Clinic
Metro Community Provider Network, INC.
Metro Community Provider Network, INC. was paid $1.73M by Medicaid between Jan 2018 and Oct 2021, across 39 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 59% of everything it billed.
33Billing provider infoMETRO COMMUNITY PROVIDER NETWORK, INC.
LAKEWOOD, CO 80235
LAKEWOOD, CO 80235
33aNPI1679931646assigned 02/05/2016
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$1.73M
24GClaims17,122
24DCodes billed39
24AFirst – last monthJan 2018 – Oct 2021
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Colorado
Rank by total paid#84 of 197
Median peer was paid$1.11M
This provider vs. median1.6×
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 | |
|---|---|---|---|
| 2018 | 3,203 | $222K | |
| 2019 | 4,457 | $270K | |
| 2020 | 5,560 | $660K | |
| 2021 | 3,902 | $574K |
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 | 59% | 5,452 | 4,641 | $1.01M |
| 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 | 14% | 1,342 | 1,093 | $248K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.6% | 481 | 457 | $97K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 5.6% | 516 | 473 | $97K |
| H0031 | Mental health assessment, by non-physician | 3.7% | 618 | 452 | $65K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.7% | 326 | 310 | $64K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.5% | 214 | 206 | $43K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 1.4% | 436 | 271 | $24K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.1% | 102 | 96 | $20K |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | 1.1% | 207 | 142 | $19K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 74 | 70 | $15K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 37 | 37 | $8K |
27 more codes
| G0467 | Community health center visit, returning patient | <1% | 262 | $8K |
| H0001 | Alcohol and/or drug assessment | <1% | 47 | $4K |
| 90649 | <1% | 28 | $1K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 1,908 | $444.08 |
| 90686 | <1% | 301 | $20.03 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 878 | $18.03 |
| 90680 | 0% | 57 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 562 | $0.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 158 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 850 | $0.00 |
| 90723 | 0% | 98 | $0.00 | |
| 99000 | 0% | 264 | $0.00 | |
| 80053 | Comprehensive metabolic panel | 0% | 84 | $0.00 |
| 90647 | 0% | 143 | $0.00 | |
| 36416 | 0% | 92 | $0.00 | |
| 85018 | 0% | 26 | $0.00 | |
| 82962 | 0% | 13 | $0.00 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 79 | $0.00 |
| 84443 | Thyroid stimulating hormone (TSH) | 0% | 27 | $0.00 |
| H0049 | Alcohol and/or drug screening | 0% | 30 | $0.00 |
| 90688 | 0% | 15 | $0.00 | |
| 99173 | 0% | 137 | $0.00 | |
| 90461 | 0% | 844 | $0.00 | |
| 90670 | 0% | 264 | $0.00 | |
| 90685 | 0% | 108 | $0.00 | |
| 90633 | 0% | 28 | $0.00 | |
| 80061 | Lipid panel | 0% | 14 | $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 officialWIEDERHOLT, BEN (PRESIDENT AND CEO)
Parent organizationMETRO COMMUNITY PROVIDER NETWORK, INC.
| Provider | Location | Paid |
|---|---|---|
| Metro Community Provider Network, INC. | Wheat Ridge, CO | $10K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.