Platte Valley Internal Medicine & Pulmonary LLC
Platte Valley Internal Medicine & Pulmonary LLC was paid $1.09M by Medicaid between Jan 2018 and Dec 2024, across 19 billing codes. Its largest line is 95811, — 38% of everything it billed.
33Billing provider infoPLATTE VALLEY INTERNAL MEDICINE & PULMONARY LLC
BRIGHTON, CO 80601
BRIGHTON, CO 80601
33aNPI1750573010assigned 08/10/2007
33bProvider typeSpecialist
28Total paid$1.09M
24GClaims10,195
24DCodes billed19
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in Colorado
Rank by total paid#7 of 124
Median peer was paid$37K
This provider vs. median30×
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.
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 | |
|---|---|---|---|
| 2018 | 927 | $68K | |
| 2019 | 1,115 | $126K | |
| 2020 | 1,034 | $129K | |
| 2021 | 1,340 | $194K | |
| 2022 | 2,089 | $229K | |
| 2023 | 2,020 | $201K | |
| 2024incomplete | 1,670 | $139K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 95811 | 38% | 1,016 | 972 | $415K | |
| 95806 | 22% | 1,544 | 1,430 | $236K | |
| 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 | 16% | 2,624 | 2,106 | $178K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | 10% | 258 | 245 | $112K |
| 99205 | Prolong outpt/office vis | 6.4% | 518 | 497 | $70K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 3.3% | 2,709 | 1,749 | $36K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 2.5% | 1,206 | 692 | $27K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 74 | 67 | $5K |
| 99443 | <1% | 48 | 37 | $2K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 15 | 13 | $2K |
| 94375 | <1% | 26 | 26 | $690.32 | |
| 94726 | <1% | 14 | 14 | $529.44 |
7 more codes
| 94060 | <1% | 15 | $508.85 | |
| 94729 | <1% | 12 | $482.57 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 14 | $141.73 |
| 90688 | <1% | 17 | $101.94 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 38 | $47.88 |
| 3008F | 0% | 35 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 12 | $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 officialSTEELY, GIA (PRACTICE MANAGER)