Clinic
Metro Community Health Centers, INC
Metro Community Health Centers, INC was paid $11.96M by Medicaid between Feb 2018 and Dec 2024, across 37 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 28% of everything it billed.
33Billing provider infoMETRO COMMUNITY HEALTH CENTERS, INC
BROOKLYN, NY 11201
BROOKLYN, NY 11201
33aNPI1972059467assigned 08/25/2016
33bProvider typeClinic/Center
28Total paid$11.96M
24GClaims90,276
24DCodes billed37
24AFirst – last monthFeb 2018 – Dec 2024
Compared with peers
Next to other Clinic/Center providers in New York
Rank by total paid#31 of 235
Median peer was paid$630K
This provider vs. median19×
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 | 28 | $2K | |
| 2019 | 4,628 | $561K | |
| 2020 | 12,912 | $1.52M | |
| 2021 | 16,403 | $2.17M | |
| 2022 | 16,706 | $2.21M | |
| 2023 | 20,912 | $2.60M | |
| 2024incomplete | 18,687 | $2.90M |
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 | 28% | 16,700 | 13,094 | $3.39M |
| 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 | 16% | 10,409 | 7,298 | $1.94M |
| 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 | 14% | 23,761 | 10,278 | $1.68M |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 6.8% | 8,439 | 4,003 | $813K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 6.7% | 3,735 | 3,126 | $805K |
| D1110 | Prophylaxis - adult | 5.9% | 6,616 | 2,512 | $706K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 5.1% | 4,286 | 2,471 | $610K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 4.9% | 3,266 | 1,411 | $591K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.0% | 3,285 | 1,264 | $355K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 2.9% | 2,376 | 1,243 | $346K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 2.1% | 1,532 | 913 | $251K |
| 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 | 1.2% | 2,257 | 1,098 | $147K |
25 more codes
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 587 | $97K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 260 | $44K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 529 | $40K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 156 | $34K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 168 | $29K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 129 | $15K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 74 | $11K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 42 | $9K |
| D0140 | Limited oral evaluation - problem focused | <1% | 42 | $8K |
| 93000 | <1% | 425 | $7K | |
| 99205 | Prolong outpt/office vis | <1% | 32 | $7K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 327 | $4K |
| D0330 | Panoramic radiographic image | <1% | 30 | $4K |
| D0191 | <1% | 14 | $4K | |
| 99397 | <1% | 33 | $3K | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 49 | $3K |
| 36415 | Collection of venous blood by venipuncture | <1% | 67 | $1K |
| 90688 | <1% | 102 | $1K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 232 | $1K |
| 90674 | <1% | 17 | $500.00 | |
| 99442 | <1% | 20 | $469.60 | |
| G8482 | Influenza immunization administered or previously received | 0% | 233 | $0.00 |
| 90653 | 0% | 20 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 13 | $0.00 |
| 90656 | 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 officialWONG, FRED (CFO)
| Provider | Location | Paid |
|---|---|---|
| Metro Community Health Centers, INC. | Bronx, NY | $16.42M |
| 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.