Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Colorado for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Colorado only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Colorado (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Metro Community Provider Network Inc (NPI 1376701300)

Field	Value
Entity Type	Organization
Organization	Metro Community Provider Network Inc
Address	11005 Ralston Road
City	Arvada
State	CO
ZIP	80004
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	May 27, 2008

Payer Source	Total Paid
Medicaid	$9.3M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

59 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	23,720	$180	$4.3M
D0999	N/A	10,610	$210	$2.3M
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	7,690	$170	$1.3M
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	3,250	$200	$653K
99203	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…	1,200	$190	$227.4K
H0031	Mental health assessment, by non-physician	1,170	$110	$132.2K
H0002	Behavioral health screening to determine eligibility for admission to treatment program	830	$120	$98.3K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	4,530	$20	$67.9K
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…	2,150	$20	$42.9K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	320	$100	$32.3K

Showing 1–10 of 59

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Colorado providers billing the same CPT/HCPCS codes.

Claims Volume vs. Colorado Distribution

Metro Community Provider Network Inc — 1 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Colorado

Full comparison — all codes billed, vs. Colorado median

59 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D0999	N/A	36	150	2,140	$260	$2M
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	83	2,520	330	$100	$352K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	239	2,630	430	$90	$268.2K
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	55	70	350	$30	$150K
D2392	Post 2 surface resin‑based composite	409	690	290	$130	$148K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	82	180	1,040	$10	$127.6K
H0031	Mental health assessment, by non-physician	28	130	210	$140	$125K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	46	690	140	$90	$118.4K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	257	330	530	$30	$100.6K
87389	The lab analyst performs a test to screen for human immunodeficiency virus, called HIV. The test screens for antigens of the HIV 1 virus and antibodies to the HIV 1 and HIV 2 viruses using an…	23	30	210	$20	$98.8K

Showing 1–10 of 59

Related Providers

Other providers that share a Tax Identification Number (TIN) with Metro Community Provider Network Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Metro Community Provider Network Inc	CO	Community Health Clinic/Center	$0	$25.6M
Metro Community Provider Network Inc	CO	Federally Qualified Health Center (FQHC)	$0	$23.6M
Metro Community Provider Network Inc	CO	Federally Qualified Health Center (FQHC)	$0	$11.1M
Metro Community Provider Network, Inc.	CO	Federally Qualified Health Center (FQHC)	$0	$9.7M
Metro Community Provider Network Inc	CO	Federally Qualified Health Center (FQHC)	$0	$5.7M
Metro Community Provider Network Inc	CO	Federally Qualified Health Center (FQHC)	$0	$3.8M
Denis Newman	CO	Physician Assistant	$12.2K	$0
Karalyn Pazdernik-harmon	CO	Physician Assistant	$11.7K	$0
Erin Dunsworth	CO	Clinical Psychologist	$10.5K	$0

Nearby Providers

Other providers in the same ZIP code as Metro Community Provider Network Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Wadsworth Medical Arts Pharmacy LLC	CO	Long Term Care Pharmacy	$0	$14.7M
Special Needs Network	CO	Durable Medical Equipment & Medical Supplies	$0	$8.7M
Green Lakeview Adult Daycare, LLC	CO	Adult Day Care Clinic/Center	$0	$4.9M
Reza Esfahani	CO	Family Medicine Physician	$108K	$0
Stephanie Vela	CO	Gerontology Nurse Practitioner	$90.5K	$0
Ellie Titarenko	CO	Adult Health Nurse Practitioner	$79.5K	$0
Timothy Shank	CO	Physician Assistant	$60.3K	$0

Metro Community Provider Network Inc — Billing Profile & Reimbursement Data

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Metro Community Provider Network Inc — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References