Poudre Valley Medical Group, LLC
Poudre Valley Medical Group, LLC was paid $1.40M by Medicaid between Oct 2020 and Dec 2024, across 25 billing codes. Its largest line is 93306, Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete — 34% of everything it billed.
COLORADO SPRINGS, CO 80909
Next to other Thoracic Surgery (Cardiothoracic Vascular Surgery) 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 | 2,501 | $58K | |
| 2021 | 10,709 | $430K | |
| 2022 | 8,411 | $316K | |
| 2023 | 10,136 | $374K | |
| 2024incomplete | 6,168 | $223K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 34% | 12,079 | 11,398 | $481K |
| 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 | 33% | 7,366 | 6,985 | $458K |
| 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 | 15% | 1,875 | 1,801 | $207K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 4.9% | 9,621 | 7,417 | $68K |
| 93000 | 3.2% | 2,822 | 2,683 | $44K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.8% | 544 | 492 | $39K |
| 93295 | 2.7% | 1,369 | 1,285 | $38K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 2.2% | 554 | 175 | $30K |
| 95812 | <1% | 69 | 68 | $10K | |
| 93298 | <1% | 300 | 272 | $5K | |
| 93294 | <1% | 335 | 318 | $5K | |
| 93454 | <1% | 39 | 29 | $3K |
13 more codes
| 93793 | <1% | 217 | $3K | |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 53 | $3K |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 38 | $1K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 12 | $919.70 |
| 99223 | Prolong inpt eval add15 m | <1% | 14 | $902.52 |
| 99152 | <1% | 65 | $900.45 | |
| 93018 | <1% | 80 | $803.61 | |
| 93016 | <1% | 25 | $494.62 | |
| 93307 | <1% | 14 | $471.69 | |
| 93971 | <1% | 19 | $248.16 | |
| G1004 | Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program | <1% | 337 | $0.69 |
| 99232 | Hospital visit by a doctor, follow-up day | 0% | 52 | $0.00 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 0% | 26 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.