Medicaid Provider Spending

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

METRO COMMUNITY PROVIDER NETWORK, INC.

NPI: 1437314481 · LAKEWOOD, CO 80232 · 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

$560K
Total Medicaid Paid
9,614
Total Claims
8,456
Beneficiaries
34
Codes Billed
2018-01
First Month
2020-03
Last Month

Provider Details

Authorized OfficialPEER, APRIL (CFO)
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 $865K
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 4,920 $280K
2019 3,667 $202K
2020 1,027 $77K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,156 1,059 $190K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,156 1,058 $154K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 336 322 $66K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 280 254 $53K
H0031 Mental health assessment, by non-physician 477 373 $44K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 185 181 $37K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 59 56 $11K
99384 17 17 $3K
H0049 Alcohol and/or drug screening 458 439 $462.59
90649 136 132 $421.96
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 27 19 $24.56
86703 16 15 $9.60
G8510 Screening for depression is documented as negative, a follow-up plan is not required 565 541 $0.00
90686 463 457 $0.00
99000 213 199 $0.00
36416 67 65 $0.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 381 316 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 818 773 $0.00
94760 49 43 $0.00
83036 Hemoglobin; glycosylated (A1C) 83 77 $0.00
96127 64 61 $0.00
99173 730 706 $0.00
80061 Lipid panel 74 68 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 1,081 641 $0.00
82947 84 78 $0.00
90461 327 206 $0.00
90685 36 36 $0.00
84460 88 82 $0.00
90670 26 26 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 27 26 $0.00
90715 18 17 $0.00
90734 77 74 $0.00
90621 27 27 $0.00
81025 13 12 $0.00