Medicaid Provider Spending

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

PLATTE VALLEY MEDICAL GROUP, LLC

NPI: 1275283574 · BRIGHTON, CO 80601 · Family Medicine Physician · NPI assigned 03/28/2022

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

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

$191K
Total Medicaid Paid
2,877
Total Claims
2,613
Beneficiaries
9
Codes Billed
2022-06
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMCDANIEL, JON (VP FINANCE)
Parent OrganizationBRIGHTON COMMUNITY HOSPITAL ASSOCIATION
NPI Enumeration Date03/28/2022

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
PLATTE VALLEY MEDICAL GROUP, LLC BRIGHTON CO $797K
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 519 $38K
2023 1,363 $101K
2024 995 $51K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,220 2,009 $169K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 180 173 $12K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 43 38 $5K
99215 Prolong outpt/office vis 27 26 $3K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 12 12 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 30 27 $483.60
90686 33 30 $388.57
99401 28 13 $348.00
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 304 285 $68.28