Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Platte Valley Medical Group, LLC

Platte Valley Medical Group, LLC was paid $125K by Medicaid between Jul 2021 and Dec 2024, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 80% of everything it billed.

33Billing provider infoPLATTE VALLEY MEDICAL GROUP, LLC
FORT LUPTON, CO 80621
33aNPI1073139648assigned 06/19/2020
28Total paid$125K
24GClaims2,118
24DCodes billed5
24AFirst – last monthJul 2021 – Dec 2024
Compared with peers

Next to other Emergency Medicine Physician providers in Colorado

Rank by total paid#55 of 115
Median peer was paid$100K
This provider vs. median1.3×

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.

Entity ProliferationAuthorized official MCDANIEL, JON controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$2.0K$4.0K$6.0K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
2021199$10K
2022502$27K
2023812$46K
2024incomplete605$42K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 80% 1,782 1,649 $101K
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 17% 238 224 $21K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1.2% 44 42 $1K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity <1% 12 12 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 42 40 $570.01

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.

From NPPES

Who's on the registration

Authorized officialMCDANIEL, JON (VP FINANCE)
Parent organizationBRIGHTON COMMUNITY HOSPITAL ASSOCIATION
Same official

Other billing entities under MCDANIEL, JON

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.