Medicaid Provider Spending

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

METRO COMMUNITY PROVIDER NETWORK, INC.

NPI: 1144489675 · AURORA, CO 80014 · Federally Qualified Health Center (FQHC) · NPI assigned 06/09/2008

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

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

$9.74M
Total Medicaid Paid
98,833
Total Claims
85,654
Beneficiaries
86
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialPEER, APRIL (CHIEF FINANCIAL OFFICER)
Parent OrganizationMETRO COMMUNITY PROVIDER NETWORK INC
NPI Enumeration Date06/09/2008

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 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 LAKEWOOD CO $3.14M
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 15,261 $987K
2019 22,002 $1.15M
2020 13,621 $1.29M
2021 14,565 $1.91M
2022 15,347 $2.05M
2023 13,704 $1.80M
2024 4,333 $564K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 26,263 22,065 $5.01M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 9,675 8,651 $1.87M
H0002 Behavioral health screening to determine eligibility for admission to treatment program 4,132 2,483 $552K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,880 2,671 $533K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,255 2,095 $437K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,876 1,784 $370K
90460 Immunization administration through 18 years of age via any route, first or only component 7,610 5,916 $237K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 716 668 $140K
D0999 Unspecified diagnostic procedure, by report 757 583 $138K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 492 473 $103K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 389 331 $66K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 267 245 $55K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 4,400 4,003 $49K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 153 137 $30K
H0031 Mental health assessment, by non-physician 168 139 $21K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 106 102 $20K
99442 72 71 $19K
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 648 596 $15K
90649 197 188 $9K
D1206 Topical application of fluoride varnish 514 419 $9K
D0145 Oral evaluation for a patient under three years of age 198 141 $7K
96110 Developmental screening, with scoring and documentation, per standardized instrument 3,977 3,625 $6K
0124A 171 161 $6K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 26 26 $5K
90832 Psychotherapy, 30 minutes with patient 54 24 $5K
99000 1,680 1,570 $3K
99384 16 13 $3K
99383 14 13 $3K
99381 14 13 $3K
H0023 Behavioral health outreach service (planned approach to reach a targeted population) 16 15 $2K
36415 Collection of venous blood by venipuncture 1,900 1,807 $2K
99173 2,171 1,989 $2K
90670 1,574 1,489 $2K
90734 72 60 $1K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 1,603 1,450 $860.19
36416 1,323 1,124 $854.62
0082A 16 16 $657.70
90686 3,084 2,845 $629.83
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 253 201 $564.63
0173A 16 13 $535.34
0004A 12 12 $494.16
90680 376 352 $198.64
90723 549 499 $188.46
90633 287 259 $118.64
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 509 469 $80.99
90707 14 13 $71.00
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 52 48 $59.20
90461 2,101 1,546 $30.00
83036 Hemoglobin; glycosylated (A1C) 2,172 2,013 $26.97
80053 Comprehensive metabolic panel 1,969 1,886 $21.12
85025 Blood count; complete (CBC), automated, and automated differential WBC count 2,121 2,043 $15.54
81002 226 206 $7.32
85018 212 197 $1.66
90647 417 392 $0.00
82962 234 212 $0.00
90716 45 42 $0.00
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 455 437 $0.00
84443 Thyroid stimulating hormone (TSH) 614 599 $0.00
94760 640 584 $0.00
87086 Culture, bacterial; quantitative colony count, urine 30 27 $0.00
H0049 Alcohol and/or drug screening 16 14 $0.00
80048 Basic metabolic panel (calcium, ionized) 132 129 $0.00
90677 139 129 $0.00
90688 36 36 $0.00
82607 13 12 $0.00
90651 22 14 $0.00
91317 16 13 $0.00
90696 16 12 $0.00
82948 635 569 $0.00
91312 140 131 $0.00
81025 274 245 $0.00
80061 Lipid panel 975 943 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 450 275 $0.00
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 353 335 $0.00
D0190 107 107 $0.00
90472 Immunization administration, each additional vaccine (list separately) 118 74 $0.00
84439 107 100 $0.00
81003 146 131 $0.00
90715 41 39 $0.00
91308 73 70 $0.00
90648 15 15 $0.00
90685 105 97 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 20 19 $0.00
83655 52 50 $0.00
90658 14 12 $0.00
90681 35 32 $0.00