Medicaid Provider Spending

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

METRO COMMUNITY PROVIDER NETWORK, INC.

NPI: 1265072441 · AURORA, CO 80010 · Federally Qualified Health Center (FQHC) · NPI assigned 01/15/2020

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

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

$928K
Total Medicaid Paid
6,308
Total Claims
5,221
Beneficiaries
13
Codes Billed
2020-10
First Month
2023-06
Last Month

Provider Details

Authorized OfficialPEER, APRIL (CHIEF FINANCIAL OFFICER)
Parent OrganizationMETRO COMMUNITY PROVIDER NETWORK INC
NPI Enumeration Date01/15/2020

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. 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 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
2020 691 $66K
2021 2,170 $365K
2022 1,784 $267K
2023 1,663 $230K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,171 2,561 $578K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 877 711 $157K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 412 381 $75K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 253 201 $46K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 204 180 $38K
90460 Immunization administration through 18 years of age via any route, first or only component 327 274 $14K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 445 382 $13K
H0002 Behavioral health screening to determine eligibility for admission to treatment program 90 64 $7K
99173 18 12 $0.00
81025 25 25 $0.00
90686 310 269 $0.00
83036 Hemoglobin; glycosylated (A1C) 160 148 $0.00
82962 16 13 $0.00