Behavioral
Poudre Valley Medical Group, LLC
Poudre Valley Medical Group, LLC was paid $2.88M by Medicaid between Nov 2020 and Dec 2024, across 24 billing codes. Its largest line is 76811, Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed — 20% of everything it billed.
33Billing provider infoPOUDRE VALLEY MEDICAL GROUP, LLC
COLORADO SPRINGS, CO 80909
COLORADO SPRINGS, CO 80909
33aNPI1609405844assigned 04/08/2020
33bProvider typeClinical Social Worker
28Total paid$2.88M
24GClaims37,438
24DCodes billed24
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers
Next to other Clinical Social Worker providers in Colorado
Rank by total paid#4 of 268
Median peer was paid$24K
This provider vs. median120×
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 | |
|---|---|---|---|
| 2020 | 167 | $14K | |
| 2021 | 6,475 | $481K | |
| 2022 | 6,940 | $548K | |
| 2023 | 11,944 | $886K | |
| 2024incomplete | 11,912 | $955K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 20% | 3,336 | 3,153 | $567K |
| 99223 | Prolong inpt eval add15 m | 13% | 3,179 | 2,955 | $383K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 11% | 4,339 | 4,065 | $308K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 9.1% | 3,934 | 2,035 | $262K |
| 76819 | Fetal biophysical profile; without non-stress testing | 8.9% | 3,729 | 2,530 | $257K |
| 76820 | 7.1% | 4,448 | 3,039 | $204K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 6.2% | 4,138 | 1,689 | $179K |
| 99239 | Hospital discharge day management, more than 30 minutes | 4.6% | 2,019 | 1,853 | $132K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 4.1% | 918 | 843 | $119K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 3.4% | 1,482 | 1,222 | $100K |
| 59025 | Fetal non-stress test | 3.0% | 2,989 | 1,542 | $86K |
| 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 | 2.4% | 518 | 505 | $70K |
12 more codes
| 76821 | 2.4% | 768 | $69K | |
| 01967 | Neuraxial labor analgesia/anesthesia for planned vaginal delivery | 1.2% | 254 | $36K |
| 90839 | 1.0% | 411 | $29K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 291 | $24K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 242 | $21K |
| 93976 | <1% | 119 | $18K | |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 191 | $12K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 62 | $4K |
| 99205 | Prolong outpt/office vis | <1% | 15 | $2K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 15 | $2K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 14 | $652.30 |
| 99140 | 0% | 27 | $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
| Provider | Location | Paid |
|---|---|---|
| Poudre Valley Medical Group, LLC | Loveland, CO | $14.97M |
| Poudre Valley Medical Group, LLC | Loveland, CO | $8.02M |
| Parkview Ancillary Services Corporation | Pueblo, CO | $4.76M |
| Poudre Valley Medical Group, LLC | Colorado Springs, CO | $2.91M |
| 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.