POUDRE VALLEY MEDICAL GROUP, LLC
NPI: 1235758012
· GREELEY, CO 80634
· 208000000X
$888K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
109 |
$8K |
| 2021 |
2,439 |
$224K |
| 2022 |
3,471 |
$213K |
| 2023 |
6,750 |
$311K |
| 2024 |
3,742 |
$132K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
5,095 |
4,731 |
$373K |
| J0585 |
Injection,onabotulinumtoxina |
653 |
263 |
$207K |
| 99213 |
|
3,800 |
3,537 |
$199K |
| 99215 |
Prolong outpt/office vis |
624 |
569 |
$53K |
| 99204 |
|
156 |
153 |
$18K |
| 64615 |
|
226 |
172 |
$15K |
| 99202 |
|
120 |
115 |
$7K |
| 99203 |
|
59 |
56 |
$5K |
| 20553 |
|
122 |
112 |
$4K |
| 99205 |
Prolong outpt/office vis |
16 |
12 |
$2K |
| 95886 |
|
28 |
27 |
$2K |
| 90471 |
|
87 |
83 |
$1K |
| 11102 |
|
26 |
25 |
$1K |
| 90686 |
|
66 |
61 |
$889.35 |
| 96372 |
|
13 |
12 |
$176.80 |
| J3301 |
Triamcinolone acet inj nos |
15 |
14 |
$97.25 |
| 3078F |
|
1,222 |
1,141 |
$0.00 |
| 3074F |
|
2,487 |
2,305 |
$0.00 |
| 3044F |
|
766 |
694 |
$0.00 |
| 1123F |
|
376 |
347 |
$0.00 |
| 3079F |
|
516 |
490 |
$0.00 |
| 81001 |
|
13 |
12 |
$0.00 |
| 3075F |
|
12 |
12 |
$0.00 |
| 3080F |
|
13 |
13 |
$0.00 |