Clinic
Metro Community Provider Network INC
Metro Community Provider Network INC was paid $3.14M by Medicaid between Jan 2018 and Aug 2023, across 34 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 67% of everything it billed.
33Billing provider infoMETRO COMMUNITY PROVIDER NETWORK INC
LAKEWOOD, CO 80228
LAKEWOOD, CO 80228
33aNPI1114213972assigned 06/21/2011
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$3.14M
24GClaims29,346
24DCodes billed34
24AFirst – last monthJan 2018 – Aug 2023
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Colorado
Rank by total paid#74 of 197
Median peer was paid$1.11M
This provider vs. median2.8×
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 PEER, APRIL controls 18+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 8,351 | $715K | |
| 2019 | 6,678 | $585K | |
| 2020 | 914 | $95K | |
| 2021 | 4,369 | $526K | |
| 2022 | 5,600 | $738K | |
| 2023 | 3,434 | $484K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 67% | 13,222 | 10,416 | $2.10M |
| 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 | 18% | 3,446 | 3,040 | $558K |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | 5.2% | 1,322 | 798 | $164K |
| H0031 | Mental health assessment, by non-physician | 3.4% | 906 | 563 | $107K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.3% | 381 | 365 | $73K |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 2.2% | 2,474 | 1,839 | $69K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.3% | 255 | 210 | $41K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,165 | 1,068 | $24K |
| 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% | 29 | 28 | $6K |
| 0124A | <1% | 17 | 16 | $247.08 | |
| 90677 | <1% | 14 | 14 | $56.03 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 814 | 750 | $4.08 |
22 more codes
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 81 | $0.38 |
| 90686 | <1% | 380 | $0.02 | |
| 90715 | 0% | 15 | $0.00 | |
| 81002 | 0% | 95 | $0.00 | |
| 80061 | Lipid panel | 0% | 138 | $0.00 |
| 82948 | 0% | 546 | $0.00 | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 0% | 25 | $0.00 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 804 | $0.00 |
| 84443 | Thyroid stimulating hormone (TSH) | 0% | 349 | $0.00 |
| 80053 | Comprehensive metabolic panel | 0% | 1,043 | $0.00 |
| 36416 | 0% | 857 | $0.00 | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 0% | 225 | $0.00 |
| 82607 | 0% | 140 | $0.00 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | 0% | 15 | $0.00 |
| 90688 | 0% | 248 | $0.00 | |
| 80048 | Basic metabolic panel (calcium, ionized) | 0% | 61 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 95 | $0.00 |
| 99000 | 0% | 107 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 15 | $0.00 |
| 87800 | 0% | 12 | $0.00 | |
| 82962 | 0% | 29 | $0.00 | |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | 0% | 21 | $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.
From NPPES
Who's on the registration
Authorized officialPEER, APRIL (CHIEF FINANCIAL OFFICER)
Parent organizationMETRO COMMUNITY PROVIDER NETWORK INC
| Provider | Location | Paid |
|---|---|---|
| Metro Community Provider Network INC | Aurora, CO | $25.62M |
| Metro Community Provider Network INC | Wheat Ridge, CO | $23.59M |
| Metro Community Provider Network INC | Aurora, CO | $11.08M |
| Metro Community Provider Network, INC. | Aurora, CO | $9.74M |
| Metro Community Provider Network INC | Arvada, CO | $9.29M |
| Metro Community Provider Network INC | Parker, CO | $3.84M |
| Metro Community Provider Network, INC. | Englewood, CO | $3.24M |
| Metro Community Provider Network INC | Aurora, CO | $1.35M |
| Metro Community Provider Network, INC. | Aurora, CO | $928K |
| Metro Community Provider Network INC | Lakewood, CO | $865K |
| Metro Community Provider Network, INC. | Lakewood, CO | $560K |
| Metro Community Provider Network INC | Aurora, CO | $468K |
| Metro Community Provider Network, INC. | Golden, CO | $464K |
| Metro Community Provider Network INC | Aurora, CO | $358K |
| Metro Community Provider Network INC | Conifer, CO | $241K |
| Metro Community Provider Network INC | Aurora, CO | $59K |
| Metro Community Provider Network, INC. | Aurora, CO | $49K |
| Metro Community Provider Network INC | Wheat Ridge, CO | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.