Physician
Poudre Valley Medical Group, LLC
Poudre Valley Medical Group, LLC was paid $124K by Medicaid between Nov 2020 and Jun 2024, across 10 billing codes. Its largest line is 95806, — 40% of everything it billed.
33Billing provider infoPOUDRE VALLEY MEDICAL GROUP, LLC
LONGMONT, CO 80504
LONGMONT, CO 80504
33aNPI1891300596assigned 09/10/2020
33bProvider typePediatrics Physician
28Total paid$124K
24GClaims2,009
24DCodes billed10
24AFirst – last monthNov 2020 – Jun 2024
Compared with peers
Next to other Pediatrics Physician providers in Colorado
Rank by total paid#79 of 186
Median peer was paid$68K
This provider vs. median1.8×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 49 | $2K | |
| 2021 | 309 | $17K | |
| 2022 | 516 | $34K | |
| 2023 | 943 | $58K | |
| 2024incomplete | 192 | $13K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 95806 | 40% | 711 | 699 | $49K | |
| 97803 | 29% | 571 | 525 | $36K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 304 | 295 | $16K |
| 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 | 9.0% | 190 | 185 | $11K |
| 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 | 5.8% | 55 | 55 | $7K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 2.4% | 18 | 12 | $3K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 12 | 12 | $737.00 |
| 94060 | <1% | 74 | 55 | $411.63 | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 27 | 25 | $202.40 |
| 94729 | <1% | 47 | 38 | $152.15 |
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 (CREDENTIALING MANAGER)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.