POUDRE VALLEY MEDICAL GROUP, LLC
NPI: 1821605353
· COLORADO SPRINGS, CO 80918
· 208100000X
$1.07M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
359 |
$31K |
| 2022 |
1,058 |
$217K |
| 2023 |
1,867 |
$400K |
| 2024 |
1,242 |
$426K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0585 |
Injection,onabotulinumtoxina |
940 |
746 |
$859K |
| 99204 |
|
596 |
575 |
$71K |
| 99213 |
|
1,369 |
1,287 |
$61K |
| 95874 |
|
635 |
626 |
$24K |
| 99203 |
|
264 |
258 |
$22K |
| 99214 |
|
297 |
287 |
$19K |
| 64642 |
|
116 |
116 |
$7K |
| 20553 |
|
202 |
188 |
$6K |
| 64643 |
|
65 |
65 |
$3K |
| 20610 |
|
12 |
12 |
$572.66 |
| J3301 |
Triamcinolone acet inj nos |
30 |
27 |
$138.98 |