Clinic
Poudre Valley Health Care,inc
Poudre Valley Health Care,inc was paid $6.71M by Medicaid between Jan 2018 and Dec 2024, across 61 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 46% of everything it billed.
33Billing provider infoPOUDRE VALLEY HEALTH CARE,INC
FORT COLLINS, CO 80524
FORT COLLINS, CO 80524
33aNPI1891837738assigned 02/13/2007
33bProvider typeMedical Specialty Clinic/Center
28Total paid$6.71M
24GClaims165,056
24DCodes billed61
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Medical Specialty Clinic/Center providers in Colorado
Rank by total paid#1 of 37
Median peer was paid$211K
This provider vs. median32×
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 THOMPSON, DAVID 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 | |
|---|---|---|---|
| 2018 | 22,005 | $1.01M | |
| 2019 | 24,520 | $1.05M | |
| 2020 | 18,920 | $894K | |
| 2021 | 19,810 | $1.01M | |
| 2022 | 20,732 | $1.05M | |
| 2023 | 33,954 | $1.22M | |
| 2024incomplete | 25,115 | $476K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 46% | 41,613 | 37,547 | $3.07M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 34% | 44,518 | 40,390 | $2.27M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 5.4% | 9,113 | 8,409 | $361K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.1% | 1,781 | 1,685 | $141K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.9% | 1,433 | 1,365 | $126K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.7% | 3,922 | 1,569 | $115K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.6% | 3,312 | 3,086 | $107K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 1.3% | 674 | 618 | $87K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 3,435 | 3,269 | $61K |
| 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% | 666 | 627 | $56K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 454 | 419 | $54K |
| 90686 | <1% | 5,297 | 5,062 | $51K |
49 more codes
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 966 | $34K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 384 | $32K |
| 36415 | Collection of venous blood by venipuncture | <1% | 12,062 | $30K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 385 | $17K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 461 | $13K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 425 | $13K |
| 90837 | Psychotherapy session, about an hour | <1% | 223 | $12K |
| 81003 | <1% | 5,329 | $11K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 497 | $9K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 419 | $7K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 473 | $5K |
| 96127 | <1% | 1,411 | $5K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 90 | $3K |
| 90656 | <1% | 272 | $3K | |
| 90677 | <1% | 53 | $2K | |
| 90461 | <1% | 2,850 | $2K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 137 | $2K |
| 91320 | <1% | 17 | $2K | |
| 0124A | <1% | 33 | $1K | |
| 90480 | <1% | 37 | $1K | |
| 99335 | <1% | 56 | $1K | |
| 90715 | <1% | 26 | $1K | |
| 99441 | <1% | 81 | $1K | |
| 81025 | <1% | 131 | $997.76 | |
| D1206 | Topical application of fluoride varnish | <1% | 58 | $818.24 |
| 90670 | <1% | 288 | $799.92 | |
| 85013 | <1% | 269 | $753.93 | |
| 99349 | <1% | 26 | $498.93 | |
| 99334 | <1% | 23 | $419.14 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 32 | $407.40 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 13 | $331.93 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 15 | $179.04 |
| 90648 | <1% | 113 | $41.22 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 81 | $0.58 |
| 3074F | 0% | 7,898 | $0.00 | |
| 3044F | 0% | 2,921 | $0.00 | |
| 3079F | 0% | 858 | $0.00 | |
| 3075F | 0% | 247 | $0.00 | |
| 90680 | 0% | 56 | $0.00 | |
| 0503F | 0% | 44 | $0.00 | |
| 0501F | 0% | 17 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 16 | $0.00 |
| 3080F | 0% | 12 | $0.00 | |
| 91305 | 0% | 13 | $0.00 | |
| 3078F | 0% | 7,399 | $0.00 | |
| 0502F | 0% | 1,569 | $0.00 | |
| 90671 | 0% | 13 | $0.00 | |
| 3077F | 0% | 25 | $0.00 | |
| 90633 | 0% | 14 | $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 officialTHOMPSON, DAVID (CFO)
Parent organizationPOUDRE VALLEY HEALTH CARE, INC
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.