Clinic
Metro Community Provider Network INC
Metro Community Provider Network INC was paid $3.84M by Medicaid between Jan 2018 and Nov 2023, across 67 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 59% of everything it billed.
33Billing provider infoMETRO COMMUNITY PROVIDER NETWORK INC
PARKER, CO 80134
PARKER, CO 80134
33aNPI1396188801assigned 04/15/2013
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$3.84M
24GClaims36,634
24DCodes billed67
24AFirst – last monthJan 2018 – Nov 2023
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Colorado
Rank by total paid#65 of 197
Median peer was paid$1.11M
This provider vs. median3.5×
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 | 5,957 | $445K | |
| 2019 | 10,117 | $700K | |
| 2020 | 6,128 | $630K | |
| 2021 | 4,885 | $700K | |
| 2022 | 4,846 | $728K | |
| 2023 | 4,701 | $641K |
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 | 59% | 11,711 | 9,648 | $2.25M |
| 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 | 15% | 3,127 | 2,785 | $574K |
| D0999 | Unspecified diagnostic procedure, by report | 8.7% | 1,857 | 1,073 | $335K |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | 5.1% | 1,517 | 1,079 | $196K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.8% | 741 | 700 | $145K |
| H0023 | Behavioral health outreach service (planned approach to reach a targeted population) | 2.7% | 750 | 314 | $104K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.4% | 302 | 268 | $55K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.3% | 1,214 | 908 | $51K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 87 | 82 | $18K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 439 | 293 | $15K |
| H0025 | Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) | <1% | 88 | 28 | $13K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,436 | 1,327 | $10K |
55 more codes
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 50 | $10K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 42 | $7K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 111 | $7K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 35 | $6K |
| G0467 | Community health center visit, returning patient | <1% | 202 | $6K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 30 | $6K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 28 | $6K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 26 | $6K |
| H0031 | Mental health assessment, by non-physician | <1% | 34 | $4K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 284 | $3K |
| 99383 | <1% | 12 | $3K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 12 | $2K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 13 | $2K |
| 90649 | <1% | 14 | $2K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 15 | $2K |
| D0120 | Dental checkup, returning patient | <1% | 80 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 172 | $2K |
| D1110 | Prophylaxis - adult | <1% | 31 | $1K |
| D0274 | Bitewings - four radiographic images | <1% | 37 | $1K |
| 99173 | <1% | 466 | $508.26 | |
| 90686 | <1% | 580 | $231.23 | |
| H0049 | Alcohol and/or drug screening | <1% | 43 | $208.49 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,312 | $18.15 |
| 80053 | Comprehensive metabolic panel | 0% | 1,328 | $0.00 |
| 36416 | 0% | 770 | $0.00 | |
| 84443 | Thyroid stimulating hormone (TSH) | 0% | 958 | $0.00 |
| 82962 | 0% | 808 | $0.00 | |
| 90688 | 0% | 226 | $0.00 | |
| 90723 | 0% | 37 | $0.00 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 1,153 | $0.00 |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | 0% | 71 | $0.00 |
| 94760 | 0% | 93 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 291 | $0.00 |
| 82043 | 0% | 48 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 130 | $0.00 |
| 99000 | 0% | 669 | $0.00 | |
| 90647 | 0% | 55 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 779 | $0.00 |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 0% | 134 | $0.00 |
| 81001 | 0% | 61 | $0.00 | |
| 84153 | 0% | 14 | $0.00 | |
| 90680 | 0% | 34 | $0.00 | |
| 90677 | 0% | 24 | $0.00 | |
| 90461 | 0% | 246 | $0.00 | |
| 82948 | 0% | 614 | $0.00 | |
| 80061 | Lipid panel | 0% | 897 | $0.00 |
| 81002 | 0% | 12 | $0.00 | |
| 84439 | 0% | 97 | $0.00 | |
| 90670 | 0% | 58 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 41 | $0.00 |
| 90734 | 0% | 12 | $0.00 | |
| 90746 | 0% | 28 | $0.00 | |
| 90685 | 0% | 14 | $0.00 | |
| 90715 | 0% | 14 | $0.00 | |
| 81003 | 0% | 20 | $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. | 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.