatient visit, low complexity

$2.4M

13K claims · 8.4%

Your Cost: $190.08/claim|Median: $25.06
7.6× median
H0025Top 25%

Behavioral health prevention education, per session

$814K

6,769 claims · 2.8%

Your Cost: $120.27/claim|Median: $36.25
3.3× median
H0031Normal range

Mental health assessment by non-physician

$647K

4,245 claims · 2.3%

Your Cost: $152.45/claim|Median: $96.18
1.6× median
H1005Top 25%

$425K

832 claims · 1.5%

Your Cost: $511.15/claim|Median: $326.47
1.6× median
90832Top 1%

Psychotherapy, 30 minutes

$343K

1,476 claims · 1.2%

Your Cost: $232.11/claim|Median: $41.28
5.6× median
H0023Normal range

Behavioral health outreach service, per 15 minutes

$334K

3,022 claims · 1.2%

Your Cost: $110.51/claim|Median: $53.97
2.0× median
96372Top 5%

Therapeutic injection, subcutaneous/intramuscular

$331K

5,107 claims · 1.2%

Your Cost: $64.86/claim|Median: $9.56
6.8× median
59409Normal range

Vaginal delivery only

$176K

272 claims · 0.6%

Your Cost: $645.84/claim|Median: $619.91
1.0× median
99391Top 5%

Preventive medicine, established patient, infant (under 1)

$150K

824 claims · 0.5%

Your Cost: $182.28/claim|Median: $69.35
2.6× median
99395Top 1%

Preventive medicine, established patient, age 18-39

$119K

556 claims · 0.4%

Your Cost: $213.37/claim|Median: $72.71
2.9× median
99392Top 5%

Preventive medicine, established patient, age 1-4

$105K

596 claims · 0.4%

Your Cost: $176.20/claim|Median: $75.18
2.3× median
90460Top 25%

Immunization administration, first vaccine/toxoid, with counseling

$81K

2,151 claims · 0.3%

Your Cost: $37.60/claim|Median: $17.85
2.1× median
90471Top 5%

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$45K

1,735 claims · 0.2%

Your Cost: $25.93/claim|Median: $9.80
2.6× median
59514Normal range

Cesarean delivery only

$33K

50 claims · 0.1%

Your Cost: $652.12/claim|Median: $452.80
1.4× median
90834Top 5%

Psychotherapy, 45 minutes

$23K

103 claims · 0.1%

Your Cost: $227.38/claim|Median: $63.65
3.6× median
99238Top 25%

Hospital discharge day management, 30 minutes or less

$21K

335 claims · 0.1%

Your Cost: $62.15/claim|Median: $37.22
1.7× median
99283Top 5%

Emergency dept visit, moderate complexity

$20K

79 claims · 0.1%

Your Cost: $247.99/claim|Median: $42.48
5.8× median
G0467Normal range

Federally qualified health center visit, mental health

$13K

726 claims · 0.0%

Your Cost: $17.50/claim|Median: $21.91
0.8× median
99284Top 10%

Emergency dept visit, high complexity

$11K

61 claims · 0.0%

Your Cost: $188.15/claim|Median: $69.51
2.7× median
99393Top 5%

Preventive medicine, established patient, age 5-11

$11K

63 claims · 0.0%

Your Cost: $172.74/claim|Median: $74.82
2.3× median
99396Top 1%

Preventive medicine, established patient, age 40-64

$11K

46 claims · 0.0%

Your Cost: $234.25/claim|Median: $76.06
3.1× median
59430Top 10%

$11K

52 claims · 0.0%

Your Cost: $206.04/claim|Median: $80.32
2.6× median
99282Top 10%

Emergency dept visit, low complexity

$10K

64 claims · 0.0%

Your Cost: $160.14/claim|Median: $37.72
4.2× median
H0002Normal range

Behavioral health screening

$9K

133 claims · 0.0%

Your Cost: $71.41/claim|Median: $38.77
1.8× median
99203Top 1%

Office/outpatient visit, new patient, low-mod complexity

$8K

29 claims · 0.0%

Your Cost: $269.76/claim|Median: $57.85
4.7× median
81025Normal range

Urine pregnancy test

$3K

7,615 claims · 0.0%

Your Cost: $0.42/claim|Median: $4.81
0.1× median
90837Top 5%

Psychotherapy, 60 minutes

$3K

17 claims · 0.0%

Your Cost: $174.35/claim|Median: $85.66
2.0× median
99394Top 5%

Preventive medicine, established patient, age 12-17

$3K

15 claims · 0.0%

Your Cost: $185.71/claim|Median: $80.15
2.3× median
99281Top 10%

Emergency dept visit, minimal complexity

$3K

16 claims · 0.0%

Your Cost: $170.99/claim|Median: $52.03
3.3× median
59025Normal range

Fetal non-stress test

$3K

562 claims · 0.0%

Your Cost: $4.48/claim|Median: $26.45
0.2× median
99231Top 25%

Subsequent hospital care, per day, low complexity

$1K

39 claims · 0.0%

Your Cost: $32.98/claim|Median: $16.77
2.0× median
H2011Normal range

Crisis intervention service, per 15 minutes

$720

28 claims · 0.0%

Your Cost: $25.71/claim|Median: $215.80
0.1× median
G8510Normal range

$475

16K claims · 0.0%

Your Cost: $0.03/claim|Median: $1.96
0.0× median
90461Normal range

Immunization admin, additional vaccine, counseling

$409

1,144 claims · 0.0%

Your Cost: $0.36/claim|Median: $6.93
0.1× median
G8433Normal range

$35

25K claims · 0.0%

Your Cost: $0.00/claim|Median: $0.03
0.0× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$6

6,238 claims · 0.0%

Your Cost: $0.00/claim|Median: $3.67
0.0× median
90688Normal range

$0

1,102 claims · 0.0%

Your Cost: $0.00/claim|Median: $9.00
3044FNormal range

$0

22 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.16
90680Normal range

$0

111 claims · 0.0%

Your Cost: $0.00/claim|Median: $5.58
87880Normal range

Streptococcus, Group A, rapid antigen detection

$0

14 claims · 0.0%

Your Cost: $0.00/claim|Median: $11.48
87220Normal range

$0

12 claims · 0.0%

Your Cost: $0.00/claim|Median: $2.74
G8752Normal range

$0

316 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.01
90698Normal range

$0

282 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.32
81002Normal range

Urinalysis, non-automated without microscopy

$0

98 claims · 0.0%

Your Cost: $0.00/claim|Median: $2.00
90633Normal range

$0

75 claims · 0.0%

Your Cost: $0.00/claim|Median: $3.56
96160Normal range

Patient-focused health risk assessment

$0

12 claims · 0.0%

Your Cost: $0.00/claim|Median: $2.10
G8482Normal range

$0

15 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.06
1160FNormal range

$0

484 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.01

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