Poudre Valley Medical Group, LLC
Poudre Valley Medical Group, LLC was paid $1.52M by Medicaid between Oct 2020 and Dec 2024, across 45 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 26% of everything it billed.
GREELEY, CO 80634
Next to other Pediatrics Physician providers in Colorado
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 3,881 | $53K | |
| 2021 | 7,478 | $347K | |
| 2022 | 7,306 | $324K | |
| 2023 | 12,895 | $478K | |
| 2024incomplete | 6,107 | $316K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 26% | 6,528 | 5,984 | $393K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 20% | 8,175 | 7,292 | $301K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 13% | 2,442 | 2,197 | $199K |
| 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 | 11% | 1,950 | 1,761 | $172K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 11% | 1,864 | 1,740 | $168K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.1% | 679 | 615 | $62K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 3.1% | 365 | 339 | $47K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.9% | 395 | 333 | $45K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.8% | 297 | 268 | $27K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 172 | 159 | $13K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 332 | 308 | $13K |
| 59025 | Fetal non-stress test | <1% | 412 | 340 | $13K |
33 more codes
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 167 | $8K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 277 | $8K |
| 99460 | <1% | 80 | $6K | |
| 90677 | <1% | 192 | $5K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 521 | $5K |
| 90461 | <1% | 3,225 | $4K | |
| 81003 | <1% | 1,915 | $4K | |
| 90698 | <1% | 944 | $3K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 32 | $3K |
| 90651 | <1% | 38 | $3K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 285 | $2K |
| 90686 | <1% | 313 | $2K | |
| 90670 | <1% | 768 | $2K | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 35 | $2K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | <1% | 14 | $1K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 17 | $1K |
| 99177 | <1% | 225 | $1K | |
| 99283 | Emergency room visit (moderate) | <1% | 14 | $643.32 |
| 90656 | <1% | 254 | $609.42 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 13 | $559.02 |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 39 | $398.70 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 17 | $254.40 |
| 90680 | <1% | 233 | $223.36 | |
| 81025 | <1% | 13 | $103.32 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 26 | $77.22 |
| 90688 | <1% | 1,800 | $34.32 | |
| 90744 | <1% | 43 | $32.39 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 35 | $0.23 |
| 0502F | 0% | 2,401 | $0.00 | |
| 90687 | 0% | 73 | $0.00 | |
| 90633 | 0% | 12 | $0.00 | |
| 90696 | 0% | 12 | $0.00 | |
| 0503F | 0% | 23 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.