Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

METRO COMMUNITY PROVIDER NETWORK, INC.

NPI: 1841458882 · ENGLEWOOD, CO 80110 · Federally Qualified Health Center (FQHC) · NPI assigned 05/27/2008

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official PEER, APRIL controls 18+ related entities in our dataset. Read more

$3.24M
Total Medicaid Paid
31,862
Total Claims
27,970
Beneficiaries
62
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialPEER, APRIL (CFO)
Parent OrganizationMETRO COMMUNITY PROVIDER NETWORK INC
NPI Enumeration Date05/27/2008

Related Entities

Other providers sharing the same authorized official: PEER, APRIL

ProviderCityStateTotal 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 $11.08M
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 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,717 $542K
2019 5,186 $462K
2020 1,330 $121K
2021 5,566 $88K
2022 5,023 $636K
2023 6,676 $987K
2024 2,364 $401K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 9,905 8,602 $1.81M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,110 1,920 $381K
D0999 Unspecified diagnostic procedure, by report 617 555 $248K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,020 906 $232K
90460 Immunization administration through 18 years of age via any route, first or only component 1,128 1,023 $111K
H0002 Behavioral health screening to determine eligibility for admission to treatment program 756 422 $96K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 275 263 $58K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 257 237 $47K
90832 Psychotherapy, 30 minutes with patient 395 193 $43K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 215 191 $38K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 160 156 $31K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 135 118 $30K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 101 92 $23K
99442 76 71 $21K
G0467 Federally 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 772 683 $20K
H0031 Mental health assessment, by non-physician 137 67 $15K
H0025 Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) 92 32 $11K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 841 756 $10K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 68 64 $10K
H0023 Behavioral health outreach service (planned approach to reach a targeted population) 35 16 $4K
0071A 593 383 $370.62
0004A 76 50 $164.72
0072A 379 237 $82.36
83036 Hemoglobin; glycosylated (A1C) 941 887 $79.00
90686 589 533 $69.20
99000 255 200 $9.15
36415 Collection of venous blood by venipuncture 199 147 $9.00
90461 279 271 $0.00
0002A 363 357 $0.00
91300 1,068 934 $0.00
80061 Lipid panel 368 342 $0.00
D0190 158 158 $0.00
82948 142 129 $0.00
90734 28 25 $0.00
90670 29 28 $0.00
84443 Thyroid stimulating hormone (TSH) 557 527 $0.00
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 75 71 $0.00
36416 342 309 $0.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 361 341 $0.00
91307 494 465 $0.00
85025 Blood count; complete (CBC), automated, and automated differential WBC count 696 633 $0.00
80053 Comprehensive metabolic panel 910 850 $0.00
0011A 542 542 $0.00
0001A 423 419 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 615 576 $0.00
91301 1,080 1,069 $0.00
82962 57 56 $0.00
0064A 53 34 $0.00
90723 25 24 $0.00
90688 263 231 $0.00
0012A 553 551 $0.00
85018 24 24 $0.00
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 14 13 $0.00
87800 15 12 $0.00
90677 14 13 $0.00
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 36 29 $0.00
90651 34 31 $0.00
80048 Basic metabolic panel (calcium, ionized) 42 33 $0.00
91306 22 21 $0.00
90620 16 15 $0.00
G0008 Administration of influenza virus vaccine 24 20 $0.00
90647 13 13 $0.00