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 $2.29M by Medicaid between Sep 2020 and Dec 2024, across 63 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 50% of everything it billed.

33Billing provider infoPOUDRE VALLEY MEDICAL GROUP, LLC
LONGMONT, CO 80501
33aNPI1770048845assigned 02/04/2019
28Total paid$2.29M
24GClaims50,256
24DCodes billed63
24AFirst – last monthSep 2020 – Dec 2024
Compared with peers

Next to other Internal Medicine Physician providers in Colorado

Rank by total paid#15 of 193
Median peer was paid$34K
This provider vs. median67×

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$50K$100K2018201920202021202220232024
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
2020636$10K
20217,985$407K
202211,143$528K
202318,256$800K
2024incomplete12,236$541K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 50% 15,944 15,089 $1.15M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 11% 4,459 4,141 $260K
J0585 Injection, onabotulinumtoxina, 1 unit 7.1% 375 213 $162K
90460 Immunization administration through 18 years of age via any route, first or only component 5.8% 3,034 2,891 $132K
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 5.7% 1,104 1,053 $131K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3.7% 976 887 $84K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 3.0% 523 511 $69K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2.6% 729 715 $59K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 1.8% 444 411 $42K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1.2% 312 293 $28K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 127 122 $19K
99205 Prolong outpt/office vis <1% 102 99 $15K
51 more codes
64615 <1% 165 $14K
95886 <1% 173 $13K
83036 Hemoglobin; glycosylated (A1C) <1% 1,644 $11K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 186 $11K
58662 <1% 42 $11K
92557 <1% 443 $10K
84443 Thyroid stimulating hormone (TSH) <1% 740 $9K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 1,549 $9K
97803 <1% 107 $6K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 57 $6K
92567 <1% 476 $5K
95251 <1% 289 $4K
80053 Comprehensive metabolic panel <1% 582 $4K
80050 General health panel <1% 177 $4K
99239 Hospital discharge day management, more than 30 minutes <1% 34 $3K
80048 Basic metabolic panel (calcium, ionized) <1% 285 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 102 $2K
80061 Lipid panel <1% 232 $2K
90686 <1% 891 $2K
99460 <1% 17 $1K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 223 $1K
36415 Collection of venous blood by venipuncture <1% 2,955 $1K
90480 <1% 26 $990.06
80306 <1% 64 $822.46
76830 Ultrasound, transvaginal <1% 13 $726.16
99238 Hospital discharge day management, 30 minutes or less <1% 14 $711.60
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 36 $651.20
90461 <1% 691 $599.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 12 $448.80
90656 <1% 109 $436.57
73564 <1% 30 $331.96
90677 <1% 62 $304.61
31575 <1% 12 $299.44
86592 <1% 59 $228.42
96380 <1% 12 $228.25
81003 <1% 163 $211.20
85652 <1% 87 $192.45
73630 <1% 17 $144.24
82565 <1% 25 $116.76
99177 <1% 14 $51.96
82950 <1% 12 $51.70
3074F 0% 4,133 $0.00
1123F 0% 306 $0.00
3079F 0% 576 $0.00
3044F 0% 1,410 $0.00
90698 0% 189 $0.00
90680 0% 25 $0.00
90744 0% 30 $0.00
3078F 0% 2,346 $0.00
90670 0% 273 $0.00
90681 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 officialCONROY, JANA (DIRECTOR OF CREDENTIALING)
Parent organizationPOUDRE VALLEY MEDICAL GROUP, LLC
Same official

Other billing entities under CONROY, JANA

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.