POUDRE VALLEY MEDICAL GROUP, LLC
NPI: 1548880669
· FORT MORGAN, CO 80701
· 207RC0000X
$830.33
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
203 |
$196.60 |
| 2022 |
86 |
$633.73 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 93010 |
|
115 |
105 |
$830.33 |
| 93793 |
|
174 |
123 |
$0.00 |