Clinic
Metro Community Provider Network, INC.
Metro Community Provider Network, INC. was paid $928K by Medicaid between Oct 2020 and Jun 2023, across 13 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 62% of everything it billed.
33Billing provider infoMETRO COMMUNITY PROVIDER NETWORK, INC.
AURORA, CO 80010
AURORA, CO 80010
33aNPI1265072441assigned 01/15/2020
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$928K
24GClaims6,308
24DCodes billed13
24AFirst – last monthOct 2020 – Jun 2023
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Colorado
Rank by total paid#108 of 197
Median peer was paid$1.11M
This provider vs. median0.8×
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 | |
|---|---|---|---|
| 2020 | 691 | $66K | |
| 2021 | 2,170 | $365K | |
| 2022 | 1,784 | $267K | |
| 2023 | 1,663 | $230K |
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 | 62% | 3,171 | 2,561 | $578K |
| 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 | 17% | 877 | 711 | $157K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 8.1% | 412 | 381 | $75K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.9% | 253 | 201 | $46K |
| 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 | 4.1% | 204 | 180 | $38K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.5% | 327 | 274 | $14K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.4% | 445 | 382 | $13K |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | <1% | 90 | 64 | $7K |
| 99173 | 0% | 18 | 12 | $0.00 | |
| 81025 | 0% | 25 | 25 | $0.00 | |
| 90686 | 0% | 310 | 269 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 160 | 148 | $0.00 |
1 more codes
| 82962 | 0% | 16 | $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. | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.