Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

METRO COMMUNITY PROVIDER NETWORK INC

NPI: 1114213972 · LAKEWOOD, CO 80228 · Federally Qualified Health Center (FQHC) · NPI assigned 06/21/2011

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official PEER, APRIL controls 18+ related entities in our dataset. Read more

$3.14M
Total Medicaid Paid
29,346
Total Claims
23,858
Beneficiaries
34
Codes Billed
2018-01
First Month
2023-08
Last Month

Provider Details

Authorized OfficialPEER, APRIL (CHIEF FINANCIAL OFFICER)
Parent OrganizationMETRO COMMUNITY PROVIDER NETWORK INC
NPI Enumeration Date06/21/2011

Related Entities

Other providers sharing the same authorized official: PEER, APRIL

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 8,351 $715K
2019 6,678 $585K
2020 914 $95K
2021 4,369 $526K
2022 5,600 $738K
2023 3,434 $484K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 13,222 10,416 $2.10M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,446 3,040 $558K
H0002 Behavioral health screening to determine eligibility for admission to treatment program 1,322 798 $164K
H0031 Mental health assessment, by non-physician 906 563 $107K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 381 365 $73K
G0467 Federally 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 2,474 1,839 $69K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 255 210 $41K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,165 1,068 $24K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 29 28 $6K
0124A 17 16 $247.08
90677 14 14 $56.03
83036 Hemoglobin; glycosylated (A1C) 814 750 $4.08
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 81 72 $0.38
90686 380 355 $0.02
90715 15 14 $0.00
81002 95 87 $0.00
80061 Lipid panel 138 134 $0.00
82948 546 430 $0.00
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 25 24 $0.00
85025 Blood count; complete (CBC), automated, and automated differential WBC count 804 766 $0.00
84443 Thyroid stimulating hormone (TSH) 349 329 $0.00
80053 Comprehensive metabolic panel 1,043 980 $0.00
36416 857 643 $0.00
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 225 214 $0.00
82607 140 136 $0.00
87086 Culture, bacterial; quantitative colony count, urine 15 14 $0.00
90688 248 233 $0.00
80048 Basic metabolic panel (calcium, ionized) 61 54 $0.00
36415 Collection of venous blood by venipuncture 95 91 $0.00
99000 107 103 $0.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 15 12 $0.00
87800 12 12 $0.00
82962 29 28 $0.00
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 21 20 $0.00