Medicaid Provider Spending

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

POUDRE VALLEY HEALTH CARE INC.

NPI: 1114586278 · FORT COLLINS, CO 80528 · Emergency Care Clinic/Center · NPI assigned 06/11/2019

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

Authorized official CONCORDIA, ELIZABETH controls 15+ related entities in our dataset. Read more

$1.29M
Total Medicaid Paid
27,858
Total Claims
25,017
Beneficiaries
32
Codes Billed
2019-04
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCONCORDIA, ELIZABETH (PRESIDENT/CEO, UCHEALTH)
Parent OrganizationPOUDRE VALLEY HEALTH CARE INC.
NPI Enumeration Date06/11/2019

Related Entities

Other providers sharing the same authorized official: CONCORDIA, ELIZABETH

ProviderCityStateTotal Paid
UNIVERSITY OF COLORADO HOSPITAL AUTHORITY AURORA CO $58.11M
POUDRE VALLEY HEALTH CARE INC. FORT COLLINS CO $19.97M
POUDRE VALLEY HEALTH CARE INC WINDSOR CO $11.80M
UNIVERSITY OF COLORADO HOSPITAL AUTHORITY AURORA CO $3.82M
UNIVERSITY OF COLORADO HOSPITAL AUTHORITY ARVADA CO $1.37M
POUDRE VALLEY HEALTH CARE INC WINDSOR CO $1.16M
UNIVERSITY OF COLORADO HOSPITAL AUTHORITY THORNTON CO $800K
UNIVERSITY OF COLORADO HOSPITAL AUTHORITY COMMERCE CITY CO $685K
POUDRE VALLEY HEALTH CARE INC. FORT COLLINS CO $441K
POUDRE VALLEY HEALTH CARE INC. AURORA CO $185K
POUDRE VALLEY HEALTH CARE INC GREELEY CO $136K
UNIVERSITY OF COLORADO HOSPITAL AUTHORITY DENVER CO $2K
UNIVERSITY OF COLORADO HOSPITAL AUTHORITY DENVER CO $1K
UNIVERSITY OF COLORADO HOSPITAL AUTHORITY DENVER CO $409.85
UNIVERSITY OF COLORADO HOSPITAL AUTHORITY LONE TREE CO $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 202 $4K
2020 3,926 $198K
2021 11,457 $450K
2022 8,767 $443K
2023 2,953 $144K
2024 553 $48K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 10,037 9,034 $614K
99283 Emergency department visit for the evaluation and management, moderate severity 3,000 2,700 $404K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 7,409 6,640 $150K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 311 298 $23K
86769 411 395 $17K
99284 Emergency department visit for the evaluation and management, high severity 107 95 $14K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 123 114 $14K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 315 279 $9K
86140 439 406 $8K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 94 91 $6K
36415 Collection of venous blood by venipuncture 1,531 1,372 $4K
80053 Comprehensive metabolic panel 272 252 $4K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 473 438 $4K
84481 210 202 $3K
82607 292 265 $2K
85652 453 416 $2K
83036 Hemoglobin; glycosylated (A1C) 216 199 $2K
80047 219 200 $2K
84439 322 298 $1K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 36 35 $1K
84443 Thyroid stimulating hormone (TSH) 280 260 $1K
84466 15 14 $384.17
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 15 13 $330.00
84480 113 98 $254.24
82728 15 14 $185.11
J3490 Unclassified drugs 771 536 $131.06
80061 Lipid panel 13 13 $102.70
83540 15 14 $100.50
85027 234 213 $40.31
81003 93 89 $23.05
81025 12 12 $8.61
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 12 12 $0.00