POUDRE VALLEY MEDICAL GROUP, LLC
NPI: 1205458221
· FORT COLLINS, CO 80528
· 2084N0400X
$1.64M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
293 |
$74K |
| 2021 |
2,111 |
$456K |
| 2022 |
2,094 |
$464K |
| 2023 |
2,177 |
$490K |
| 2024 |
740 |
$152K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0585 |
Injection,onabotulinumtoxina |
1,794 |
1,424 |
$1.21M |
| 99214 |
|
2,283 |
2,199 |
$163K |
| 64615 |
|
1,386 |
1,315 |
$119K |
| 99215 |
Prolong outpt/office vis |
853 |
819 |
$81K |
| 99213 |
|
579 |
519 |
$26K |
| 99205 |
Prolong outpt/office vis |
59 |
59 |
$10K |
| 95886 |
|
105 |
99 |
$9K |
| 98929 |
|
189 |
171 |
$6K |
| 99204 |
|
40 |
40 |
$5K |
| 96133 |
|
39 |
25 |
$2K |
| 99233 |
Prolong inpt eval add15 m |
22 |
12 |
$1K |
| 96132 |
|
13 |
13 |
$900.33 |
| 96139 |
|
14 |
13 |
$665.76 |
| 76942 |
|
13 |
13 |
$628.78 |
| 20553 |
|
12 |
12 |
$451.09 |
| 96138 |
|
14 |
13 |
$150.35 |