Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

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.

33Billing provider infoPOUDRE VALLEY MEDICAL GROUP, LLC
GREELEY, CO 80634
33aNPI1255944419assigned 08/27/2020
33bProvider typePediatrics Physician
28Total paid$1.52M
24GClaims37,667
24DCodes billed45
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in Colorado

Rank by total paid#28 of 186
Median peer was paid$68K
This provider vs. median22×

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$25K$50K$75K2018201920202021202220232024
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
20203,881$53K
20217,478$347K
20227,306$324K
202312,895$478K
2024incomplete6,107$316K
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 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.

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

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