Clinic
Metro Community Provider Network INC
Metro Community Provider Network INC was paid $11.08M by Medicaid between Jan 2018 and Oct 2024, across 116 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.
33Billing provider infoMETRO COMMUNITY PROVIDER NETWORK INC
AURORA, CO 80010
AURORA, CO 80010
33aNPI1558727883assigned 12/31/2015
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$11.08M
24GClaims100,582
24DCodes billed116
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Colorado
Rank by total paid#29 of 197
Median peer was paid$1.11M
This provider vs. median10×
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 | 9,887 | $752K | |
| 2019 | 17,620 | $1.35M | |
| 2020 | 16,636 | $1.63M | |
| 2021 | 14,084 | $1.84M | |
| 2022 | 19,363 | $2.32M | |
| 2023 | 18,589 | $2.58M | |
| 2024incomplete | 4,403 | $612K |
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 | 37% | 21,650 | 18,309 | $4.12M |
| D0999 | Unspecified diagnostic procedure, by report | 21% | 10,462 | 8,794 | $2.30M |
| 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 | 19% | 11,335 | 9,785 | $2.07M |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 5.0% | 2,880 | 2,580 | $550K |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | 4.0% | 3,416 | 1,848 | $441K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.0% | 1,836 | 1,652 | $332K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.1% | 1,232 | 1,164 | $228K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.7% | 3,231 | 2,831 | $186K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.5% | 979 | 817 | $162K |
| 99201 | 1.0% | 643 | 580 | $112K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 399 | 371 | $78K |
| H0031 | Mental health assessment, by non-physician | <1% | 531 | 278 | $70K |
104 more codes
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 551 | $67K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 304 | $60K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 253 | $53K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 5,526 | $52K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 315 | $36K |
| H0023 | Behavioral health outreach service (planned approach to reach a targeted population) | <1% | 157 | $21K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 115 | $20K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 104 | $19K |
| D1206 | Topical application of fluoride varnish | <1% | 1,862 | $16K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 675 | $12K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 130 | $10K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 2,668 | $7K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 124 | $7K |
| D0120 | Dental checkup, returning patient | <1% | 1,316 | $6K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 1,779 | $4K |
| D1120 | Dental cleaning, child | <1% | 444 | $4K |
| 99442 | <1% | 13 | $3K | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 95 | $3K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 1,023 | $3K |
| G0467 | Community health center visit, returning patient | <1% | 106 | $3K |
| 0004A | <1% | 77 | $3K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 387 | $2K |
| 90480 | <1% | 30 | $2K | |
| D0274 | Bitewings - four radiographic images | <1% | 305 | $2K |
| 0124A | <1% | 59 | $2K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 24 | $2K |
| D0272 | Bitewings - two radiographic images | <1% | 281 | $1K |
| D1110 | Prophylaxis - adult | <1% | 85 | $1K |
| 0081A | <1% | 33 | $1K | |
| D1351 | Sealant - per tooth | <1% | 96 | $1K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 95 | $1K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 101 | $806.00 |
| 0173A | <1% | 13 | $535.34 | |
| 0064A | <1% | 12 | $452.98 | |
| D0180 | <1% | 56 | $443.12 | |
| 90649 | <1% | 81 | $421.96 | |
| D0330 | Panoramic radiographic image | <1% | 84 | $333.00 |
| 86769 | <1% | 104 | $310.38 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 1,154 | $298.49 |
| 91320 | <1% | 14 | $286.73 | |
| 99173 | <1% | 1,026 | $249.97 | |
| 90686 | <1% | 2,462 | $108.88 | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 14 | $106.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,973 | $79.10 |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 250 | $70.18 |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | <1% | 14 | $66.75 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,223 | $36.06 |
| 80053 | Comprehensive metabolic panel | <1% | 850 | $21.12 |
| 99000 | <1% | 1,395 | $6.10 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 600 | $3.00 |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | 0% | 367 | $0.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 1,351 | $0.00 |
| 90680 | 0% | 457 | $0.00 | |
| 94760 | 0% | 345 | $0.00 | |
| 82962 | 0% | 298 | $0.00 | |
| 90677 | 0% | 262 | $0.00 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 868 | $0.00 |
| 90647 | 0% | 497 | $0.00 | |
| 90698 | 0% | 12 | $0.00 | |
| 90688 | 0% | 657 | $0.00 | |
| 90474 | 0% | 13 | $0.00 | |
| 90723 | 0% | 587 | $0.00 | |
| 84443 | Thyroid stimulating hormone (TSH) | 0% | 114 | $0.00 |
| 91306 | 0% | 16 | $0.00 | |
| H0049 | Alcohol and/or drug screening | 0% | 89 | $0.00 |
| 85018 | 0% | 146 | $0.00 | |
| 91317 | 0% | 83 | $0.00 | |
| 80048 | Basic metabolic panel (calcium, ionized) | 0% | 30 | $0.00 |
| 86803 | 0% | 119 | $0.00 | |
| 82950 | 0% | 14 | $0.00 | |
| 90651 | 0% | 46 | $0.00 | |
| 86592 | 0% | 86 | $0.00 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | 0% | 18 | $0.00 |
| 85027 | 0% | 34 | $0.00 | |
| 87340 | 0% | 133 | $0.00 | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 0% | 86 | $0.00 |
| 90716 | 0% | 13 | $0.00 | |
| 91307 | 0% | 13 | $0.00 | |
| 90670 | 0% | 1,207 | $0.00 | |
| 80061 | Lipid panel | 0% | 483 | $0.00 |
| D0190 | 0% | 538 | $0.00 | |
| 91308 | 0% | 122 | $0.00 | |
| 81025 | 0% | 151 | $0.00 | |
| 90461 | 0% | 791 | $0.00 | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 0% | 101 | $0.00 |
| 90648 | 0% | 57 | $0.00 | |
| 82948 | 0% | 175 | $0.00 | |
| 86480 | 0% | 138 | $0.00 | |
| 91312 | 0% | 72 | $0.00 | |
| 86708 | 0% | 74 | $0.00 | |
| 90473 | 0% | 95 | $0.00 | |
| 90685 | 0% | 117 | $0.00 | |
| D1354 | 0% | 37 | $0.00 | |
| 90715 | 0% | 133 | $0.00 | |
| D0270 | 0% | 14 | $0.00 | |
| 90633 | 0% | 171 | $0.00 | |
| 83655 | 0% | 49 | $0.00 | |
| 91300 | 0% | 28 | $0.00 | |
| 81002 | 0% | 41 | $0.00 | |
| 86682 | 0% | 19 | $0.00 | |
| 90710 | 0% | 16 | $0.00 | |
| 86787 | 0% | 57 | $0.00 | |
| 90746 | 0% | 47 | $0.00 | |
| 90681 | 0% | 43 | $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 (CFO)
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 | $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. | 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.