Clinic
Metro Community Provider Network INC
Metro Community Provider Network INC was paid $9.29M by Medicaid between Jan 2018 and Sep 2024, across 59 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 47% of everything it billed.
33Billing provider infoMETRO COMMUNITY PROVIDER NETWORK INC
ARVADA, CO 80004
ARVADA, CO 80004
33aNPI1376701300assigned 05/27/2008
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$9.29M
24GClaims72,603
24DCodes billed59
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Colorado
Rank by total paid#36 of 197
Median peer was paid$1.11M
This provider vs. median8.4×
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 | 14,902 | $1.51M | |
| 2019 | 16,875 | $1.79M | |
| 2020 | 11,514 | $1.50M | |
| 2021 | 8,863 | $1.44M | |
| 2022 | 10,494 | $1.50M | |
| 2023 | 8,580 | $1.36M | |
| 2024incomplete | 1,375 | $203K |
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 | 47% | 23,716 | 19,612 | $4.34M |
| D0999 | Unspecified diagnostic procedure, by report | 24% | 10,611 | 7,998 | $2.26M |
| 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 | 14% | 7,686 | 6,713 | $1.30M |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 7.0% | 3,249 | 2,864 | $654K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.5% | 1,203 | 1,116 | $228K |
| H0031 | Mental health assessment, by non-physician | 1.4% | 1,170 | 699 | $132K |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | 1.1% | 826 | 434 | $98K |
| D1206 | Topical application of fluoride varnish | <1% | 4,528 | 3,488 | $70K |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | <1% | 2,146 | 1,722 | $43K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 323 | 103 | $32K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 171 | 83 | $21K |
| D1351 | Sealant - per tooth | <1% | 1,015 | 288 | $18K |
47 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,533 | $14K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 527 | $14K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 63 | $13K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 38 | $8K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 55 | $7K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 58 | $5K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 84 | $5K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 675 | $5K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 17 | $3K |
| D0120 | Dental checkup, returning patient | <1% | 127 | $3K |
| D4910 | <1% | 16 | $2K | |
| 0124A | <1% | 58 | $2K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 202 | $2K |
| D0330 | Panoramic radiographic image | <1% | 13 | $1K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 83 | $1K |
| D0140 | Limited oral evaluation - problem focused | <1% | 51 | $1K |
| D1120 | Dental cleaning, child | <1% | 12 | $744.00 |
| D1110 | Prophylaxis - adult | <1% | 20 | $704.00 |
| D0190 | <1% | 2,141 | $560.00 | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 25 | $188.00 |
| D0274 | Bitewings - four radiographic images | <1% | 39 | $71.00 |
| 80053 | Comprehensive metabolic panel | <1% | 1,411 | $21.12 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 1,839 | $15.54 |
| 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% | 26 | $13.35 |
| 90686 | <1% | 611 | $0.54 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 114 | $0.08 |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 1,331 | $0.00 |
| 84443 | Thyroid stimulating hormone (TSH) | 0% | 1,077 | $0.00 |
| 99000 | 0% | 585 | $0.00 | |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | 0% | 106 | $0.00 |
| 82607 | 0% | 139 | $0.00 | |
| 80048 | Basic metabolic panel (calcium, ionized) | 0% | 165 | $0.00 |
| 90688 | 0% | 445 | $0.00 | |
| 36416 | 0% | 821 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 15 | $0.00 |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 0% | 12 | $0.00 |
| 80061 | Lipid panel | 0% | 248 | $0.00 |
| D0180 | 0% | 30 | $0.00 | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 0% | 27 | $0.00 |
| 82055 | 0% | 115 | $0.00 | |
| 82948 | 0% | 574 | $0.00 | |
| J8499 | Prescription drug, oral, non chemotherapeutic, nos | 0% | 239 | $0.00 |
| 91312 | 0% | 47 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 60 | $0.00 |
| 81002 | 0% | 45 | $0.00 | |
| 80301 | 0% | 28 | $0.00 | |
| 90715 | 0% | 12 | $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 | 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.