Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Poudre Valley Medical Group, LLC

Poudre Valley Medical Group, LLC was paid $253K by Medicaid between Mar 2021 and Dec 2024, across 15 billing codes. Its largest line is 90460, Immunization administration through 18 years of age via any route, first or only component — 35% of everything it billed.

33Billing provider infoPOUDRE VALLEY MEDICAL GROUP, LLC
LOVELAND, CO 80538
33aNPI1649864448assigned 02/23/2021
33bProvider typePediatrics Physician
28Total paid$253K
24GClaims5,307
24DCodes billed15
24AFirst – last monthMar 2021 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in Colorado

Rank by total paid#67 of 186
Median peer was paid$68K
This provider vs. median3.7×

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$5.0K$10K$15K2018201920202021202220232024
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
2021958$34K
2022821$41K
20231,805$93K
2024incomplete1,723$84K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
90460 Immunization administration through 18 years of age via any route, first or only component 35% 2,308 2,131 $88K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 20% 620 569 $50K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 18% 741 677 $47K
99239 Hospital discharge day management, more than 30 minutes 11% 339 324 $28K
99460 7.6% 226 216 $19K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3.5% 97 93 $9K
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 1.5% 42 38 $4K
90677 1.4% 86 86 $3K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 143 137 $2K
90461 <1% 420 388 $1K
90698 <1% 83 81 $1K
90670 <1% 17 13 $814.71
3 more codes
90656 <1% 14 $70.59
99177 <1% 13 $54.56
90688 <1% 158 $17.16

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.