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 1366763260)

Poudre Valley Medical Group, LLC is a general practice physician provider located in Loveland, Colorado. This profile covers 0 Medicare and 112 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Poudre Valley Medical Group, LLC
Address	2695 Rocky Mountain Ave
City	Loveland
State	CO
ZIP	80538
Taxonomy	General Practice Physician
NPI Enumerated	June 15, 2010

Payer Source	Total Paid
Medicaid	$8M
Medicare	$0

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

112 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…	53,130	$60	$3.1M
J0585	Injection, onabotulinumtoxina, 1 unit	2,680	$630	$1.7M
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…	22,170	$40	$931.3K
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…	5,900	$70	$412.9K
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…	2,710	$100	$279.1K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	7,810	$30	$250K
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…	4,770	$40	$167K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	2,140	$70	$149.8K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	1,660	$80	$127.9K
64615	The provider bilaterally administers a chemical compound to the muscles innervated by the trigeminal, facial, cervical spinal, and accessory nerves. The goal of this procedure is to paralyze the…	1,700	$70	$123.8K

Showing 1–10 of 112

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 — 6 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

112 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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.	177	290	1,390	$110	$958.7K
90870	The provider applies an electric current to the patient's brain for the purpose of producing a seizure or series of seizures to alleviate symptoms of various mental disorders.	5	10	2,040	$280	$933.7K
J0585	Injection, onabotulinumtoxina, 1 unit	3	50	340	$520	$452.1K
80050	The lab analyst performs testing for the specific group of clinical laboratory procedures in the general health panel. Payers typically consider 80050 to apply only when the clinician orders the…	23	30	230	$40	$428.1K
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…	90	2,520	330	$100	$352K
96118	N/A	8	10	290	$500	$334.2K
95810	Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…	28	30	80	$400	$301.9K
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…	15	2,630	430	$90	$268.2K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	57	240	550	$110	$208.5K
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…	129	220	340	$60	$188.2K

Showing 1–10 of 112

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 Health Care Inc.	CO	General Acute Care Hospital	$0	$19.9M
Poudre Valley Medical Group, LLC	CO	General Practice Physician	$0	$14.9M
Poudre Valley Health Care Inc	CO	General Acute Care Hospital	$0	$11.8M
Poudre Valley Health Care,inc	CO	Clinic/Center	$0	$6.7M
Fort Collins Radiologic Associates PC	CO	Diagnostic Radiology Physician	$0	$6.4M
Poudre Valley Medical Group, LLC	CO	Urgent Care Clinic/Center	$0	$6M
Medical Center Of The Rockies	CO	General Acute Care Hospital	$0	$4.8M
Inder Singh	CA	Interventional Cardiology Physician	$4.7M	$0

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
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
Reach Air Medical Services LLC	CO	Air Ambulance	$414.1K	$942.3K

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

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