Clinic
Metro Community Provider Network INC
Metro Community Provider Network INC was paid $865K by Medicaid between Jan 2018 and Apr 2024, across 33 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 52% of everything it billed.
33Billing provider infoMETRO COMMUNITY PROVIDER NETWORK INC
LAKEWOOD, CO 80226
LAKEWOOD, CO 80226
33aNPI1326203399assigned 07/18/2008
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$865K
24GClaims11,605
24DCodes billed33
24AFirst – last monthJan 2018 – Apr 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Colorado
Rank by total paid#113 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 | |
|---|---|---|---|
| 2018 | 4,449 | $328K | |
| 2019 | 4,999 | $325K | |
| 2020 | 972 | $55K | |
| 2021 | 403 | $40K | |
| 2022 | 271 | $29K | |
| 2023 | 301 | $48K | |
| 2024incomplete | 210 | $40K |
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 | 52% | 2,166 | 1,914 | $446K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 21% | 916 | 796 | $181K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.5% | 372 | 360 | $74K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.1% | 233 | 224 | $44K |
| H0031 | Mental health assessment, by non-physician | 4.7% | 627 | 467 | $40K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.3% | 187 | 184 | $37K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3.7% | 1,949 | 1,160 | $32K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 47 | 41 | $8K |
| 90649 | <1% | 141 | 137 | $2K | |
| 90734 | <1% | 109 | 102 | $879.72 | |
| 36416 | <1% | 60 | 52 | $429.47 | |
| 90633 | <1% | 18 | 16 | $195.20 |
21 more codes
| H0049 | Alcohol and/or drug screening | <1% | 318 | $122.05 |
| 90686 | <1% | 791 | $103.80 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 979 | $19.46 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 62 | $15.70 |
| 87081 | <1% | 21 | $6.63 | |
| 82947 | <1% | 24 | $3.40 | |
| 99000 | <1% | 221 | $3.05 | |
| 84460 | <1% | 24 | $2.97 | |
| 99173 | 0% | 180 | $0.00 | |
| 90461 | 0% | 658 | $0.00 | |
| 90621 | 0% | 44 | $0.00 | |
| 90685 | 0% | 93 | $0.00 | |
| 90670 | 0% | 55 | $0.00 | |
| 90715 | 0% | 27 | $0.00 | |
| 80061 | Lipid panel | 0% | 12 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 15 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 507 | $0.00 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 453 | $0.00 |
| 96127 | 0% | 259 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 24 | $0.00 |
| 90723 | 0% | 13 | $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. | Aurora, CO | $928K |
| 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.