Clinic
Metro Community Provider Network INC
Metro Community Provider Network INC was paid $23.59M by Medicaid between Jan 2018 and Nov 2024, across 118 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 47% of everything it billed.
33Billing provider infoMETRO COMMUNITY PROVIDER NETWORK INC
WHEAT RIDGE, CO 80033
WHEAT RIDGE, CO 80033
33aNPI1184961492assigned 01/07/2013
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$23.59M
24GClaims194,757
24DCodes billed118
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Colorado
Rank by total paid#15 of 197
Median peer was paid$1.11M
This provider vs. median21×
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 | 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 | |
| 2024incomplete | 12,015 | $1.99M |
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 | 47% | 56,845 | 47,642 | $11.05M |
| D0999 | Unspecified diagnostic procedure, by report | 16% | 17,395 | 13,322 | $3.85M |
| 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 | 15% | 18,935 | 16,631 | $3.43M |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 7.0% | 8,504 | 7,748 | $1.64M |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | 2.2% | 4,666 | 2,839 | $530K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.6% | 2,073 | 1,902 | $388K |
| H0031 | Mental health assessment, by non-physician | 1.3% | 2,846 | 1,787 | $318K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.2% | 1,545 | 1,418 | $288K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.2% | 1,482 | 1,398 | $276K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 1.0% | 2,161 | 1,084 | $239K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 8,447 | 6,246 | $221K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 1,027 | 978 | $206K |
106 more codes
| 99203 | Doctor's office visit, new patient (routine) | <1% | 1,017 | $205K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 584 | $112K |
| 99201 | <1% | 556 | $82K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 533 | $81K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 5,714 | $71K |
| D1206 | Topical application of fluoride varnish | <1% | 4,205 | $64K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 329 | $62K |
| D1120 | Dental cleaning, child | <1% | 2,194 | $53K |
| H0023 | Behavioral health outreach service (planned approach to reach a targeted population) | <1% | 439 | $51K |
| D0120 | Dental checkup, returning patient | <1% | 2,642 | $41K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 4,403 | $34K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 279 | $31K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 177 | $29K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 129 | $26K |
| G0467 | Community health center visit, returning patient | <1% | 1,270 | $22K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 809 | $20K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 2,858 | $20K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 575 | $17K |
| D0272 | Bitewings - two radiographic images | <1% | 943 | $16K |
| 99381 | <1% | 72 | $15K | |
| D1351 | Sealant - per tooth | <1% | 528 | $14K |
| H0032 | Mental health service plan development by non-physician | <1% | 101 | $12K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 45 | $11K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 181 | $8K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 370 | $8K |
| D0330 | Panoramic radiographic image | <1% | 353 | $7K |
| 99384 | <1% | 28 | $6K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 390 | $6K |
| 90649 | <1% | 117 | $4K | |
| 99383 | <1% | 38 | $4K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 20 | $4K |
| D0190 | <1% | 1,186 | $2K | |
| 0124A | <1% | 164 | $2K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 181 | $2K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 824 | $2K |
| D0274 | Bitewings - four radiographic images | <1% | 424 | $1K |
| 0004A | <1% | 56 | $1K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 2,567 | $1K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 2,576 | $893.59 |
| 90670 | <1% | 1,059 | $762.27 | |
| 90461 | <1% | 2,490 | $693.50 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 270 | $286.73 |
| 90686 | <1% | 3,502 | $221.18 | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 879 | $210.54 |
| 0064A | <1% | 134 | $205.90 | |
| 99000 | <1% | 1,606 | $200.98 | |
| 0071A | <1% | 83 | $164.72 | |
| 90734 | <1% | 63 | $146.62 | |
| 90677 | <1% | 181 | $131.65 | |
| 81025 | <1% | 1,686 | $111.98 | |
| 80055 | <1% | 58 | $95.62 | |
| 86769 | <1% | 72 | $84.26 | |
| 90633 | <1% | 220 | $78.08 | |
| 87800 | <1% | 94 | $71.32 | |
| 81002 | <1% | 784 | $57.05 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 453 | $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 | <1% | 28 | $40.05 |
| 99173 | <1% | 818 | $10.05 | |
| 80053 | Comprehensive metabolic panel | <1% | 1,697 | $9.78 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,549 | $8.16 |
| 85018 | <1% | 281 | $3.32 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 56 | $0.06 |
| 90685 | 0% | 174 | $0.00 | |
| 84439 | 0% | 396 | $0.00 | |
| 91300 | 0% | 170 | $0.00 | |
| 80061 | Lipid panel | 0% | 639 | $0.00 |
| 81003 | 0% | 15 | $0.00 | |
| 83655 | 0% | 141 | $0.00 | |
| D1110 | Prophylaxis - adult | 0% | 40 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 63 | $0.00 |
| 80305 | 0% | 19 | $0.00 | |
| 90715 | 0% | 61 | $0.00 | |
| 82948 | 0% | 15 | $0.00 | |
| 90621 | 0% | 28 | $0.00 | |
| 91312 | 0% | 59 | $0.00 | |
| 0002A | 0% | 32 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 12 | $0.00 |
| 90647 | 0% | 542 | $0.00 | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 0% | 83 | $0.00 |
| 84443 | Thyroid stimulating hormone (TSH) | 0% | 1,093 | $0.00 |
| 90688 | 0% | 436 | $0.00 | |
| 90680 | 0% | 726 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 1,064 | $0.00 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 1,506 | $0.00 |
| 80048 | Basic metabolic panel (calcium, ionized) | 0% | 112 | $0.00 |
| 90723 | 0% | 651 | $0.00 | |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | 0% | 192 | $0.00 |
| 91307 | 0% | 31 | $0.00 | |
| 82043 | 0% | 70 | $0.00 | |
| 90651 | 0% | 63 | $0.00 | |
| 0012A | 0% | 464 | $0.00 | |
| 91301 | 0% | 998 | $0.00 | |
| 0011A | 0% | 518 | $0.00 | |
| 36416 | 0% | 84 | $0.00 | |
| 90698 | 0% | 93 | $0.00 | |
| D7140 | Extraction, erupted tooth or exposed root | 0% | 15 | $0.00 |
| 82962 | 0% | 28 | $0.00 | |
| 91315 | 0% | 12 | $0.00 | |
| 90716 | 0% | 13 | $0.00 | |
| 94760 | 0% | 31 | $0.00 | |
| H0049 | Alcohol and/or drug screening | 0% | 67 | $0.00 |
| 0001A | 0% | 42 | $0.00 | |
| 91306 | 0% | 42 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 15 | $0.00 |
| 82950 | 0% | 12 | $0.00 | |
| 96127 | 0% | 24 | $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 | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.