Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Colorado for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Colorado only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Colorado (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Poudre Valley Medical Group, LLC (NPI 1225356868)

Field	Value
Entity Type	Organization
Organization	Poudre Valley Medical Group, LLC
Address	2695 Rocky Mountain Ave Ste 110
City	Loveland
State	CO
ZIP	80538
Taxonomy	General Practice Physician
NPI Enumerated	May 6, 2010

Payer Source	Total Paid
Medicaid	$14.9M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

114 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	77,620	$80	$6M
99203	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…	23,170	$80	$1.8M
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	26,160	$50	$1.4M
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	7,950	$120	$970.3K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	17,120	$30	$547.8K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	10,260	$50	$461.7K
76811	The provider performs an ultrasound study using a transabdominal approach to examine the fetus and mother, along with additional examination of the fetal anatomy, such as the heart rate, amniotic…	2,640	$170	$446K
J0585	Injection, onabotulinumtoxina, 1 unit	1,070	$390	$413.8K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	3,060	$90	$284.4K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	8,580	$30	$283K

Showing 1–10 of 114

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Colorado providers billing the same CPT/HCPCS codes.

Claims Volume vs. Colorado Distribution

Poudre Valley Medical Group, LLC — 9 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Colorado

Full comparison — all codes billed, vs. Colorado median

114 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	129	210	730	$120	$966.7K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	182	290	1,390	$110	$958.7K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	189	270	1,290	$100	$937.1K
J0585	Injection, onabotulinumtoxina, 1 unit	13	50	340	$520	$452.1K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	76	2,520	330	$100	$352K
59400	In this global service, the provider and nonphysician healthcare providers in the practice provide all of the antepartum care, admission to the hospital for delivery, labor management, including…	4	10	60	$1,250	$286.5K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	40	100	110	$150	$271.5K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	8	2,630	430	$90	$268.2K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	21	220	340	$60	$188.2K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	6	110	160	$70	$124.7K

Showing 1–10 of 114

Related Providers

Other providers that share a Tax Identification Number (TIN) with Poudre Valley Medical Group, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Uch-mhs	CO	General Acute Care Hospital	$0	$69M
University Of Colorado Hospital Authority	CO	General Acute Care Hospital	$0	$58.1M
Poudre Valley Medical Group, LLC	CO	General Practice Physician	$0	$8M
Fort Collins Radiologic Associates PC	CO	Diagnostic Radiology Physician	$0	$6.4M
Poudre Valley Medical Group, LLC	CO	Urgent Care Clinic/Center	$0	$6M
Inder Singh	CA	Interventional Cardiology Physician	$4.7M	$0
University Of Colorado Hospital Authority	CO	General Acute Care Hospital	$0	$3.8M
Jodie Gallegos	CO	Family Nurse Practitioner	$2.8M	$0
Cedar Valley Pathologists PC	IA	Clinical Pathology/Laboratory Medicine Physician	$0	$1.8M
James Levine	CO	Rheumatology Physician	$1.7M	$0

Nearby Providers

Other providers in the same ZIP code as Poudre Valley Medical Group, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tender Care Pediatric Services, Inc	CO	Durable Medical Equipment & Medical Supplies	$0	$38.3M
Teamselect Home Care Of Colorado, LLC	CO	Home Health Agency	$0	$30.4M
North Colorado Medical Center	CO	General Acute Care Hospital	$0	$8.2M
Summit Pathology	CO	Clinical Medical Laboratory	$670.1K	$4.3M
Medical Center Of The Rockies	CO	General Acute Care Hospital	$0	$4.8M
Ryan Wolf	CO	Physician Assistant	$4.6M	$0
Thompson Valley Emergency Medical Services Inc	CO	Land Ambulance	$1.1M	$3.3M
Summit Pathology	CO	Anatomic Pathology & Clinical Pathology Physician	$0	$4.4M
Kidstuff Child & Family Counseling, P.C.	CO	Professional Counselor	$0	$4.2M
Ocr Loveland Asc & Ccc LLC	CO	Ambulatory Surgical Clinic/Center	$3.2M	$0

Poudre Valley Medical Group, LLC — Billing Profile & Reimbursement Data

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Poudre Valley Medical Group, LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References