Medicaid Provider Spending

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

METRO COMMUNITY PROVIDER NETWORK INC

NPI: 1396188801 · PARKER, CO 80134 · Federally Qualified Health Center (FQHC) · NPI assigned 04/15/2013

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

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

$3.84M
Total Medicaid Paid
36,634
Total Claims
30,417
Beneficiaries
67
Codes Billed
2018-01
First Month
2023-11
Last Month

Provider Details

Authorized OfficialPEER, APRIL (CHIEF FINANCIAL OFFICER)
Parent OrganizationMETRO COMMUNITY PROVIDER NETWORK INC
NPI Enumeration Date04/15/2013

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. 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 5,957 $445K
2019 10,117 $700K
2020 6,128 $630K
2021 4,885 $700K
2022 4,846 $728K
2023 4,701 $641K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 11,711 9,648 $2.25M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,127 2,785 $574K
D0999 Unspecified diagnostic procedure, by report 1,857 1,073 $335K
H0002 Behavioral health screening to determine eligibility for admission to treatment program 1,517 1,079 $196K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 741 700 $145K
H0023 Behavioral health outreach service (planned approach to reach a targeted population) 750 314 $104K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 302 268 $55K
90460 Immunization administration through 18 years of age via any route, first or only component 1,214 908 $51K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 87 82 $18K
D0150 Comprehensive oral evaluation - new or established patient 439 293 $15K
H0025 Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) 88 28 $13K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,436 1,327 $10K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 50 49 $10K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 42 40 $7K
D0210 Intraoral - complete series of radiographic images 111 66 $7K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 35 31 $6K
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 202 139 $6K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 30 29 $6K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 28 27 $6K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 26 25 $6K
H0031 Mental health assessment, by non-physician 34 32 $4K
D0220 Intraoral - periapical first radiographic image 284 209 $3K
99383 12 12 $3K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 12 12 $2K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 13 12 $2K
90649 14 14 $2K
99215 Prolong outpt/office vis 15 15 $2K
D0120 Periodic oral evaluation - established patient 80 54 $2K
D0230 Intraoral - periapical each additional radiographic image 172 124 $2K
D1110 Prophylaxis - adult 31 17 $1K
D0274 Bitewings - four radiographic images 37 25 $1K
99173 466 417 $508.26
90686 580 550 $231.23
H0049 Alcohol and/or drug screening 43 41 $208.49
83036 Hemoglobin; glycosylated (A1C) 1,312 1,200 $18.15
80053 Comprehensive metabolic panel 1,328 1,235 $0.00
36416 770 639 $0.00
84443 Thyroid stimulating hormone (TSH) 958 908 $0.00
82962 808 692 $0.00
90688 226 214 $0.00
90723 37 30 $0.00
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1,153 1,065 $0.00
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 71 69 $0.00
94760 93 80 $0.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 291 268 $0.00
82043 48 41 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 130 122 $0.00
99000 669 592 $0.00
90647 55 43 $0.00
36415 Collection of venous blood by venipuncture 779 698 $0.00
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 134 127 $0.00
81001 61 57 $0.00
84153 14 13 $0.00
90680 34 28 $0.00
90677 24 22 $0.00
90461 246 203 $0.00
82948 614 523 $0.00
80061 Lipid panel 897 848 $0.00
81002 12 12 $0.00
84439 97 87 $0.00
90670 58 44 $0.00
90472 Immunization administration, each additional vaccine (list separately) 41 35 $0.00
90734 12 12 $0.00
90746 28 26 $0.00
90685 14 14 $0.00
90715 14 13 $0.00
81003 20 12 $0.00