Medicaid Provider Spending

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

METRO COMMUNITY PROVIDER NETWORK INC

NPI: 1881349165 · AURORA, CO 80013 · Federally Qualified Health Center (FQHC) · NPI assigned 02/15/2022

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

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

$468K
Total Medicaid Paid
3,474
Total Claims
3,180
Beneficiaries
20
Codes Billed
2022-03
First Month
2024-09
Last Month

Provider Details

Authorized OfficialPEER, APRIL (CHIEF FINANCIAL OFFICER)
Parent OrganizationMETRO COMMUNITY PROVIDER NETWORK INC
NPI Enumeration Date02/15/2022

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. ENGLEWOOD CO $3.24M
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. 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
2022 568 $87K
2023 1,567 $227K
2024 1,339 $155K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,822 1,603 $360K
90460 Immunization administration through 18 years of age via any route, first or only component 243 240 $43K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 127 108 $18K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 71 67 $16K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 141 137 $12K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 67 63 $7K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 17 16 $4K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 26 25 $3K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 15 12 $3K
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 58 55 $2K
90686 174 168 $0.00
83036 Hemoglobin; glycosylated (A1C) 197 180 $0.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 122 119 $0.00
90723 51 50 $0.00
90647 43 42 $0.00
90677 86 85 $0.00
90680 28 27 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 46 44 $0.00
90461 115 114 $0.00
99173 25 25 $0.00