Clinic
Metro Community Provider Network INC
Metro Community Provider Network INC was paid $25.62M by Medicaid between Jan 2018 and Aug 2024, across 133 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 46% of everything it billed.
33Billing provider infoMETRO COMMUNITY PROVIDER NETWORK INC
AURORA, CO 80010
AURORA, CO 80010
33aNPI1205098340assigned 06/30/2008
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$25.62M
24GClaims255,193
24DCodes billed133
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Colorado
Rank by total paid#11 of 197
Median peer was paid$1.11M
This provider vs. median23×
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 | 45,203 | $3.22M | |
| 2019 | 44,603 | $2.83M | |
| 2020 | 29,803 | $2.99M | |
| 2021 | 30,783 | $3.99M | |
| 2022 | 41,299 | $5.41M | |
| 2023 | 51,118 | $5.74M | |
| 2024incomplete | 12,384 | $1.45M |
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 | 46% | 60,693 | 50,747 | $11.91M |
| 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 | 13% | 17,116 | 14,372 | $3.24M |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 8.7% | 15,158 | 13,924 | $2.23M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.9% | 8,227 | 7,722 | $1.52M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.2% | 7,229 | 6,833 | $1.35M |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.5% | 4,821 | 4,502 | $908K |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | 3.3% | 7,156 | 3,966 | $849K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3.3% | 25,546 | 18,991 | $837K |
| D0999 | Unspecified diagnostic procedure, by report | 2.8% | 3,658 | 3,455 | $721K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.9% | 2,576 | 2,394 | $492K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.6% | 1,936 | 1,712 | $403K |
| H0031 | Mental health assessment, by non-physician | <1% | 1,931 | 1,020 | $248K |
121 more codes
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,090 | $217K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 12,531 | $210K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 701 | $160K |
| 99381 | <1% | 425 | $92K | |
| 90649 | <1% | 744 | $42K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 171 | $38K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 172 | $36K |
| H0023 | Behavioral health outreach service (planned approach to reach a targeted population) | <1% | 247 | $32K |
| 99441 | <1% | 53 | $15K | |
| H0001 | Alcohol and/or drug assessment | <1% | 110 | $15K |
| 90480 | <1% | 91 | $9K | |
| 0081A | <1% | 173 | $7K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 12,219 | $5K |
| 0124A | <1% | 129 | $5K | |
| 98966 | <1% | 46 | $4K | |
| D1120 | Dental cleaning, child | <1% | 603 | $2K |
| 0082A | <1% | 60 | $2K | |
| D1206 | Topical application of fluoride varnish | <1% | 1,327 | $2K |
| H0006 | Alcohol and/or drug services; case management | <1% | 18 | $2K |
| 0004A | <1% | 61 | $2K | |
| 90461 | <1% | 8,764 | $2K | |
| D0272 | Bitewings - two radiographic images | <1% | 523 | $2K |
| 0071A | <1% | 44 | $2K | |
| D0120 | Dental checkup, returning patient | <1% | 634 | $2K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,182 | $2K |
| 0154A | <1% | 40 | $2K | |
| 90670 | <1% | 5,094 | $2K | |
| 99201 | <1% | 16 | $1K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 957 | $1K |
| 99173 | <1% | 5,246 | $1K | |
| 0073A | <1% | 27 | $1K | |
| 90723 | <1% | 2,663 | $1K | |
| 90680 | <1% | 2,313 | $907.67 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 862 | $860.19 |
| 99000 | <1% | 1,358 | $821.43 | |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 275 | $814.26 |
| 0072A | <1% | 20 | $782.42 | |
| 90734 | <1% | 403 | $733.10 | |
| 90686 | <1% | 6,815 | $698.87 | |
| 0173A | <1% | 20 | $658.88 | |
| 90633 | <1% | 1,597 | $641.29 | |
| 0003A | <1% | 15 | $535.34 | |
| D1110 | Prophylaxis - adult | <1% | 74 | $424.56 |
| G0467 | Community health center visit, returning patient | <1% | 13 | $386.50 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 5,334 | $287.48 |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 266 | $282.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 150 | $185.44 |
| D0274 | Bitewings - four radiographic images | <1% | 154 | $145.60 |
| 90696 | <1% | 25 | $135.00 | |
| 87800 | <1% | 77 | $128.46 | |
| 90716 | <1% | 743 | $118.00 | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 64 | $93.00 |
| D1351 | Sealant - per tooth | <1% | 105 | $75.00 |
| D0140 | Limited oral evaluation - problem focused | <1% | 107 | $66.00 |
| 83655 | <1% | 572 | $26.92 | |
| 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% | 77 | $26.70 |
| 85018 | <1% | 1,013 | $23.84 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,326 | $22.34 |
| 84460 | <1% | 40 | $16.72 | |
| 80053 | Comprehensive metabolic panel | <1% | 1,156 | $16.44 |
| D0270 | <1% | 27 | $16.09 | |
| 84450 | <1% | 13 | $8.29 | |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | 0% | 205 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 624 | $0.00 |
| 90647 | 0% | 2,030 | $0.00 | |
| H0049 | Alcohol and/or drug screening | 0% | 516 | $0.00 |
| 90651 | 0% | 292 | $0.00 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 871 | $0.00 |
| 91307 | 0% | 90 | $0.00 | |
| 84443 | Thyroid stimulating hormone (TSH) | 0% | 393 | $0.00 |
| 91315 | 0% | 42 | $0.00 | |
| 36416 | 0% | 804 | $0.00 | |
| 90677 | 0% | 797 | $0.00 | |
| 90698 | 0% | 246 | $0.00 | |
| 91317 | 0% | 28 | $0.00 | |
| 80055 | 0% | 12 | $0.00 | |
| 90688 | 0% | 586 | $0.00 | |
| 87081 | 0% | 45 | $0.00 | |
| 86803 | 0% | 44 | $0.00 | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 0% | 90 | $0.00 |
| 80048 | Basic metabolic panel (calcium, ionized) | 0% | 62 | $0.00 |
| 94760 | 0% | 248 | $0.00 | |
| 86361 | 0% | 13 | $0.00 | |
| 90744 | 0% | 84 | $0.00 | |
| 86317 | 0% | 17 | $0.00 | |
| 90632 | 0% | 69 | $0.00 | |
| 87340 | 0% | 46 | $0.00 | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 46 | $0.00 |
| D0210 | Intraoral - complete series of radiographic images | 0% | 18 | $0.00 |
| 87086 | Culture, bacterial; quantitative colony count, urine | 0% | 94 | $0.00 |
| 82962 | 0% | 13 | $0.00 | |
| 87536 | 0% | 13 | $0.00 | |
| 85027 | 0% | 15 | $0.00 | |
| 86592 | 0% | 20 | $0.00 | |
| 90620 | 0% | 19 | $0.00 | |
| 81002 | 0% | 1,032 | $0.00 | |
| 90648 | 0% | 321 | $0.00 | |
| 81025 | 0% | 1,924 | $0.00 | |
| 82948 | 0% | 249 | $0.00 | |
| 90685 | 0% | 670 | $0.00 | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 0% | 157 | $0.00 |
| 90715 | 0% | 1,661 | $0.00 | |
| 90746 | 0% | 806 | $0.00 | |
| 90681 | 0% | 181 | $0.00 | |
| 91308 | 0% | 206 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 197 | $0.00 |
| 91312 | 0% | 181 | $0.00 | |
| 80061 | Lipid panel | 0% | 490 | $0.00 |
| 80305 | 0% | 34 | $0.00 | |
| 90713 | 0% | 297 | $0.00 | |
| D0190 | 0% | 442 | $0.00 | |
| 90707 | 0% | 121 | $0.00 | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 0% | 194 | $0.00 |
| 91300 | 0% | 111 | $0.00 | |
| 86682 | 0% | 47 | $0.00 | |
| 86735 | 0% | 14 | $0.00 | |
| D0330 | Panoramic radiographic image | 0% | 29 | $0.00 |
| 90700 | 0% | 29 | $0.00 | |
| 86480 | 0% | 47 | $0.00 | |
| 86787 | 0% | 25 | $0.00 | |
| 86708 | 0% | 14 | $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 | 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 | 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.