Platte Valley Medical Group LLC
Platte Valley Medical Group LLC was paid $919K by Medicaid between Jan 2018 and Nov 2024, across 23 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 43% of everything it billed.
BRIGHTON, CO 80601
Next to other Medical Specialty Clinic/Center providers in Colorado
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 6,400 | $263K | |
| 2019 | 6,622 | $308K | |
| 2020 | 5,027 | $265K | |
| 2021 | 1,019 | $64K | |
| 2022 | 298 | $18K | |
| 2023 | 33 | $229.51 | |
| 2024incomplete | 64 | $247.72 |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 43% | 6,588 | 4,921 | $394K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 26% | 5,864 | 4,283 | $235K |
| 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 | 13% | 1,184 | 957 | $120K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 7.8% | 974 | 712 | $72K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.3% | 483 | 395 | $30K |
| 20610 | 3.0% | 783 | 438 | $28K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.2% | 170 | 125 | $11K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 1,310 | 987 | $8K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 241 | 130 | $5K |
| 93000 | <1% | 326 | 231 | $3K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 208 | 146 | $3K |
| J7321 | Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose | <1% | 20 | 13 | $2K |
11 more codes
| 73630 | <1% | 225 | $2K | |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 54 | $2K |
| 73110 | <1% | 106 | $1K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 249 | $1K |
| 36415 | Collection of venous blood by venipuncture | <1% | 397 | $971.08 |
| 90688 | <1% | 85 | $744.67 | |
| 93018 | <1% | 91 | $707.69 | |
| 90686 | <1% | 28 | $487.89 | |
| 73130 | <1% | 39 | $328.50 | |
| 90674 | <1% | 20 | $304.36 | |
| 93016 | <1% | 18 | $83.64 |
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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.