POUDRE VALLEY MEDICAL GROUP, LLC
NPI: 1871246835
· HIGHLANDS RANCH, CO 80129
· 261Q00000X
$130K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
230 |
$130K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| Q0222 |
Bebtelovimab 175 mg |
64 |
44 |
$87K |
| M0222 |
Bebtelovimab injection |
89 |
74 |
$22K |
| J0248 |
Inj, remdesivir, 1 mg |
38 |
15 |
$20K |
| 96365 |
|
39 |
15 |
$1K |