Physician
Poudre Valley Medical Group, LLC
Poudre Valley Medical Group, LLC was paid $8.02M by Medicaid between Jan 2018 and Dec 2024, across 112 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 39% of everything it billed.
33Billing provider infoPOUDRE VALLEY MEDICAL GROUP, LLC
LOVELAND, CO 80538
LOVELAND, CO 80538
33aNPI1366763260assigned 06/15/2010
33bProvider typePulmonary Disease Physician
28Total paid$8.02M
24GClaims156,567
24DCodes billed112
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pulmonary Disease Physician providers in Colorado
Rank by total paid#2 of 30
Median peer was paid$72K
This provider vs. median112×
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 | |
|---|---|---|---|
| 2018 | 45,355 | $2.49M | |
| 2019 | 59,798 | $3.08M | |
| 2020 | 38,081 | $2.20M | |
| 2021 | 2,986 | $50K | |
| 2022 | 4,877 | $125K | |
| 2023 | 3,688 | $56K | |
| 2024incomplete | 1,782 | $24K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 39% | 53,134 | 43,943 | $3.12M |
| J0585 | Injection, onabotulinumtoxina, 1 unit | 21% | 2,678 | 1,867 | $1.68M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 22,174 | 18,100 | $939K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 5.2% | 5,899 | 4,778 | $415K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 3.5% | 2,710 | 2,240 | $279K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3.1% | 7,811 | 6,572 | $248K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 2.1% | 4,771 | 4,017 | $169K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.9% | 2,140 | 1,760 | $150K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.6% | 1,661 | 1,392 | $128K |
| 64615 | 1.6% | 1,696 | 1,480 | $125K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 1.2% | 13,534 | 10,117 | $94K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 2,773 | 1,082 | $75K |
100 more codes
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 827 | $66K |
| 90870 | <1% | 1,403 | $51K | |
| 93793 | <1% | 4,546 | $48K | |
| 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | <1% | 863 | $43K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 280 | $27K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 265 | $23K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 800 | $22K |
| 99205 | Prolong outpt/office vis | <1% | 145 | $21K |
| 99283 | Emergency room visit (moderate) | <1% | 419 | $19K |
| 77014 | <1% | 873 | $15K | |
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | <1% | 728 | $14K |
| 64483 | <1% | 80 | $14K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,069 | $14K |
| 93296 | <1% | 1,376 | $14K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,482 | $12K |
| 93307 | <1% | 395 | $12K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 157 | $10K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 813 | $10K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 185 | $9K |
| 95806 | <1% | 127 | $8K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 3,357 | $7K |
| 94010 | <1% | 508 | $7K | |
| 20610 | <1% | 213 | $6K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 123 | $6K |
| 81003 | <1% | 3,406 | $5K | |
| 99460 | <1% | 67 | $5K | |
| 90686 | <1% | 459 | $5K | |
| 64493 | <1% | 47 | $5K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 653 | $5K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 125 | $5K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 760 | $4K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 381 | $4K |
| 86762 | <1% | 241 | $4K | |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 30 | $4K |
| 92557 | <1% | 210 | $3K | |
| 93000 | <1% | 258 | $3K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 64 | $3K |
| 96118 | <1% | 46 | $3K | |
| 95886 | <1% | 65 | $3K | |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 69 | $3K |
| 93294 | <1% | 320 | $3K | |
| 95912 | <1% | 12 | $3K | |
| 59025 | Fetal non-stress test | <1% | 94 | $3K |
| 64494 | <1% | 45 | $3K | |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 75 | $2K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 78 | $2K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 19 | $2K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 28 | $2K |
| 92567 | <1% | 248 | $2K | |
| 93976 | <1% | 12 | $2K | |
| 85610 | <1% | 576 | $2K | |
| 80050 | General health panel | <1% | 40 | $2K |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 171 | $2K |
| 86592 | <1% | 359 | $2K | |
| 96132 | <1% | 40 | $2K | |
| 93295 | <1% | 69 | $2K | |
| 93018 | <1% | 184 | $2K | |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | <1% | 13 | $2K |
| 99177 | <1% | 120 | $1K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 81 | $1K |
| 80305 | <1% | 158 | $1K | |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 44 | $1K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 14 | $935.66 |
| 20553 | <1% | 51 | $913.17 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 28 | $875.63 |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 15 | $874.36 |
| 90461 | <1% | 2,515 | $868.09 | |
| 76830 | Ultrasound, transvaginal | <1% | 12 | $809.48 |
| 64495 | <1% | 12 | $736.31 | |
| 96116 | <1% | 13 | $674.89 | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 55 | $667.26 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 38 | $606.79 |
| 80053 | Comprehensive metabolic panel | <1% | 154 | $581.45 |
| 93227 | <1% | 32 | $534.77 | |
| 51798 | <1% | 70 | $517.44 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 42 | $486.73 |
| 82962 | <1% | 269 | $463.80 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 109 | $419.96 |
| 81001 | <1% | 172 | $405.32 | |
| 80306 | <1% | 26 | $348.50 | |
| 93308 | <1% | 18 | $263.42 | |
| 85027 | <1% | 43 | $250.10 | |
| 90670 | <1% | 61 | $242.25 | |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 18 | $217.76 |
| 73130 | <1% | 28 | $174.20 | |
| 73030 | <1% | 14 | $130.40 | |
| 73562 | <1% | 15 | $129.70 | |
| 94060 | <1% | 21 | $123.20 | |
| 82950 | <1% | 14 | $80.25 | |
| 90633 | <1% | 12 | $79.60 | |
| 0298T | <1% | 77 | $78.75 | |
| 90688 | <1% | 312 | $16.82 | |
| 3044F | 0% | 59 | $0.00 | |
| 3074F | 0% | 330 | $0.00 | |
| 90680 | 0% | 27 | $0.00 | |
| 90698 | 0% | 46 | $0.00 | |
| 96161 | 0% | 15 | $0.00 | |
| 3078F | 0% | 112 | $0.00 | |
| 90672 | 0% | 14 | $0.00 | |
| 97813 | 0% | 22 | $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 (CREDENTIALING MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Poudre Valley Medical Group, LLC | Loveland, CO | $14.97M |
| Parkview Ancillary Services Corporation | Pueblo, CO | $4.76M |
| Poudre Valley Medical Group, LLC | Colorado Springs, CO | $2.91M |
| Poudre Valley Medical Group, LLC | Colorado Springs, CO | $2.88M |
| Poudre Valley Medical Group, LLC | Longmont, CO | $2.29M |
| Parkview Ancillary Services | Pueblo, CO | $1.95M |
| Poudre Valley Medical Group, LLC | Colorado Springs, CO | $1.67M |
| Poudre Valley Medical Group, LLC | Fort Collins, CO | $1.36M |
| Parkview Ancillary Services | Pueblo, CO | $906K |
| Poudre Valley Medical Group, LLC | Greeley, CO | $888K |
| Parkview Ancillary Services | Pueblo, CO | $869K |
| Parkview Ancillary Services | Pueblo, CO | $794K |
| Poudre Valley Medical Group, LLC | Aurora, CO | $784K |
| Poudre Valley Medical Group, LLC | Thornton, CO | $745K |
| Poudre Valley Medical Group, LLC | Firestone, CO | $683K |
| Parkview Ancillary Services | Pueblo, CO | $638K |
| Poudre Valley Medical Group, LLC | Greeley, CO | $613K |
| Parkview Ancillary Services | Pueblo, CO | $592K |
| Poudre Valley Medical Group, LLC | Colorado Springs, CO | $490K |
| Parkview Ancillary Services | Pueblo, CO | $460K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.