Clinic
Metro Community Provider Network, INC.
Metro Community Provider Network, INC. was paid $9.74M by Medicaid between Jan 2018 and Nov 2024, across 86 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 51% of everything it billed.
33Billing provider infoMETRO COMMUNITY PROVIDER NETWORK, INC.
AURORA, CO 80014
AURORA, CO 80014
33aNPI1144489675assigned 06/09/2008
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$9.74M
24GClaims98,833
24DCodes billed86
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Colorado
Rank by total paid#34 of 197
Median peer was paid$1.11M
This provider vs. median8.8×
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 | 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 | |
| 2024incomplete | 4,333 | $564K |
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 | 51% | 26,263 | 22,065 | $5.01M |
| 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 | 19% | 9,675 | 8,651 | $1.87M |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | 5.7% | 4,132 | 2,483 | $552K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 5.5% | 2,880 | 2,671 | $533K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.5% | 2,255 | 2,095 | $437K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.8% | 1,876 | 1,784 | $370K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.4% | 7,610 | 5,916 | $237K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.4% | 716 | 668 | $140K |
| D0999 | Unspecified diagnostic procedure, by report | 1.4% | 757 | 583 | $138K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.1% | 492 | 473 | $103K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 389 | 331 | $66K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 267 | 245 | $55K |
74 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 4,400 | $49K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 153 | $30K |
| H0031 | Mental health assessment, by non-physician | <1% | 168 | $21K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 106 | $20K |
| 99442 | <1% | 72 | $19K | |
| G0467 | Community health center visit, returning patient | <1% | 648 | $15K |
| 90649 | <1% | 197 | $9K | |
| D1206 | Topical application of fluoride varnish | <1% | 514 | $9K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 198 | $7K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 3,977 | $6K |
| 0124A | <1% | 171 | $6K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 26 | $5K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 54 | $5K |
| 99000 | <1% | 1,680 | $3K | |
| 99384 | <1% | 16 | $3K | |
| 99383 | <1% | 14 | $3K | |
| 99381 | <1% | 14 | $3K | |
| H0023 | Behavioral health outreach service (planned approach to reach a targeted population) | <1% | 16 | $2K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,900 | $2K |
| 99173 | <1% | 2,171 | $2K | |
| 90670 | <1% | 1,574 | $2K | |
| 90734 | <1% | 72 | $1K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 1,603 | $860.19 |
| 36416 | <1% | 1,323 | $854.62 | |
| 0082A | <1% | 16 | $657.70 | |
| 90686 | <1% | 3,084 | $629.83 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 253 | $564.63 |
| 0173A | <1% | 16 | $535.34 | |
| 0004A | <1% | 12 | $494.16 | |
| 90680 | <1% | 376 | $198.64 | |
| 90723 | <1% | 549 | $188.46 | |
| 90633 | <1% | 287 | $118.64 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 509 | $80.99 |
| 90707 | <1% | 14 | $71.00 | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 52 | $59.20 |
| 90461 | <1% | 2,101 | $30.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 2,172 | $26.97 |
| 80053 | Comprehensive metabolic panel | <1% | 1,969 | $21.12 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 2,121 | $15.54 |
| 81002 | <1% | 226 | $7.32 | |
| 85018 | <1% | 212 | $1.66 | |
| 90647 | 0% | 417 | $0.00 | |
| 82962 | 0% | 234 | $0.00 | |
| 90716 | 0% | 45 | $0.00 | |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | 0% | 455 | $0.00 |
| 84443 | Thyroid stimulating hormone (TSH) | 0% | 614 | $0.00 |
| 94760 | 0% | 640 | $0.00 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | 0% | 30 | $0.00 |
| H0049 | Alcohol and/or drug screening | 0% | 16 | $0.00 |
| 80048 | Basic metabolic panel (calcium, ionized) | 0% | 132 | $0.00 |
| 90677 | 0% | 139 | $0.00 | |
| 90688 | 0% | 36 | $0.00 | |
| 82607 | 0% | 13 | $0.00 | |
| 90651 | 0% | 22 | $0.00 | |
| 91317 | 0% | 16 | $0.00 | |
| 90696 | 0% | 16 | $0.00 | |
| 82948 | 0% | 635 | $0.00 | |
| 91312 | 0% | 140 | $0.00 | |
| 81025 | 0% | 274 | $0.00 | |
| 80061 | Lipid panel | 0% | 975 | $0.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 450 | $0.00 |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 0% | 353 | $0.00 |
| D0190 | 0% | 107 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 118 | $0.00 |
| 84439 | 0% | 107 | $0.00 | |
| 81003 | 0% | 146 | $0.00 | |
| 90715 | 0% | 41 | $0.00 | |
| 91308 | 0% | 73 | $0.00 | |
| 90648 | 0% | 15 | $0.00 | |
| 90685 | 0% | 105 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 20 | $0.00 |
| 83655 | 0% | 52 | $0.00 | |
| 90658 | 0% | 14 | $0.00 | |
| 90681 | 0% | 35 | $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 | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.