Clinic
Metro Community Health Centers, INC
Metro Community Health Centers, INC was paid $630K by Medicaid between Oct 2020 and Nov 2024, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 36% of everything it billed.
33Billing provider infoMETRO COMMUNITY HEALTH CENTERS, INC
NEW YORK, NY 10010
NEW YORK, NY 10010
33aNPI1649837113assigned 05/21/2019
33bProvider typeClinic/Center
28Total paid$630K
24GClaims3,759
24DCodes billed7
24AFirst – last monthOct 2020 – Nov 2024
Compared with peers
Next to other Clinic/Center providers in New York
Rank by total paid#118 of 235
Median peer was paid$630K
This provider vs. median1.0×
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.
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 | |
|---|---|---|---|
| 2020 | 65 | $13K | |
| 2021 | 205 | $39K | |
| 2022 | 108 | $21K | |
| 2023 | 1,567 | $239K | |
| 2024incomplete | 1,814 | $318K |
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 | 36% | 1,049 | 845 | $227K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 35% | 967 | 785 | $221K |
| 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 | 16% | 809 | 398 | $99K |
| G0470 | Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit | 9.8% | 800 | 386 | $61K |
| 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 | 1.8% | 69 | 46 | $11K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.1% | 41 | 25 | $7K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 24 | 12 | $4K |
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 officialWONG, FRED (CHIEF FINANCIAL OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Metro Community Health Centers, INC. | Bronx, NY | $16.42M |
| Metro Community Health Centers, INC | Brooklyn, NY | $11.96M |
| Metro Community Health Centers, INC. | Staten Island, NY | $3.93M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.