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 $870K by Medicaid between Nov 2020 and Dec 2024, across 15 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 57% of everything it billed.

33Billing provider infoPOUDRE VALLEY MEDICAL GROUP, LLC
LOVELAND, CO 80538
33aNPI1780206664assigned 05/13/2020
28Total paid$870K
24GClaims14,750
24DCodes billed15
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers

Next to other Occupational Medicine Physician providers in Colorado

Rank by total paid#1 of 6
Median peer was paid$226K
This provider vs. median3.9×

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$25K$50K$75K2018201920202021202220232024
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
202059$80.19
2021319$3K
20223,039$202K
20237,492$434K
2024incomplete3,841$232K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 57% 8,353 7,765 $497K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 20% 1,393 1,296 $175K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 16% 1,642 1,529 $138K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 4.2% 1,197 1,116 $36K
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 2.4% 288 269 $21K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis <1% 15 15 $2K
36415 Collection of venous blood by venipuncture <1% 348 282 $843.06
95251 <1% 40 38 $577.07
81003 <1% 138 116 $162.03
82962 <1% 30 28 $63.10
3044F 0% 240 206 $0.00
3074F 0% 466 417 $0.00
3 more codes
1123F 0% 263 $0.00
3079F 0% 26 $0.00
3078F 0% 311 $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

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