Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PLATTE VALLEY MEDICAL GROUP LLC

NPI: 1730698820 · BRIGHTON, CO 80601 · Medical Specialty Clinic/Center · NPI assigned 09/21/2017

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official MCDANIEL, JON controls 20+ related entities in our dataset. Read more

$919K
Total Medicaid Paid
19,463
Total Claims
14,317
Beneficiaries
23
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMCDANIEL, JON (VP FINANCE OPERATIONS)
Parent OrganizationBRIGHTON COMMUNITY HOSPITAL ASSOCIATION
NPI Enumeration Date09/21/2017

Related Entities

Other providers sharing the same authorized official: MCDANIEL, JON

ProviderCityStateTotal Paid
SCL HEALTH MEDICAL GROUP - BILLINGS LLC BILLINGS MT $32.12M
SCL HEALTH MEDICAL GROUP-BUTTE LLC BUTTE MT $9.92M
INTERMOUNTAIN MEDICAL GROUP GRAND JUNCTION, LLC GRAND JUNCTION CO $3.97M
INTERMOUNTAIN MEDICAL GROUP DENVER, LLC DENVER CO $2.55M
INTERMOUNTAIN MEDICAL GROUP DENVER, LLC DENVER CO $1.84M
INTERMOUNTAIN MEDICAL GROUP GRAND JUNCTION, LLC GRAND JUNCTION CO $904K
PLATTE VALLEY MEDICAL GROUP, LLC BRIGHTON CO $797K
SCL PHYSICIANS - RMPC LLC WESTMINSTER CO $792K
SCL PHYSICIANS - RMPC LLC WESTMINSTER CO $758K
INTERMOUNTAIN MEDICAL GROUP GRAND JUNCTION, LLC GRAND JUNCTION CO $673K
INTERMOUNTAIN MEDICAL GROUP GRAND JUNCTION, LLC GRAND JUNCTION CO $624K
INTERMOUNTAIN MEDICAL GROUP DENVER, LLC WHEAT RIDGE CO $560K
INTERMOUNTAIN MEDICAL GROUP DENVER, LLC LAFAYETTE CO $547K
INTERMOUNTAIN MEDICAL GROUP DENVER, LLC WHEAT RIDGE CO $478K
INTERMOUNTAIN MEDICAL GROUP GRAND JUNCTION, LLC GRAND JUNCTION CO $412K
INTERMOUNTAIN MEDICAL GROUP DENVER, LLC THORNTON CO $396K
INTERMOUNTAIN MEDICAL GROUP DENVER, LLC BROOMFIELD CO $353K
PLATTE VALLEY MEDICAL GROUP, LLC BRIGHTON CO $342K
INTERMOUNTAIN MEDICAL GROUP DENVER, LLC DENVER CO $260K
INTERMOUNTAIN MEDICAL GROUP DENVER, LLC LAKEWOOD CO $226K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 6,400 $263K
2019 6,622 $308K
2020 5,027 $265K
2021 1,019 $64K
2022 298 $18K
2023 33 $229.51
2024 64 $247.72

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,588 4,921 $394K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,864 4,283 $235K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,184 957 $120K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 974 712 $72K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 483 395 $30K
20610 783 438 $28K
99215 Prolong outpt/office vis 170 125 $11K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1,310 987 $8K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 241 130 $5K
93000 326 231 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 208 146 $3K
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose 20 13 $2K
73630 225 149 $2K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 54 24 $2K
73110 106 74 $1K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 249 197 $1K
36415 Collection of venous blood by venipuncture 397 325 $971.08
90688 85 62 $744.67
93018 91 65 $707.69
90686 28 28 $487.89
73130 39 25 $328.50
90674 20 18 $304.36
93016 18 12 $83.64