Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Poudre Valley Medical Group, LLC

Poudre Valley Medical Group, LLC was paid $1.67M by Medicaid between Oct 2020 and Dec 2024, across 11 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 51% of everything it billed.

33Billing provider infoPOUDRE VALLEY MEDICAL GROUP, LLC
COLORADO SPRINGS, CO 80907
33aNPI1538633698assigned 01/11/2019
28Total paid$1.67M
24GClaims24,640
24DCodes billed11
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers

Next to other Urgent Care Clinic/Center providers in Colorado

Rank by total paid#11 of 103
Median peer was paid$293K
This provider vs. median5.7×

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$20K$40K$60K2018201920202021202220232024
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
2020627$43K
20215,034$326K
20225,924$418K
20237,136$478K
2024incomplete5,919$409K
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 51% 13,867 13,159 $847K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 23% 4,491 4,276 $392K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 15% 1,998 1,818 $256K
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 7.0% 1,376 1,291 $116K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 2.2% 1,197 1,104 $37K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 887 755 $14K
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 <1% 48 48 $7K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 60 60 $3K
81003 <1% 636 580 $712.81
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 14 14 $217.56
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 66 66 $56.02

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.