Clinic
Poudre Valley Health Care, INC
Poudre Valley Health Care, INC was paid $3.86M by Medicaid between Jan 2018 and Dec 2024, across 19 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 33% of everything it billed.
33Billing provider infoPOUDRE VALLEY HEALTH CARE, INC
FORT COLLINS, CO 80524
FORT COLLINS, CO 80524
33aNPI1144535444assigned 08/11/2010
33bProvider typeClinic/Center
28Total paid$3.86M
24GClaims63,184
24DCodes billed19
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinic/Center providers in Colorado
Rank by total paid#11 of 87
Median peer was paid$179K
This provider vs. median22×
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 THOMPSON, DAVID controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 9,843 | $595K | |
| 2019 | 11,665 | $689K | |
| 2020 | 6,640 | $436K | |
| 2021 | 8,655 | $452K | |
| 2022 | 10,704 | $667K | |
| 2023 | 10,222 | $707K | |
| 2024incomplete | 5,455 | $320K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 33% | 22,108 | 20,866 | $1.29M |
| 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 | 33% | 14,968 | 14,043 | $1.26M |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 13% | 3,741 | 3,552 | $518K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 11% | 5,153 | 4,839 | $444K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 6.0% | 6,885 | 6,462 | $233K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 454 | 404 | $37K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 658 | 641 | $24K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,370 | 1,320 | $19K |
| 81025 | <1% | 2,259 | 2,145 | $17K | |
| 81003 | <1% | 4,927 | 4,660 | $9K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 35 | 32 | $4K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 288 | 249 | $4K |
7 more codes
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 161 | $2K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 18 | $820.96 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 30 | $547.47 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 39 | $539.49 |
| 90686 | <1% | 17 | $269.55 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 52 | $6.65 |
| J7620 | Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme | <1% | 21 | $2.34 |
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 officialTHOMPSON, DAVID (CFO)
Parent organizationPOUDRE VALLEY HEALTH CARE INC
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.