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 1518296417)

Field	Value
Entity Type	Organization
Organization	Metro Community Provider Network Inc
Address	3292 Peoria St
City	Aurora
State	CO
ZIP	80010
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	December 24, 2009

Payer Source	Total Paid
Medicaid	$6.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

23 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D0999	N/A	27,960	$220	$6M
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	7,900	$20	$134.3K
D1120	Prophylaxis–child	3,440	$30	$99.7K
D0120	Periodic oral evaluation - established patient	4,250	$20	$89.2K
D0220	Intraoral - periapical first radiographic image	7,160	$10	$86K
D0150	Comprehensive oral evaluation – new or established patient	2,240	$30	$69.3K
D0230	Intraoral - periapical each additional radiographic image	5,670	$10	$56.7K
D0272	N/A	2,160	$20	$41K
D0145	N/A	1,620	$30	$40.5K
D9230	N/A	1,290	$30	$32.1K

Showing 1–10 of 23

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 — 0 of 21 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

23 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D0999	N/A	9	150	2,140	$260	$2M
D2930	N/A	133	160	550	$130	$233K
D2392	Post 2 surface resin‑based composite	456	690	290	$130	$148K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	374	420	290	$90	$90.4K
D2391	Resin‑based composite – one surface, posterior	262	530	200	$100	$83.5K
D1120	Prophylaxis–child	130	690	300	$30	$82.1K
D1351	Sealant - per tooth	167	280	450	$30	$73.6K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	596	1,130	300	$50	$59.4K
D0120	Periodic oral evaluation - established patient	155	1,200	430	$20	$56.5K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	93	890	330	$20	$55K

Showing 1–10 of 23

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
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	$11.1M
Your Family Home Care LLC	CO	In Home Supportive Care Agency	$0	$8.3M
Ardas LLC	CO	Primary Care Clinic/Center	$0	$7.5M
Excellent Personal Home Care Health Inc	CO	Homemaker	$0	$7.1M
Hv Ne Denver LLC	CO	Medical Specialty Clinic/Center	$0	$5.6M
Hero Dental Of Ne Denver PC	CO	Dentist	$0	$4.9M
Brent Eley Foundation	CO	Non-emergency Medical Transport (VAN)	$0	$4M
Havana And Colfax Dental Partners Proff LLP	CO	General Practice Dentistry	$0	$3.6M
Wendy Karsh	CO	Clinical Social Worker	$78.9K	$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

Nearby Providers

Frequently Asked Questions

References