Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Platte Valley Medical Group, LLC

Platte Valley Medical Group, LLC was paid $342K by Medicaid between Jan 2021 and Nov 2024, across 8 billing codes. Its largest line is 93306, Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete — 43% of everything it billed.

33Billing provider infoPLATTE VALLEY MEDICAL GROUP, LLC
BRIGHTON, CO 80601
33aNPI1952927527assigned 06/19/2020
28Total paid$342K
24GClaims6,953
24DCodes billed8
24AFirst – last monthJan 2021 – Nov 2024
Compared with peers

Next to other Interventional Cardiology Physician providers in Colorado

Rank by total paid#1 of 5
Median peer was paid$9K
This provider vs. median36×

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 MCDANIEL, JON controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
20211,024$62K
20221,871$95K
20232,683$129K
2024incomplete1,375$57K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 43% 1,468 1,343 $147K
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 26% 1,382 1,307 $91K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 11% 497 460 $38K
99205 Prolong outpt/office vis 9.1% 225 205 $31K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 5.9% 2,337 2,205 $20K
93000 3.9% 956 906 $13K
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 <1% 12 12 $2K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) <1% 76 76 $39.60

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 officialMCDANIEL, JON (VP FINANCE)
Parent organizationBRIGHTON COMMUNITY HOSPITAL ASSOCIATION
Same official

Other billing entities under MCDANIEL, JON

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.