Medicaid Provider Spending

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

PLATTE VALLEY MEDICAL GROUP, LLC

NPI: 1245854470 · BRIGHTON, CO 80601 · Orthopaedic Surgery Physician · NPI assigned 06/03/2020

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

Authorized official MCDANIEL, JON controls 20+ related entities in our dataset. Read more

$797K
Total Medicaid Paid
13,564
Total Claims
11,585
Beneficiaries
17
Codes Billed
2021-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMCDANIEL, JON (VP FINANCE MEDICAL GROUP)
Parent OrganizationBRIGHTON COMMUNITY HOSPITAL ASSOCIATION
NPI Enumeration Date06/03/2020

Related Entities

Other providers sharing the same authorized official: MCDANIEL, JON

ProviderCityStateTotal Paid
SCL HEALTH MEDICAL GROUP - BILLINGS LLC BILLINGS MT $32.12M
SCL HEALTH MEDICAL GROUP-BUTTE LLC BUTTE MT $9.92M
INTERMOUNTAIN MEDICAL GROUP GRAND JUNCTION, LLC GRAND JUNCTION CO $3.97M
INTERMOUNTAIN MEDICAL GROUP DENVER, LLC DENVER CO $2.55M
INTERMOUNTAIN MEDICAL GROUP DENVER, LLC DENVER CO $1.84M
PLATTE VALLEY MEDICAL GROUP LLC BRIGHTON CO $919K
INTERMOUNTAIN MEDICAL GROUP GRAND JUNCTION, LLC GRAND JUNCTION CO $904K
SCL PHYSICIANS - RMPC LLC WESTMINSTER CO $792K
SCL PHYSICIANS - RMPC LLC WESTMINSTER CO $758K
INTERMOUNTAIN MEDICAL GROUP GRAND JUNCTION, LLC GRAND JUNCTION CO $673K
INTERMOUNTAIN MEDICAL GROUP GRAND JUNCTION, LLC GRAND JUNCTION CO $624K
INTERMOUNTAIN MEDICAL GROUP DENVER, LLC WHEAT RIDGE CO $560K
INTERMOUNTAIN MEDICAL GROUP DENVER, LLC LAFAYETTE CO $547K
INTERMOUNTAIN MEDICAL GROUP DENVER, LLC WHEAT RIDGE CO $478K
INTERMOUNTAIN MEDICAL GROUP GRAND JUNCTION, LLC GRAND JUNCTION CO $412K
INTERMOUNTAIN MEDICAL GROUP DENVER, LLC THORNTON CO $396K
INTERMOUNTAIN MEDICAL GROUP DENVER, LLC BROOMFIELD CO $353K
PLATTE VALLEY MEDICAL GROUP, LLC BRIGHTON CO $342K
INTERMOUNTAIN MEDICAL GROUP DENVER, LLC DENVER CO $260K
INTERMOUNTAIN MEDICAL GROUP DENVER, LLC LAKEWOOD CO $226K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 3,389 $203K
2022 3,931 $235K
2023 4,255 $239K
2024 1,989 $120K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,270 4,530 $266K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2,338 2,149 $266K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,668 1,541 $121K
20610 1,058 788 $51K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 596 551 $45K
73630 1,219 912 $18K
99205 Prolong outpt/office vis 37 36 $6K
99215 Prolong outpt/office vis 49 48 $6K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 150 64 $4K
73610 256 208 $4K
73110 226 183 $3K
73564 106 66 $3K
73130 165 127 $2K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 368 330 $1K
73030 16 13 $410.31
73562 13 12 $343.88
J1100 Injection, dexamethasone sodium phosphate, 1 mg 29 27 $8.74