Clinic
Metro Community Health Centers, INC.
Metro Community Health Centers, INC. was paid $16.42M by Medicaid between Jan 2018 and Dec 2024, across 46 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 23% of everything it billed.
33Billing provider infoMETRO COMMUNITY HEALTH CENTERS, INC.
BRONX, NY 10460
BRONX, NY 10460
33aNPI1841536554assigned 12/27/2012
33bProvider typeClinic/Center
28Total paid$16.42M
24GClaims120,456
24DCodes billed46
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinic/Center providers in New York
Rank by total paid#18 of 235
Median peer was paid$630K
This provider vs. median26×
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 | 993 | $36K | |
| 2019 | 7,646 | $899K | |
| 2020 | 17,256 | $2.21M | |
| 2021 | 21,146 | $2.89M | |
| 2022 | 20,203 | $2.76M | |
| 2023 | 27,530 | $3.68M | |
| 2024incomplete | 25,682 | $3.94M |
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 | 23% | 19,433 | 14,916 | $3.71M |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 16% | 15,728 | 10,142 | $2.57M |
| 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 | 11% | 10,719 | 7,699 | $1.84M |
| 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 | 11% | 25,727 | 10,612 | $1.75M |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 9.4% | 7,384 | 5,830 | $1.54M |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 8.9% | 7,960 | 3,812 | $1.45M |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 5.4% | 9,153 | 4,442 | $892K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 5.2% | 4,899 | 1,681 | $847K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.3% | 7,258 | 3,380 | $708K |
| D1110 | Prophylaxis - adult | 2.7% | 4,413 | 2,121 | $442K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 920 | 482 | $144K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 436 | 381 | $100K |
34 more codes
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 568 | $97K |
| G0470 | Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit | <1% | 1,229 | $80K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 318 | $51K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 140 | $28K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 460 | $28K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 160 | $27K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 408 | $17K |
| D0274 | Bitewings - four radiographic images | <1% | 388 | $17K |
| 99385 | <1% | 56 | $10K | |
| 99386 | <1% | 53 | $8K | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | <1% | 517 | $8K |
| 99205 | Prolong outpt/office vis | <1% | 38 | $7K |
| 0012A | <1% | 214 | $5K | |
| 99201 | <1% | 31 | $5K | |
| 0011A | <1% | 191 | $4K | |
| 97542 | <1% | 16 | $4K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 248 | $3K |
| D9110 | <1% | 27 | $3K | |
| 93000 | <1% | 211 | $2K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 107 | $2K |
| 99441 | <1% | 58 | $2K | |
| 0064A | <1% | 41 | $2K | |
| 0013A | <1% | 34 | $1K | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 45 | $1K |
| 36415 | Collection of venous blood by venipuncture | <1% | 208 | $1K |
| 90688 | <1% | 54 | $876.04 | |
| 0031A | <1% | 17 | $563.73 | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 51 | $520.05 |
| D1120 | Dental cleaning, child | <1% | 13 | $460.71 |
| 90656 | <1% | 16 | $19.77 | |
| 91313 | <1% | 33 | $0.04 | |
| 91301 | <1% | 300 | $0.01 | |
| 90785 | 0% | 30 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 146 | $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 officialWONG, FRED (CHIEF FINANCIAL OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Metro Community Health Centers, INC | Brooklyn, NY | $11.96M |
| Metro Community Health Centers, INC. | Staten Island, NY | $3.93M |
| Metro Community Health Centers, INC | New York, NY | $630K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.