Poudre Valley Medical Group, LLC
Poudre Valley Medical Group, LLC was paid $431K by Medicaid between Dec 2021 and Dec 2024, across 29 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 64% of everything it billed.
DENVER, CO 80249
Next to other Urgent Care Clinic/Center providers in Colorado
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2021 | 104 | $8K | |
| 2022 | 3,847 | $194K | |
| 2023 | 6,616 | $161K | |
| 2024incomplete | 2,989 | $69K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 64% | 3,909 | 3,682 | $276K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 1,275 | 1,211 | $63K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 10.0% | 520 | 422 | $43K |
| 90750 | 4.3% | 160 | 132 | $19K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.1% | 604 | 558 | $9K |
| 91320 | <1% | 64 | 63 | $4K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 41 | 39 | $4K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 606 | 577 | $3K |
| 90686 | <1% | 154 | 149 | $2K | |
| 90677 | <1% | 17 | 14 | $2K | |
| 90715 | <1% | 52 | 42 | $2K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 139 | 124 | $2K |
17 more codes
| 90480 | <1% | 64 | $1K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 17 | $1K |
| 90656 | <1% | 35 | $558.75 | |
| 83037 | <1% | 70 | $388.40 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 12 | $164.49 |
| 36416 | <1% | 137 | $143.04 | |
| 80305 | <1% | 12 | $80.34 | |
| 3079F | 0% | 741 | $0.00 | |
| 3044F | 0% | 1,238 | $0.00 | |
| 3074F | 0% | 1,960 | $0.00 | |
| 3075F | 0% | 85 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 14 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 74 | $0.00 |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | 0% | 52 | $0.00 |
| 3080F | 0% | 17 | $0.00 | |
| 3078F | 0% | 1,415 | $0.00 | |
| 3077F | 0% | 72 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.