Medicaid Provider Spending

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

METRO COMMUNITY PROVIDER NETWORK INC

NPI: 1184961492 · WHEAT RIDGE, CO 80033 · Federally Qualified Health Center (FQHC) · NPI assigned 01/07/2013

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

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

$23.59M
Total Medicaid Paid
194,757
Total Claims
162,317
Beneficiaries
118
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 Date01/07/2013

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 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 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 28,652 $2.49M
2019 33,553 $2.83M
2020 30,754 $3.52M
2021 33,084 $4.06M
2022 25,341 $3.63M
2023 31,358 $5.06M
2024 12,015 $1.99M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 56,845 47,642 $11.05M
D0999 Unspecified diagnostic procedure, by report 17,395 13,322 $3.85M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 18,935 16,631 $3.43M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 8,504 7,748 $1.64M
H0002 Behavioral health screening to determine eligibility for admission to treatment program 4,666 2,839 $530K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,073 1,902 $388K
H0031 Mental health assessment, by non-physician 2,846 1,787 $318K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,545 1,418 $288K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,482 1,398 $276K
90832 Psychotherapy, 30 minutes with patient 2,161 1,084 $239K
90460 Immunization administration through 18 years of age via any route, first or only component 8,447 6,246 $221K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,027 978 $206K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,017 964 $205K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 584 541 $112K
99201 556 451 $82K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 533 447 $81K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 5,714 5,263 $71K
D1206 Topical application of fluoride varnish 4,205 3,289 $64K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 329 304 $62K
D1120 Prophylaxis - child 2,194 1,683 $53K
H0023 Behavioral health outreach service (planned approach to reach a targeted population) 439 238 $51K
D0120 Periodic oral evaluation - established patient 2,642 2,130 $41K
D0220 Intraoral - periapical first radiographic image 4,403 3,619 $34K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 279 172 $31K
90834 Psychotherapy, 45 minutes with patient 177 134 $29K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 129 115 $26K
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 1,270 1,068 $22K
D0150 Comprehensive oral evaluation - new or established patient 809 702 $20K
D0230 Intraoral - periapical each additional radiographic image 2,858 2,338 $20K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 575 301 $17K
D0272 Bitewings - two radiographic images 943 707 $16K
99381 72 64 $15K
D1351 Sealant - per tooth 528 105 $14K
H0032 Mental health service plan development by non-physician 101 63 $12K
99215 Prolong outpt/office vis 45 38 $11K
D2391 Resin-based composite - one surface, posterior, primary or permanent 181 123 $8K
D0145 Oral evaluation for a patient under three years of age 370 286 $8K
D0330 Panoramic radiographic image 353 307 $7K
99384 28 25 $6K
D0140 Limited oral evaluation - problem focused 390 334 $6K
90649 117 110 $4K
99383 38 25 $4K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 20 16 $4K
D0190 1,186 1,162 $2K
0124A 164 161 $2K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 181 121 $2K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 824 648 $2K
D0274 Bitewings - four radiographic images 424 413 $1K
0004A 56 47 $1K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 2,567 2,370 $1K
96110 Developmental screening, with scoring and documentation, per standardized instrument 2,576 2,303 $893.59
90670 1,059 1,016 $762.27
90461 2,490 1,803 $693.50
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 270 250 $286.73
90686 3,502 3,271 $221.18
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 879 778 $210.54
0064A 134 94 $205.90
99000 1,606 1,465 $200.98
0071A 83 54 $164.72
90734 63 59 $146.62
90677 181 175 $131.65
81025 1,686 1,464 $111.98
80055 58 53 $95.62
86769 72 66 $84.26
90633 220 204 $78.08
87800 94 86 $71.32
81002 784 696 $57.05
87086 Culture, bacterial; quantitative colony count, urine 453 391 $40.35
G0511 Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month 28 27 $40.05
99173 818 750 $10.05
80053 Comprehensive metabolic panel 1,697 1,559 $9.78
83036 Hemoglobin; glycosylated (A1C) 1,549 1,410 $8.16
85018 281 273 $3.32
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 56 51 $0.06
90685 174 163 $0.00
84439 396 358 $0.00
91300 170 147 $0.00
80061 Lipid panel 639 612 $0.00
81003 15 12 $0.00
83655 141 135 $0.00
D1110 Prophylaxis - adult 40 40 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 63 40 $0.00
80305 19 15 $0.00
90715 61 60 $0.00
82948 15 13 $0.00
90621 28 24 $0.00
91312 59 54 $0.00
0002A 32 32 $0.00
90472 Immunization administration, each additional vaccine (list separately) 12 12 $0.00
90647 542 490 $0.00
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 83 79 $0.00
84443 Thyroid stimulating hormone (TSH) 1,093 1,040 $0.00
90688 436 416 $0.00
90680 726 644 $0.00
36415 Collection of venous blood by venipuncture 1,064 965 $0.00
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1,506 1,393 $0.00
80048 Basic metabolic panel (calcium, ionized) 112 104 $0.00
90723 651 571 $0.00
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 192 183 $0.00
91307 31 31 $0.00
82043 70 69 $0.00
90651 63 49 $0.00
0012A 464 462 $0.00
91301 998 989 $0.00
0011A 518 514 $0.00
36416 84 61 $0.00
90698 93 83 $0.00
D7140 Extraction, erupted tooth or exposed root 15 13 $0.00
82962 28 25 $0.00
91315 12 12 $0.00
90716 13 12 $0.00
94760 31 27 $0.00
H0049 Alcohol and/or drug screening 67 60 $0.00
0001A 42 40 $0.00
91306 42 42 $0.00
G0008 Administration of influenza virus vaccine 15 14 $0.00
82950 12 12 $0.00
96127 24 23 $0.00