Medicaid Provider Spending

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

METRO COMMUNITY PROVIDER NETWORK INC

NPI: 1326203399 · LAKEWOOD, CO 80226 · Federally Qualified Health Center (FQHC) · NPI assigned 07/18/2008

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

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

$865K
Total Medicaid Paid
11,605
Total Claims
9,729
Beneficiaries
33
Codes Billed
2018-01
First Month
2024-04
Last Month

Provider Details

Authorized OfficialPEER, APRIL (CHIEF FINANCIAL OFFICER)
Parent OrganizationMETRO COMMUNITY PROVIDER NETWORK INC
NPI Enumeration Date07/18/2008

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. 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,449 $328K
2019 4,999 $325K
2020 972 $55K
2021 403 $40K
2022 271 $29K
2023 301 $48K
2024 210 $40K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,166 1,914 $446K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 916 796 $181K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 372 360 $74K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 233 224 $44K
H0031 Mental health assessment, by non-physician 627 467 $40K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 187 184 $37K
90460 Immunization administration through 18 years of age via any route, first or only component 1,949 1,160 $32K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 47 41 $8K
90649 141 137 $2K
90734 109 102 $879.72
36416 60 52 $429.47
90633 18 16 $195.20
H0049 Alcohol and/or drug screening 318 301 $122.05
90686 791 749 $103.80
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 979 919 $19.46
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 62 56 $15.70
87081 21 19 $6.63
82947 24 24 $3.40
99000 221 202 $3.05
84460 24 24 $2.97
99173 180 149 $0.00
90461 658 425 $0.00
90621 44 42 $0.00
90685 93 89 $0.00
90670 55 54 $0.00
90715 27 27 $0.00
80061 Lipid panel 12 12 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 15 13 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 507 456 $0.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 453 436 $0.00
96127 259 243 $0.00
83036 Hemoglobin; glycosylated (A1C) 24 24 $0.00
90723 13 12 $0.00