Metro Community Provider Network INC
Metro Community Provider Network INC was paid $5.69M by Medicaid between Jan 2018 and Nov 2024, across 62 billing codes. Its largest line is H0002, Behavioral health screening to determine eligibility for admission to treatment program — 56% of everything it billed.
WHEAT RIDGE, CO 80033
Next to other Federally Qualified Health Center (FQHC) providers in Colorado
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 10,262 | $1.28M | |
| 2019 | 1,839 | $162K | |
| 2020 | 956 | $8K | |
| 2021 | 18,390 | $217K | |
| 2022 | 1,647 | $56K | |
| 2023 | 19,039 | $2.71M | |
| 2024incomplete | 7,875 | $1.26M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | 56% | 21,707 | 11,658 | $3.21M |
| D0999 | Unspecified diagnostic procedure, by report | 19% | 5,291 | 4,843 | $1.11M |
| H0023 | Behavioral health outreach service (planned approach to reach a targeted population) | 4.7% | 1,743 | 846 | $270K |
| H0031 | Mental health assessment, by non-physician | 4.3% | 1,910 | 992 | $244K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.7% | 2,007 | 1,301 | $155K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 1.8% | 888 | 428 | $105K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 1.8% | 681 | 326 | $100K |
| D1206 | Topical application of fluoride varnish | 1.5% | 2,167 | 2,086 | $83K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.1% | 8,373 | 6,472 | $60K |
| 0012A | <1% | 1,052 | 940 | $35K | |
| 0001A | <1% | 928 | 812 | $30K | |
| 0002A | <1% | 758 | 705 | $26K |
50 more codes
| 0011A | <1% | 978 | $25K | |
| H0001 | Alcohol and/or drug assessment | <1% | 130 | $22K |
| 0071A | <1% | 610 | $20K | |
| D1351 | Sealant - per tooth | <1% | 361 | $19K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 149 | $18K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 188 | $15K |
| H0025 | Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) | <1% | 88 | $15K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 200 | $14K |
| 0072A | <1% | 343 | $11K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 325 | $9K |
| D1120 | Dental cleaning, child | <1% | 158 | $9K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 37 | $9K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 364 | $9K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 145 | $8K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 228 | $7K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 39 | $7K |
| D0120 | Dental checkup, returning patient | <1% | 142 | $6K |
| 0064A | <1% | 159 | $6K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 23 | $5K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 201 | $5K |
| T1017 | Case management, billed per 15 minutes | <1% | 28 | $4K |
| 0004A | <1% | 145 | $4K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 165 | $4K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 18 | $3K |
| D1110 | Prophylaxis - adult | <1% | 37 | $3K |
| D0330 | Panoramic radiographic image | <1% | 25 | $2K |
| D4910 | <1% | 13 | $2K | |
| D0274 | Bitewings - four radiographic images | <1% | 28 | $1K |
| D0140 | Limited oral evaluation - problem focused | <1% | 13 | $897.00 |
| 0031A | <1% | 20 | $658.88 | |
| 91307 | <1% | 801 | $225.15 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 33 | $114.14 |
| 99201 | <1% | 17 | $78.16 | |
| D0190 | 0% | 1,142 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 128 | $0.00 |
| 91300 | 0% | 2,209 | $0.00 | |
| 90715 | 0% | 17 | $0.00 | |
| 81002 | 0% | 13 | $0.00 | |
| 90713 | 0% | 41 | $0.00 | |
| 90746 | 0% | 12 | $0.00 | |
| 91301 | 0% | 2,174 | $0.00 | |
| 91303 | 0% | 20 | $0.00 | |
| 90686 | 0% | 177 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 30 | $0.00 |
| 91306 | 0% | 141 | $0.00 | |
| 80053 | Comprehensive metabolic panel | 0% | 50 | $0.00 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 52 | $0.00 |
| 90716 | 0% | 14 | $0.00 | |
| 90656 | 0% | 42 | $0.00 | |
| 99000 | 0% | 30 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Metro Community Provider Network INC | Aurora, CO | $6.74M |
| Metro Community Provider Network INC | Arvada, CO | $464K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.