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

Poudre Valley Medical Group, LLC

Poudre Valley Medical Group, LLC was paid $118K by Medicaid between Sep 2020 and Dec 2024, across 17 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 57% of everything it billed.

33Billing provider infoPOUDRE VALLEY MEDICAL GROUP, LLC
FIRESTONE, CO 80504
33aNPI1194280263assigned 02/04/2019
33bProvider typeDermatology Physician
28Total paid$118K
24GClaims2,845
24DCodes billed17
24AFirst – last monthSep 2020 – Dec 2024
Compared with peers

Next to other Dermatology Physician providers in Colorado

Rank by total paid#13 of 36
Median peer was paid$40K
This provider vs. median3.0×

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 CONROY, JANA controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$2.5K$5.0K$7.5K2018201920202021202220232024
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
2020122$250.51
2021392$13K
2022504$23K
20231,166$46K
2024incomplete661$36K
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 57% 1,190 1,075 $68K
90460 Immunization administration through 18 years of age via any route, first or only component 16% 576 539 $19K
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 16% 262 249 $19K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 7.4% 118 103 $9K
99460 1.0% 13 12 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 52 47 $928.25
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes <1% 14 12 $759.96
90686 <1% 276 260 $377.00
36415 Collection of venous blood by venipuncture <1% 114 100 $236.42
95251 <1% 14 13 $153.52
90461 <1% 40 37 $78.00
90656 <1% 14 14 $18.87
5 more codes
1123F 0% 26 $0.00
3074F 0% 77 $0.00
3078F 0% 31 $0.00
90670 0% 14 $0.00
0502F 0% 14 $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.

From NPPES

Who's on the registration

Authorized officialCONROY, JANA (DIRECTOR OF CREDENTIALING)
Parent organizationPOUDRE VALLEY MEDICAL GROUP, LLC
Same official

Other billing entities under CONROY, JANA

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