Agency
Metro Health INC.
Metro Health INC. was paid $320K by Medicaid between Jan 2018 and Sep 2024, across 14 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 50% of everything it billed.
33Billing provider infoMETRO HEALTH INC.
WASHINGTON, DC 20003
WASHINGTON, DC 20003
33aNPI1710193438assigned 05/16/2007
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$320K
24GClaims6,573
24DCodes billed14
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Community/Behavioral Health Agency providers in District of Columbia
Rank by total paid#27 of 35
Median peer was paid$2.61M
This provider vs. median0.1×
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 | 798 | $36K | |
| 2019 | 1,317 | $52K | |
| 2020 | 1,024 | $64K | |
| 2021 | 1,233 | $68K | |
| 2022 | 758 | $33K | |
| 2023 | 781 | $41K | |
| 2024incomplete | 662 | $27K |
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 | 50% | 3,091 | 2,499 | $161K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 31% | 2,081 | 1,695 | $98K |
| 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 | 16% | 890 | 713 | $50K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 73 | 67 | $2K |
| 0012A | <1% | 81 | 78 | $2K | |
| 0011A | <1% | 105 | 102 | $2K | |
| 99401 | <1% | 58 | 52 | $1K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 12 | 12 | $1K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 59 | 57 | $783.08 |
| 90686 | <1% | 49 | 45 | $395.98 | |
| 90756 | <1% | 33 | 28 | $346.37 | |
| 0031A | <1% | 13 | 13 | $217.44 |
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 officialLOPEZ, VINCENT (CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Metro Health INC. | Washington, DC | $62K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.