Medicaid Provider Spending

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

METRO COMMUNITY PROVIDER NETWORK INC

NPI: 1437799616 · AURORA, CO 80011 · Federally Qualified Health Center (FQHC) · NPI assigned 01/15/2020

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

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

$1.35M
Total Medicaid Paid
9,675
Total Claims
8,394
Beneficiaries
17
Codes Billed
2022-11
First Month
2024-04
Last Month

Provider Details

Authorized OfficialPEER, APRIL (CHIEF FINANCIAL OFFICER)
Parent OrganizationMETRO COMMUNITY PROVIDER NETWORK INC
NPI Enumeration Date01/15/2020

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 $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
2022 187 $4K
2023 7,359 $1.08M
2024 2,129 $265K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,851 3,388 $703K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,156 1,937 $384K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 528 488 $102K
H0002 Behavioral health screening to determine eligibility for admission to treatment program 467 160 $63K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 451 418 $53K
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 765 690 $20K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 61 54 $12K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 65 55 $11K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 16 14 $3K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 12 12 $2K
0124A 30 28 $864.78
90686 301 287 $34.60
G8510 Screening for depression is documented as negative, a follow-up plan is not required 877 775 $11.72
82962 13 12 $0.00
83036 Hemoglobin; glycosylated (A1C) 43 39 $0.00
91312 27 25 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 12 12 $0.00