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.
LONGMONT, CO 80501
Next to other Internal Medicine Physician 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 | |
|---|---|---|---|
| 2020 | 636 | $10K | |
| 2021 | 7,985 | $407K | |
| 2022 | 11,143 | $528K | |
| 2023 | 18,256 | $800K | |
| 2024incomplete | 12,236 | $541K |
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 | 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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Poudre Valley Medical Group, LLC | Loveland, CO | $14.97M |
| Poudre Valley Medical Group, LLC | Loveland, CO | $8.02M |
| Parkview Ancillary Services Corporation | Pueblo, CO | $4.76M |
| Poudre Valley Medical Group, LLC | Colorado Springs, CO | $2.91M |
| Poudre Valley Medical Group, LLC | Colorado Springs, CO | $2.88M |
| Parkview Ancillary Services | Pueblo, CO | $1.95M |
| Poudre Valley Medical Group, LLC | Colorado Springs, CO | $1.67M |
| Poudre Valley Medical Group, LLC | Fort Collins, CO | $1.36M |
| Parkview Ancillary Services | Pueblo, CO | $906K |
| Poudre Valley Medical Group, LLC | Greeley, CO | $888K |
| Parkview Ancillary Services | Pueblo, CO | $869K |
| Parkview Ancillary Services | Pueblo, CO | $794K |
| Poudre Valley Medical Group, LLC | Aurora, CO | $784K |
| Poudre Valley Medical Group, LLC | Thornton, CO | $745K |
| Poudre Valley Medical Group, LLC | Firestone, CO | $683K |
| Parkview Ancillary Services | Pueblo, CO | $638K |
| Poudre Valley Medical Group, LLC | Greeley, CO | $613K |
| Parkview Ancillary Services | Pueblo, CO | $592K |
| Poudre Valley Medical Group, LLC | Colorado Springs, CO | $490K |
| Parkview Ancillary Services | Pueblo, CO | $460K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.