Medicaid Provider Spending

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

METRO COMMUNITY PROVIDER NETWORK INC

NPI: 1376701300 · ARVADA, CO 80004 · Federally Qualified Health Center (FQHC) · NPI assigned 05/27/2008

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

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

$9.29M
Total Medicaid Paid
72,603
Total Claims
59,689
Beneficiaries
59
Codes Billed
2018-01
First Month
2024-09
Last Month

Provider Details

Authorized OfficialPEER, APRIL (CHIEF FINANCIAL OFFICER)
Parent OrganizationMETRO COMMUNITY PROVIDER NETWORK INC
NPI Enumeration Date05/27/2008

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 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 1,375 $203K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 23,716 19,612 $4.34M
D0999 Unspecified diagnostic procedure, by report 10,611 7,998 $2.26M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,686 6,713 $1.30M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3,249 2,864 $654K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,203 1,116 $228K
H0031 Mental health assessment, by non-physician 1,170 699 $132K
H0002 Behavioral health screening to determine eligibility for admission to treatment program 826 434 $98K
D1206 Topical application of fluoride varnish 4,528 3,488 $70K
G0467 Federally 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 2,146 1,722 $43K
90832 Psychotherapy, 30 minutes with patient 323 103 $32K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 171 83 $21K
D1351 Sealant - per tooth 1,015 288 $18K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,533 1,426 $14K
D0150 Comprehensive oral evaluation - new or established patient 527 407 $14K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 63 62 $13K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 38 38 $8K
D2391 Resin-based composite - one surface, posterior, primary or permanent 55 36 $7K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 58 57 $5K
D0210 Intraoral - complete series of radiographic images 84 54 $5K
D0220 Intraoral - periapical first radiographic image 675 563 $5K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 17 15 $3K
D0120 Periodic oral evaluation - established patient 127 114 $3K
D4910 16 13 $2K
0124A 58 55 $2K
D0230 Intraoral - periapical each additional radiographic image 202 171 $2K
D0330 Panoramic radiographic image 13 13 $1K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 83 57 $1K
D0140 Limited oral evaluation - problem focused 51 42 $1K
D1120 Prophylaxis - child 12 12 $744.00
D1110 Prophylaxis - adult 20 13 $704.00
D0190 2,141 2,126 $560.00
D0145 Oral evaluation for a patient under three years of age 25 25 $188.00
D0274 Bitewings - four radiographic images 39 38 $71.00
80053 Comprehensive metabolic panel 1,411 1,346 $21.12
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1,839 1,724 $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 26 15 $13.35
90686 611 578 $0.54
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 114 101 $0.08
83036 Hemoglobin; glycosylated (A1C) 1,331 1,216 $0.00
84443 Thyroid stimulating hormone (TSH) 1,077 1,012 $0.00
99000 585 511 $0.00
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 106 104 $0.00
82607 139 131 $0.00
80048 Basic metabolic panel (calcium, ionized) 165 151 $0.00
90688 445 426 $0.00
36416 821 670 $0.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 15 12 $0.00
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 12 12 $0.00
80061 Lipid panel 248 235 $0.00
D0180 30 30 $0.00
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 27 26 $0.00
82055 115 112 $0.00
82948 574 472 $0.00
J8499 Prescription drug, oral, non chemotherapeutic, nos 239 184 $0.00
91312 47 45 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 60 41 $0.00
81002 45 41 $0.00
80301 28 25 $0.00
90715 12 12 $0.00