Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PLATTE VALLEY MEDICAL GROUP, LLC

NPI: 1073139648 · FORT LUPTON, CO 80621 · Emergency Medicine Physician · NPI assigned 06/19/2020

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official MCDANIEL, JON controls 20+ related entities in our dataset. Read more

$125K
Total Medicaid Paid
2,118
Total Claims
1,967
Beneficiaries
5
Codes Billed
2021-07
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMCDANIEL, JON (VP FINANCE)
Parent OrganizationBRIGHTON COMMUNITY HOSPITAL ASSOCIATION
NPI Enumeration Date06/19/2020

Related Entities

Other providers sharing the same authorized official: MCDANIEL, JON

ProviderCityStateTotal Paid
SCL HEALTH MEDICAL GROUP - BILLINGS LLC BILLINGS MT $32.12M
SCL HEALTH MEDICAL GROUP-BUTTE LLC BUTTE MT $9.92M
INTERMOUNTAIN MEDICAL GROUP GRAND JUNCTION, LLC GRAND JUNCTION CO $3.97M
INTERMOUNTAIN MEDICAL GROUP DENVER, LLC DENVER CO $2.55M
INTERMOUNTAIN MEDICAL GROUP DENVER, LLC DENVER CO $1.84M
PLATTE VALLEY MEDICAL GROUP LLC BRIGHTON CO $919K
INTERMOUNTAIN MEDICAL GROUP GRAND JUNCTION, LLC GRAND JUNCTION CO $904K
PLATTE VALLEY MEDICAL GROUP, LLC BRIGHTON CO $797K
SCL PHYSICIANS - RMPC LLC WESTMINSTER CO $792K
SCL PHYSICIANS - RMPC LLC WESTMINSTER CO $758K
INTERMOUNTAIN MEDICAL GROUP GRAND JUNCTION, LLC GRAND JUNCTION CO $673K
INTERMOUNTAIN MEDICAL GROUP GRAND JUNCTION, LLC GRAND JUNCTION CO $624K
INTERMOUNTAIN MEDICAL GROUP DENVER, LLC WHEAT RIDGE CO $560K
INTERMOUNTAIN MEDICAL GROUP DENVER, LLC LAFAYETTE CO $547K
INTERMOUNTAIN MEDICAL GROUP DENVER, LLC WHEAT RIDGE CO $478K
INTERMOUNTAIN MEDICAL GROUP GRAND JUNCTION, LLC GRAND JUNCTION CO $412K
INTERMOUNTAIN MEDICAL GROUP DENVER, LLC THORNTON CO $396K
INTERMOUNTAIN MEDICAL GROUP DENVER, LLC BROOMFIELD CO $353K
PLATTE VALLEY MEDICAL GROUP, LLC BRIGHTON CO $342K
INTERMOUNTAIN MEDICAL GROUP DENVER, LLC DENVER CO $260K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 199 $10K
2022 502 $27K
2023 812 $46K
2024 605 $42K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,782 1,649 $101K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 238 224 $21K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 44 42 $1K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 12 12 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 42 40 $570.01