POUDRE VALLEY MEDICAL GROUP, LLC
NPI: 1497374177
· WOODLAND PARK, CO 80863
· 207Q00000X
$130K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
139 |
$8K |
| 2021 |
626 |
$39K |
| 2022 |
663 |
$38K |
| 2023 |
1,242 |
$32K |
| 2024 |
353 |
$12K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
1,745 |
1,534 |
$116K |
| 99213 |
|
215 |
200 |
$12K |
| 99215 |
Prolong outpt/office vis |
17 |
12 |
$2K |
| 3074F |
|
302 |
278 |
$0.00 |
| 3044F |
|
74 |
68 |
$0.00 |
| 1123F |
|
13 |
12 |
$0.00 |
| 3078F |
|
305 |
281 |
$0.00 |
| 1124F |
|
352 |
321 |
$0.00 |