Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CO › Firestone › NPI 1245859842
Clinic

Poudre Valley Medical Group, LLC

Poudre Valley Medical Group, LLC was paid $683K by Medicaid between Dec 2020 and Dec 2024, across 10 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 42% of everything it billed.

33Billing provider infoPOUDRE VALLEY MEDICAL GROUP, LLC
FIRESTONE, CO 80504
33aNPI1245859842assigned 04/14/2020
28Total paid$683K
24GClaims9,828
24DCodes billed10
24AFirst – last monthDec 2020 – Dec 2024
Compared with peers

Next to other Urgent Care Clinic/Center providers in Colorado

Rank by total paid#30 of 103
Median peer was paid$293K
This provider vs. median2.3×

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

$0$20K$40K2018201920202021202220232024
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
YearClaimsPaid
202012$1K
20211,101$80K
20222,455$188K
20234,039$260K
2024incomplete2,221$153K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 42% 4,725 4,442 $285K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 26% 1,330 1,261 $179K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 17% 1,309 1,245 $113K
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 8.7% 789 730 $59K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 6.2% 1,397 1,288 $42K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 28 28 $1K
95251 <1% 52 50 $1K
83036 Hemoglobin; glycosylated (A1C) <1% 150 143 $960.33
81025 <1% 21 12 $103.32
81003 <1% 27 25 $56.25

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
Same official

Other billing entities under CONROY, JANA

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.