Clinic
Metro Family Practice, INC.
Metro Family Practice, INC. was paid $5.38M by Medicaid between Jan 2018 and Dec 2024, across 30 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 100% of everything it billed.
33Billing provider infoMETRO FAMILY PRACTICE, INC.
PITTSBURGH, PA 15218
PITTSBURGH, PA 15218
33aNPI1740283845assigned 05/23/2005
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$5.38M
24GClaims30,503
24DCodes billed30
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Pennsylvania
Rank by total paid#47 of 240
Median peer was paid$909K
This provider vs. median5.9×
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 | 14 | $396.90 | |
| 2019 | 12 | $996.73 | |
| 2020 | 1,424 | $270K | |
| 2021 | 4,048 | $748K | |
| 2022 | 6,389 | $1.20M | |
| 2023 | 8,706 | $1.61M | |
| 2024incomplete | 9,910 | $1.54M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 100% | 23,355 | 16,625 | $5.37M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 770 | 682 | $1K |
| 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 | <1% | 14 | 14 | $396.90 |
| D1110 | Prophylaxis - adult | <1% | 833 | 820 | $134.90 |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 424 | 420 | $57.48 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 482 | 474 | $25.41 |
| D0274 | Bitewings - four radiographic images | 0% | 516 | 511 | $0.00 |
| 99173 | 0% | 27 | 27 | $0.00 | |
| 3725F | 0% | 289 | 270 | $0.00 | |
| D0330 | Panoramic radiographic image | 0% | 294 | 293 | $0.00 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 0% | 113 | 85 | $0.00 |
| 1160F | 0% | 113 | 104 | $0.00 |
18 more codes
| D0220 | Intraoral - periapical first radiographic image | 0% | 190 | $0.00 |
| D0431 | 0% | 185 | $0.00 | |
| 3078F | 0% | 159 | $0.00 | |
| D1120 | Dental cleaning, child | 0% | 26 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 282 | $0.00 |
| D1206 | Topical application of fluoride varnish | 0% | 160 | $0.00 |
| 3008F | 0% | 1,237 | $0.00 | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 285 | $0.00 |
| D0602 | 0% | 183 | $0.00 | |
| D0140 | Limited oral evaluation - problem focused | 0% | 128 | $0.00 |
| 3074F | 0% | 287 | $0.00 | |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 39 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 27 | $0.00 |
| 97802 | 0% | 19 | $0.00 | |
| 90686 | 0% | 18 | $0.00 | |
| S9451 | Exercise classes, non-physician provider, per session | 0% | 18 | $0.00 |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 0% | 13 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 17 | $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 officialHUGHES, MARLENE (CHIEF EXECUTIVE OFFICER)