Metro Community Provider Network INC
Metro Community Provider Network INC was paid $464K by Medicaid between Jul 2020 and Feb 2022, across 10 billing codes. Its largest line is 99211, Office or other outpatient visit for the evaluation and management of an established patient, minimal severity — 62% of everything it billed.
ARVADA, CO 80004
Next to other Federally Qualified Health Center (FQHC) 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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 2,049 | $294K | |
| 2021 | 1,193 | $154K | |
| 2022 | 365 | $16K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 62% | 1,769 | 1,389 | $289K |
| 99201 | 22% | 620 | 583 | $104K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 8.9% | 229 | 224 | $41K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 6.5% | 166 | 155 | $30K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 529 | 419 | $51.31 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 201 | 198 | $31.17 |
| 90686 | 0% | 21 | 20 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 21 | 20 | $0.00 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 0% | 34 | 34 | $0.00 |
| 90461 | 0% | 17 | 17 | $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
| Provider | Location | Paid |
|---|---|---|
| Metro Community Provider Network INC | Aurora, CO | $6.74M |
| Metro Community Provider Network INC | Wheat Ridge, CO | $5.69M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.