Clinic
Metro Community Provider Network INC
Metro Community Provider Network INC was paid $1.35M by Medicaid between Nov 2022 and Apr 2024, across 17 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 52% of everything it billed.
33Billing provider infoMETRO COMMUNITY PROVIDER NETWORK INC
AURORA, CO 80011
AURORA, CO 80011
33aNPI1437799616assigned 01/15/2020
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$1.35M
24GClaims9,675
24DCodes billed17
24AFirst – last monthNov 2022 – Apr 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Colorado
Rank by total paid#94 of 197
Median peer was paid$1.11M
This provider vs. median1.2×
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 | |
|---|---|---|---|
| 2022 | 187 | $4K | |
| 2023 | 7,359 | $1.08M | |
| 2024incomplete | 2,129 | $265K |
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 | 52% | 3,851 | 3,388 | $703K |
| 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 | 28% | 2,156 | 1,937 | $384K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 7.5% | 528 | 488 | $102K |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | 4.7% | 467 | 160 | $63K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3.9% | 451 | 418 | $53K |
| 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 | 1.5% | 765 | 690 | $20K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 61 | 54 | $12K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 65 | 55 | $11K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 16 | 14 | $3K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 12 | 12 | $2K |
| 0124A | <1% | 30 | 28 | $864.78 | |
| 90686 | <1% | 301 | 287 | $34.60 |
5 more codes
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 877 | $11.72 |
| 82962 | 0% | 13 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 43 | $0.00 |
| 91312 | 0% | 27 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 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 | 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 | $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.