Clinic
Metro Community Provider Network INC
Metro Community Provider Network INC was paid $468K by Medicaid between Mar 2022 and Sep 2024, across 20 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 77% of everything it billed.
33Billing provider infoMETRO COMMUNITY PROVIDER NETWORK INC
AURORA, CO 80013
AURORA, CO 80013
33aNPI1881349165assigned 02/15/2022
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$468K
24GClaims3,474
24DCodes billed20
24AFirst – last monthMar 2022 – Sep 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Colorado
Rank by total paid#132 of 197
Median peer was paid$1.11M
This provider vs. median0.4×
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 | |
|---|---|---|---|
| 2022 | 568 | $87K | |
| 2023 | 1,567 | $227K | |
| 2024incomplete | 1,339 | $155K |
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 | 77% | 1,822 | 1,603 | $360K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 9.2% | 243 | 240 | $43K |
| 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 | 3.7% | 127 | 108 | $18K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.3% | 71 | 67 | $16K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.7% | 141 | 137 | $12K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.4% | 67 | 63 | $7K |
| 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% | 17 | 16 | $4K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 26 | 25 | $3K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 15 | 12 | $3K |
| 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% | 58 | 55 | $2K |
| 90686 | 0% | 174 | 168 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 197 | 180 | $0.00 |
8 more codes
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 122 | $0.00 |
| 90723 | 0% | 51 | $0.00 | |
| 90647 | 0% | 43 | $0.00 | |
| 90677 | 0% | 86 | $0.00 | |
| 90680 | 0% | 28 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 46 | $0.00 |
| 90461 | 0% | 115 | $0.00 | |
| 99173 | 0% | 25 | $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 (CHIEF FINANCIAL OFFICER)
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. | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.