Medicaid Provider Spending

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

POUDRE VALLEY MEDICAL GROUP, LLC

NPI: 1225356868 · LOVELAND, CO 80538 · General Practice Physician · NPI assigned 05/06/2010

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

Authorized official CONROY, JANA controls 20+ related entities in our dataset. Read more

$14.97M
Total Medicaid Paid
236,182
Total Claims
192,377
Beneficiaries
114
Codes Billed
2018-01
First Month
2022-12
Last Month

Provider Details

Authorized OfficialCONROY, JANA (DIRECTOR OF CREDENTIALING)
Parent OrganizationPOUDRE VALLEY MEDICAL GROUP, LLC
NPI Enumeration Date05/06/2010

Related Entities

Other providers sharing the same authorized official: CONROY, JANA

ProviderCityStateTotal Paid
POUDRE VALLEY MEDICAL GROUP, LLC LOVELAND CO $8.02M
PARKVIEW ANCILLARY SERVICES CORPORATION PUEBLO CO $4.76M
POUDRE VALLEY MEDICAL GROUP, LLC COLORADO SPRINGS CO $2.91M
POUDRE VALLEY MEDICAL GROUP, LLC COLORADO SPRINGS CO $2.88M
POUDRE VALLEY MEDICAL GROUP, LLC LONGMONT CO $2.29M
PARKVIEW ANCILLARY SERVICES PUEBLO CO $1.95M
POUDRE VALLEY MEDICAL GROUP, LLC COLORADO SPRINGS CO $1.67M
POUDRE VALLEY MEDICAL GROUP, LLC FORT COLLINS CO $1.36M
PARKVIEW ANCILLARY SERVICES PUEBLO CO $906K
POUDRE VALLEY MEDICAL GROUP, LLC GREELEY CO $888K
PARKVIEW ANCILLARY SERVICES PUEBLO CO $869K
PARKVIEW ANCILLARY SERVICES PUEBLO CO $794K
POUDRE VALLEY MEDICAL GROUP, LLC AURORA CO $784K
POUDRE VALLEY MEDICAL GROUP, LLC THORNTON CO $745K
POUDRE VALLEY MEDICAL GROUP, LLC FIRESTONE CO $683K
PARKVIEW ANCILLARY SERVICES PUEBLO CO $638K
POUDRE VALLEY MEDICAL GROUP, LLC GREELEY CO $613K
PARKVIEW ANCILLARY SERVICES PUEBLO CO $592K
POUDRE VALLEY MEDICAL GROUP, LLC COLORADO SPRINGS CO $490K
PARKVIEW ANCILLARY SERVICES PUEBLO CO $460K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 88,891 $5.49M
2019 94,294 $6.00M
2020 52,472 $3.44M
2021 130 $9K
2022 395 $23K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 77,618 70,395 $6.00M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 23,174 20,666 $1.82M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 26,164 23,568 $1.37M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 7,953 7,336 $969K
99232 Subsequent hospital care, per day, moderate complexity 17,119 7,079 $548K
99233 Prolong inpt eval add15 m 10,260 4,873 $459K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 2,639 2,474 $447K
J0585 Injection, onabotulinumtoxina, 1 unit 1,072 473 $414K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 8,576 7,294 $284K
99223 Prolong inpt eval add15 m 3,058 2,572 $284K
99239 Hospital discharge day management, more than 30 minutes 5,084 4,218 $243K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 3,835 3,477 $219K
76821 2,375 1,552 $189K
76820 2,953 1,872 $136K
76818 1,661 1,229 $123K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 1,723 1,407 $106K
59025 Fetal non-stress test 3,247 1,471 $97K
59400 Routine obstetric care including antepartum care, vaginal delivery, and postpartum care 82 78 $91K
90792 Psychiatric diagnostic evaluation with medical services 743 622 $71K
76819 Fetal biophysical profile; without non-stress testing 1,054 665 $64K
99215 Prolong outpt/office vis 745 627 $62K
99205 Prolong outpt/office vis 365 332 $53K
90839 617 550 $51K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 7,335 5,503 $42K
95886 458 425 $42K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 714 681 $42K
64615 455 389 $41K
93000 2,500 2,357 $40K
76813 367 358 $36K
76801 497 476 $35K
20610 796 694 $32K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 337 253 $31K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 457 419 $29K
99220 380 312 $27K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,987 1,872 $27K
93793 2,260 1,118 $27K
93295 1,007 767 $23K
64483 186 156 $23K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 160 57 $22K
95910 171 157 $21K
93971 850 775 $20K
99222 Initial hospital care, per day, moderate complexity 253 201 $16K
99284 Emergency department visit for the evaluation and management, high severity 215 183 $16K
95812 142 130 $15K
99201 413 396 $15K
99283 Emergency department visit for the evaluation and management, moderate severity 330 298 $13K
00170 Anesthesia for intraoral procedures, including biopsy 64 52 $13K
93970 141 128 $11K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 757 375 $11K
01967 Neuraxial labor analgesia/anesthesia for planned vaginal delivery 72 65 $10K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 141 117 $9K
99238 Hospital discharge day management, 30 minutes or less 260 218 $9K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 516 455 $9K
93307 411 318 $8K
93016 497 461 $8K
92586 138 134 $8K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 68 68 $7K
20553 140 122 $6K
95911 39 38 $6K
99217 169 136 $6K
99219 96 87 $6K
93018 524 462 $6K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 178 150 $5K
90686 419 349 $5K
93976 31 28 $4K
62323 77 63 $4K
95951 31 12 $4K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 42 41 $4K
95819 177 169 $4K
36415 Collection of venous blood by venipuncture 1,693 1,414 $4K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 296 174 $4K
92557 157 144 $4K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 648 569 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 153 112 $3K
93990 53 41 $3K
81003 1,000 843 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 150 133 $2K
93458 13 12 $2K
00731 14 12 $2K
81025 291 246 $2K
93294 184 134 $2K
93923 31 26 $2K
99152 104 87 $2K
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 110 98 $2K
93297 232 171 $1K
76825 13 12 $1K
71046 Radiologic examination, chest; 2 views 45 44 $1K
85610 348 241 $1K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 52 27 $1K
95816 62 51 $1K
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 50 49 $1K
62321 15 13 $1K
87660 48 43 $1K
87480 48 43 $1K
87510 48 43 $1K
92567 118 106 $1K
83036 Hemoglobin; glycosylated (A1C) 132 118 $979.66
J1050 Injection, medroxyprogesterone acetate, 1 mg 13 13 $936.00
76830 Ultrasound, transvaginal 12 12 $903.23
99406 141 79 $869.94
90460 Immunization administration through 18 years of age via any route, first or only component 27 26 $799.30
93298 56 52 $758.10
99497 35 26 $730.08
93325 25 24 $683.83
99408 25 15 $575.28
90715 12 12 $530.88
99225 20 12 $479.18
94060 14 13 $427.02
99231 Subsequent hospital care, per day, straightforward or low complexity 33 12 $363.12
81002 115 94 $358.59
96127 113 73 $321.86
20550 14 13 $178.05
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 16 14 $175.70
99140 28 26 $0.00