Poudre Valley Medical Group, LLC
Poudre Valley Medical Group, LLC was paid $89K by Medicaid between Nov 2020 and Oct 2024, across 7 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 45% of everything it billed.
COLORADO SPRINGS, CO 80909
Next to other Otolaryngology 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 | 98 | $6K | |
| 2021 | 313 | $22K | |
| 2022 | 256 | $23K | |
| 2023 | 410 | $26K | |
| 2024incomplete | 176 | $13K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 45% | 339 | 330 | $40K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 24% | 477 | 245 | $22K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 22% | 314 | 147 | $20K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 5.3% | 43 | 12 | $5K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 1.4% | 55 | 24 | $1K |
| 99239 | Hospital discharge day management, more than 30 minutes | 1.0% | 13 | 12 | $917.84 |
| 31575 | <1% | 12 | 12 | $642.79 |
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
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.