Clinic
Metro Community Provider Network, INC.
Metro Community Provider Network, INC. was paid $3.24M by Medicaid between Jan 2018 and Oct 2024, across 62 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 56% of everything it billed.
33Billing provider infoMETRO COMMUNITY PROVIDER NETWORK, INC.
ENGLEWOOD, CO 80110
ENGLEWOOD, CO 80110
33aNPI1841458882assigned 05/27/2008
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$3.24M
24GClaims31,862
24DCodes billed62
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Colorado
Rank by total paid#72 of 197
Median peer was paid$1.11M
This provider vs. median2.9×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official PEER, APRIL controls 18+ related entities in our dataset. Read more
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 | 5,717 | $542K | |
| 2019 | 5,186 | $462K | |
| 2020 | 1,330 | $121K | |
| 2021 | 5,566 | $88K | |
| 2022 | 5,023 | $636K | |
| 2023 | 6,676 | $987K | |
| 2024incomplete | 2,364 | $401K |
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 | 56% | 9,905 | 8,602 | $1.81M |
| 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 | 12% | 2,110 | 1,920 | $381K |
| D0999 | Unspecified diagnostic procedure, by report | 7.7% | 617 | 555 | $248K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 7.2% | 1,020 | 906 | $232K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3.4% | 1,128 | 1,023 | $111K |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | 3.0% | 756 | 422 | $96K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.8% | 275 | 263 | $58K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.5% | 257 | 237 | $47K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 1.3% | 395 | 193 | $43K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 1.2% | 215 | 191 | $38K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 160 | 156 | $31K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 135 | 118 | $30K |
50 more codes
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 101 | $23K |
| 99442 | <1% | 76 | $21K | |
| G0467 | Community health center visit, returning patient | <1% | 772 | $20K |
| H0031 | Mental health assessment, by non-physician | <1% | 137 | $15K |
| H0025 | Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) | <1% | 92 | $11K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 841 | $10K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 68 | $10K |
| H0023 | Behavioral health outreach service (planned approach to reach a targeted population) | <1% | 35 | $4K |
| 0071A | <1% | 593 | $370.62 | |
| 0004A | <1% | 76 | $164.72 | |
| 0072A | <1% | 379 | $82.36 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 941 | $79.00 |
| 90686 | <1% | 589 | $69.20 | |
| 99000 | <1% | 255 | $9.15 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 199 | $9.00 |
| 90461 | 0% | 279 | $0.00 | |
| 0002A | 0% | 363 | $0.00 | |
| 91300 | 0% | 1,068 | $0.00 | |
| 80061 | Lipid panel | 0% | 368 | $0.00 |
| D0190 | 0% | 158 | $0.00 | |
| 82948 | 0% | 142 | $0.00 | |
| 90734 | 0% | 28 | $0.00 | |
| 90670 | 0% | 29 | $0.00 | |
| 84443 | Thyroid stimulating hormone (TSH) | 0% | 557 | $0.00 |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | 0% | 75 | $0.00 |
| 36416 | 0% | 342 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 361 | $0.00 |
| 91307 | 0% | 494 | $0.00 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 696 | $0.00 |
| 80053 | Comprehensive metabolic panel | 0% | 910 | $0.00 |
| 0011A | 0% | 542 | $0.00 | |
| 0001A | 0% | 423 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 615 | $0.00 |
| 91301 | 0% | 1,080 | $0.00 | |
| 82962 | 0% | 57 | $0.00 | |
| 0064A | 0% | 53 | $0.00 | |
| 90723 | 0% | 25 | $0.00 | |
| 90688 | 0% | 263 | $0.00 | |
| 0012A | 0% | 553 | $0.00 | |
| 85018 | 0% | 24 | $0.00 | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 0% | 14 | $0.00 |
| 87800 | 0% | 15 | $0.00 | |
| 90677 | 0% | 14 | $0.00 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 0% | 36 | $0.00 |
| 90651 | 0% | 34 | $0.00 | |
| 80048 | Basic metabolic panel (calcium, ionized) | 0% | 42 | $0.00 |
| 91306 | 0% | 22 | $0.00 | |
| 90620 | 0% | 16 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 24 | $0.00 |
| 90647 | 0% | 13 | $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 officialPEER, APRIL (CFO)
Parent organizationMETRO COMMUNITY PROVIDER NETWORK INC
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.