Physician
Poudre Valley Medical Group, LLC
Poudre Valley Medical Group, LLC was paid $14.97M by Medicaid between Jan 2018 and Dec 2022, across 114 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 40% of everything it billed.
33Billing provider infoPOUDRE VALLEY MEDICAL GROUP, LLC
LOVELAND, CO 80538
LOVELAND, CO 80538
33aNPI1225356868assigned 05/06/2010
33bProvider typeGeneral Practice Physician
28Total paid$14.97M
24GClaims236,182
24DCodes billed114
24AFirst – last monthJan 2018 – Dec 2022
Compared with peers
Next to other General Practice Physician providers in Colorado
Rank by total paid#1 of 30
Median peer was paid$153K
This provider vs. median98×
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
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 | 88,891 | $5.49M | |
| 2019 | 94,294 | $6.00M | |
| 2020 | 52,472 | $3.44M | |
| 2021 | 130 | $9K | |
| 2022 | 395 | $23K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 40% | 77,618 | 70,395 | $6.00M |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 12% | 23,174 | 20,666 | $1.82M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9.2% | 26,164 | 23,568 | $1.37M |
| 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 | 6.5% | 7,953 | 7,336 | $969K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 3.7% | 17,119 | 7,079 | $548K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 3.1% | 10,260 | 4,873 | $459K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 3.0% | 2,639 | 2,474 | $447K |
| J0585 | Injection, onabotulinumtoxina, 1 unit | 2.8% | 1,072 | 473 | $414K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 1.9% | 8,576 | 7,294 | $284K |
| 99223 | Prolong inpt eval add15 m | 1.9% | 3,058 | 2,572 | $284K |
| 99239 | Hospital discharge day management, more than 30 minutes | 1.6% | 5,084 | 4,218 | $243K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 1.5% | 3,835 | 3,477 | $219K |
102 more codes
| 76821 | 1.3% | 2,375 | $189K | |
| 76820 | <1% | 2,953 | $136K | |
| 76818 | <1% | 1,661 | $123K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 1,723 | $106K |
| 59025 | Fetal non-stress test | <1% | 3,247 | $97K |
| 59400 | Routine obstetric care including antepartum care, vaginal delivery, and postpartum care | <1% | 82 | $91K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 743 | $71K |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 1,054 | $64K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 745 | $62K |
| 99205 | Prolong outpt/office vis | <1% | 365 | $53K |
| 90839 | <1% | 617 | $51K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 7,335 | $42K |
| 95886 | <1% | 458 | $42K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 714 | $42K |
| 64615 | <1% | 455 | $41K | |
| 93000 | <1% | 2,500 | $40K | |
| 76813 | <1% | 367 | $36K | |
| 76801 | <1% | 497 | $35K | |
| 20610 | <1% | 796 | $32K | |
| 99285 | Emergency room visit (most serious) | <1% | 337 | $31K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 457 | $29K |
| 99220 | <1% | 380 | $27K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,987 | $27K |
| 93793 | <1% | 2,260 | $27K | |
| 93295 | <1% | 1,007 | $23K | |
| 64483 | <1% | 186 | $23K | |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 160 | $22K |
| 95910 | <1% | 171 | $21K | |
| 93971 | <1% | 850 | $20K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 253 | $16K |
| 99284 | Emergency room visit (serious) | <1% | 215 | $16K |
| 95812 | <1% | 142 | $15K | |
| 99201 | <1% | 413 | $15K | |
| 99283 | Emergency room visit (moderate) | <1% | 330 | $13K |
| 00170 | Anesthesia for intraoral procedures, including biopsy | <1% | 64 | $13K |
| 93970 | <1% | 141 | $11K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 757 | $11K |
| 01967 | Neuraxial labor analgesia/anesthesia for planned vaginal delivery | <1% | 72 | $10K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 141 | $9K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 260 | $9K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 516 | $9K |
| 93307 | <1% | 411 | $8K | |
| 93016 | <1% | 497 | $8K | |
| 92586 | <1% | 138 | $8K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 68 | $7K |
| 20553 | <1% | 140 | $6K | |
| 95911 | <1% | 39 | $6K | |
| 99217 | <1% | 169 | $6K | |
| 99219 | <1% | 96 | $6K | |
| 93018 | <1% | 524 | $6K | |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 178 | $5K |
| 90686 | <1% | 419 | $5K | |
| 93976 | <1% | 31 | $4K | |
| 62323 | <1% | 77 | $4K | |
| 95951 | <1% | 31 | $4K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 42 | $4K |
| 95819 | <1% | 177 | $4K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,693 | $4K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 296 | $4K |
| 92557 | <1% | 157 | $4K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 648 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 153 | $3K |
| 93990 | <1% | 53 | $3K | |
| 81003 | <1% | 1,000 | $3K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 150 | $2K |
| 93458 | <1% | 13 | $2K | |
| 00731 | <1% | 14 | $2K | |
| 81025 | <1% | 291 | $2K | |
| 93294 | <1% | 184 | $2K | |
| 93923 | <1% | 31 | $2K | |
| 99152 | <1% | 104 | $2K | |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 110 | $2K |
| 93297 | <1% | 232 | $1K | |
| 76825 | <1% | 13 | $1K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 45 | $1K |
| 85610 | <1% | 348 | $1K | |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 52 | $1K |
| 95816 | <1% | 62 | $1K | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 50 | $1K |
| 62321 | <1% | 15 | $1K | |
| 87660 | <1% | 48 | $1K | |
| 87480 | <1% | 48 | $1K | |
| 87510 | <1% | 48 | $1K | |
| 92567 | <1% | 118 | $1K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 132 | $979.66 |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 13 | $936.00 |
| 76830 | Ultrasound, transvaginal | <1% | 12 | $903.23 |
| 99406 | <1% | 141 | $869.94 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 27 | $799.30 |
| 93298 | <1% | 56 | $758.10 | |
| 99497 | <1% | 35 | $730.08 | |
| 93325 | <1% | 25 | $683.83 | |
| 99408 | <1% | 25 | $575.28 | |
| 90715 | <1% | 12 | $530.88 | |
| 99225 | <1% | 20 | $479.18 | |
| 94060 | <1% | 14 | $427.02 | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 33 | $363.12 |
| 81002 | <1% | 115 | $358.59 | |
| 96127 | <1% | 113 | $321.86 | |
| 20550 | <1% | 14 | $178.05 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 16 | $175.70 |
| 99140 | 0% | 28 | $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
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.