POUDRE VALLEY MEDICAL GROUP, LLC
NPI: 1770048845
· LONGMONT, CO 80501
· 207R00000X
$2.29M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
636 |
$10K |
| 2021 |
7,985 |
$407K |
| 2022 |
11,143 |
$528K |
| 2023 |
18,256 |
$800K |
| 2024 |
12,236 |
$541K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
15,944 |
15,089 |
$1.15M |
| 99213 |
|
4,459 |
4,141 |
$260K |
| J0585 |
Injection,onabotulinumtoxina |
375 |
213 |
$162K |
| 90460 |
|
3,034 |
2,891 |
$132K |
| 99204 |
|
1,104 |
1,053 |
$131K |
| 99391 |
|
976 |
887 |
$84K |
| 43239 |
|
523 |
511 |
$69K |
| 99203 |
|
729 |
715 |
$59K |
| 99215 |
Prolong outpt/office vis |
444 |
411 |
$42K |
| 99392 |
|
312 |
293 |
$28K |
| 45380 |
|
127 |
122 |
$19K |
| 99205 |
Prolong outpt/office vis |
102 |
99 |
$15K |
| 64615 |
|
165 |
161 |
$14K |
| 95886 |
|
173 |
171 |
$13K |
| 83036 |
|
1,644 |
1,523 |
$11K |
| 93306 |
|
186 |
179 |
$11K |
| 58662 |
|
42 |
24 |
$11K |
| 92557 |
|
443 |
415 |
$10K |
| 84443 |
|
740 |
694 |
$9K |
| 85025 |
|
1,549 |
1,298 |
$9K |
| 97803 |
|
107 |
90 |
$6K |
| 99393 |
|
57 |
54 |
$6K |
| 92567 |
|
476 |
448 |
$5K |
| 95251 |
|
289 |
278 |
$4K |
| 80053 |
|
582 |
497 |
$4K |
| 80050 |
|
177 |
118 |
$4K |
| 99239 |
|
34 |
33 |
$3K |
| 80048 |
|
285 |
266 |
$2K |
| 90471 |
|
102 |
100 |
$2K |
| 80061 |
|
232 |
160 |
$2K |
| 90686 |
|
891 |
849 |
$2K |
| 99460 |
|
17 |
17 |
$1K |
| 93010 |
|
223 |
140 |
$1K |
| 36415 |
|
2,955 |
2,659 |
$1K |
| 90480 |
|
26 |
24 |
$990.06 |
| 80306 |
|
64 |
61 |
$822.46 |
| 76830 |
|
13 |
13 |
$726.16 |
| 99238 |
|
14 |
13 |
$711.60 |
| 82306 |
|
36 |
24 |
$651.20 |
| 90461 |
|
691 |
663 |
$599.00 |
| 99212 |
|
12 |
12 |
$448.80 |
| 90656 |
|
109 |
105 |
$436.57 |
| 73564 |
|
30 |
24 |
$331.96 |
| 90677 |
|
62 |
60 |
$304.61 |
| 31575 |
|
12 |
12 |
$299.44 |
| 86592 |
|
59 |
55 |
$228.42 |
| 96380 |
|
12 |
12 |
$228.25 |
| 81003 |
|
163 |
141 |
$211.20 |
| 85652 |
|
87 |
79 |
$192.45 |
| 73630 |
|
17 |
15 |
$144.24 |
| 82565 |
|
25 |
25 |
$116.76 |
| 99177 |
|
14 |
13 |
$51.96 |
| 82950 |
|
12 |
12 |
$51.70 |
| 3074F |
|
4,133 |
3,839 |
$0.00 |
| 1123F |
|
306 |
283 |
$0.00 |
| 3079F |
|
576 |
532 |
$0.00 |
| 3044F |
|
1,410 |
1,278 |
$0.00 |
| 90698 |
|
189 |
183 |
$0.00 |
| 90680 |
|
25 |
25 |
$0.00 |
| 90744 |
|
30 |
28 |
$0.00 |
| 3078F |
|
2,346 |
2,192 |
$0.00 |
| 90670 |
|
273 |
270 |
$0.00 |
| 90681 |
|
12 |
12 |
$0.00 |