POUDRE VALLEY MEDICAL GROUP, LLC
NPI: 1962157404
· LOVELAND, CO 80538
· 207RI0200X
$143K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
267 |
$121K |
| 2023 |
145 |
$8K |
| 2024 |
198 |
$14K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| Q0222 |
Bebtelovimab 175 mg |
32 |
32 |
$65K |
| M0222 |
Bebtelovimab injection |
83 |
82 |
$27K |
| 99214 |
|
343 |
328 |
$21K |
| J0248 |
Inj, remdesivir, 1 mg |
42 |
14 |
$20K |
| M0247 |
Sotrovimab infusion |
35 |
30 |
$7K |
| 96365 |
|
41 |
14 |
$2K |
| Q0247 |
Sotrovimab |
34 |
29 |
$0.17 |