Physician
Poudre Valley Medical Group, LLC
Poudre Valley Medical Group, LLC was paid $11K by Medicaid between Jul 2022 and Dec 2024, across 7 billing codes. Its largest line is 81003, — 30% of everything it billed.
33Billing provider infoPOUDRE VALLEY MEDICAL GROUP, LLC
LONGMONT, CO 80504
LONGMONT, CO 80504
33aNPI1295495372assigned 12/30/2021
33bProvider typeObstetrics & Gynecology Physician
28Total paid$11K
24GClaims4,297
24DCodes billed7
24AFirst – last monthJul 2022 – Dec 2024
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in Colorado
Rank by total paid#61 of 138
Median peer was paid$8K
This provider vs. median1.4×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2022 | 568 | $1K | |
| 2023 | 2,474 | $7K | |
| 2024incomplete | 1,255 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 81003 | 30% | 1,725 | 1,370 | $3K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 27% | 46 | 42 | $3K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 16% | 100 | 84 | $2K |
| 59025 | Fetal non-stress test | 13% | 55 | 40 | $1K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 9.0% | 12 | 12 | $988.56 |
| 90686 | 4.9% | 29 | 27 | $539.30 | |
| 0502F | 0% | 2,330 | 1,597 | $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
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.