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METRO COMMUNITY PROVIDER NETWORK INC

Clinic/Center, Community Health·AURORA, CO·NPI: 1205098340Share

Compared to Clinic/Center, Community Health Peers

Total spending distribution among 8 providers in this specialty

P25MedianP75P90

This provider's total spending of $25.6M is at the 25th percentile among 8 Clinic/Center, Community Health providers.

Active Billing Period:2018-01→2024-08(80 months)

Total Paid

$25.6M

$25,623,091

Total Claims

255K

Beneficiaries

219K

1.2 claims/patient

Avg Cost/Claim

$100

Monthly Spending Trend

Yearly Spending

2018
$3.2M
-12%
2019
$2.8M
+6%
2020
$3.0M
+33%
2021
$4.0M
+36%
2022
$5.4M
+6%
2023
$5.7M
-75%
2024
$1.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 46% of total spending.

99213Top 1%

Office/outpatient visit, est. patient, low-mod complexity

$11.9M

61K claims · 46.5%

Your Cost: $196.18/claim|Median: $37.81
5.2× median
99214Top 1%

Office/outpatient visit, est. patient, mod-high complexity

$3.2M

17K claims · 12.6%

Your Cost: $189.20/claim|Median: $53.41
3.5× median
99212Top 5%

Office/outpatient visit, low complexity

$2.2M

15K claims · 8.7%

Your Cost: $147.30/claim|Median: $25.06
5.9× median
99391Top 5%

Preventive medicine, established patient, infant (under 1)

$1.5M

8,227 claims · 5.9%

Your Cost: $184.24/claim|Median: $69.35
2.7× median
99392Top 5%

Preventive medicine, established patient, age 1-4

$1.3M

7,229 claims · 5.2%

Your Cost: $186.08/claim|Median: $75.18
2.5× median
99393Top 5%

Preventive medicine, established patient, age 5-11

$908K

4,821 claims · 3.5%

Your Cost: $188.44/claim|Median: $74.82
2.5× median
H0002Top 25%

Behavioral health screening

$849K

7,156 claims · 3.3%

Your Cost: $118.65/claim|Median: $38.77
3.1× median
90460Top 25%

Immunization administration, first vaccine/toxoid, with counseling

$837K

26K claims · 3.3%

Your Cost: $32.76/claim|Median: $17.85
1.8× median
D0999Top 25%

Unspecified diagnostic procedure, by report

$721K

3,658 claims · 2.8%

Your Cost: $197.12/claim|Median: $101.33
1.9× median
99394Top 5%

Preventive medicine, established patient, age 12-17

$492K

2,576 claims · 1.9%

Your Cost: $191.12/claim|Median: $80.15
2.4× median
99204Top 5%

Office/outpatient visit, new patient, mod-high complexity

$403K

1,936 claims · 1.6%

Your Cost: $208.25/claim|Median: $84.03
2.5× median
H0031Normal range

Mental health assessment by non-physician

$248K

1,931 claims · 1.0%

Your Cost: $128.22/claim|Median: $96.18
1.3× median
99211Top 1%

Office/outpatient visit, minimal complexity

$217K

1,090 claims · 0.8%

Your Cost: $199.42/claim|Median: $12.93
15.4× median
90471Top 25%

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$210K

13K claims · 0.8%

Your Cost: $16.78/claim|Median: $9.80
1.7× median
99203Top 1%

Office/outpatient visit, new patient, low-mod complexity

$160K

701 claims · 0.6%

Your Cost: $227.90/claim|Median: $57.85
3.9× median
99381Top 5%

Preventive visit, new patient, infant (<1 yr)

$92K

425 claims · 0.4%

Your Cost: $217.58/claim|Median: $73.46
3.0× median
90649Top 10%

$42K

744 claims · 0.2%

Your Cost: $56.01/claim|Median: $6.42
8.7× median
99202Top 5%

Office/outpatient visit, new patient, low complexity

$38K

171 claims · 0.1%

Your Cost: $221.43/claim|Median: $40.11
5.5× median
99215Top 5%

Office/outpatient visit, high complexity

$36K

172 claims · 0.1%

Your Cost: $206.43/claim|Median: $74.09
2.8× median
H0023Top 25%

Behavioral health outreach service, per 15 minutes

$32K

247 claims · 0.1%

Your Cost: $127.73/claim|Median: $53.97
2.4× median
99441Top 1%

Telephone E/M by physician, 5-10 min

$15K

53 claims · 0.1%

Your Cost: $275.91/claim|Median: $13.30
20.7× median
H0001Normal range

Alcohol and/or drug assessment

$15K

110 claims · 0.1%

Your Cost: $132.52/claim|Median: $94.22
1.4× median
90480Top 1%

$9K

91 claims · 0.0%

Your Cost: $101.51/claim|Median: $25.29
4.0× median
0081ANormal range

$7K

173 claims · 0.0%

Your Cost: $39.44/claim|Median: $38.21
1.0× median
96110Normal range

Developmental screening, per standardized instrument

$5K

12K claims · 0.0%

Your Cost: $0.43/claim|Median: $9.10
0.0× median
0124ANormal range

$5K

129 claims · 0.0%

Your Cost: $35.27/claim|Median: $34.32
1.0× median
98966Top 5%

$4K

46 claims · 0.0%

Your Cost: $91.36/claim|Median: $6.84
13.4× median
D1120Normal range

Prophylaxis, adult

$2K

603 claims · 0.0%

Your Cost: $4.14/claim|Median: $33.86
0.1× median
0082ANormal range

$2K

60 claims · 0.0%

Your Cost: $39.77/claim|Median: $39.88
1.0× median
D1206Normal range

Topical application of fluoride varnish

$2K

1,327 claims · 0.0%

Your Cost: $1.76/claim|Median: $18.12
0.1× median
H0006Top 10%

Alcohol and/or drug services, case management

$2K

18 claims · 0.0%

Your Cost: $126.53/claim|Median: $43.10
2.9× median
0004ANormal range

$2K

61 claims · 0.0%

Your Cost: $36.45/claim|Median: $35.62
1.0× median
90461Normal range

Immunization admin, additional vaccine, counseling

$2K

8,764 claims · 0.0%

Your Cost: $0.24/claim|Median: $6.93
0.0× median
D0272Normal range

Bitewings, two radiographic images

$2K

523 claims · 0.0%

Your Cost: $3.49/claim|Median: $15.81
0.2× median
0071ANormal range

$2K

44 claims · 0.0%

Your Cost: $41.18/claim|Median: $38.71
1.1× median
D0120Normal range

Periodic oral evaluation, established patient

$2K

634 claims · 0.0%

Your Cost: $2.74/claim|Median: $24.34
0.1× median
D0220Normal range

Intraoral periapical radiographic image, first film

$2K

1,182 claims · 0.0%

Your Cost: $1.38/claim|Median: $10.51
0.1× median
0154ANormal range

$2K

40 claims · 0.0%

Your Cost: $39.12/claim|Median: $39.23
1.0× median
90670Normal range

$2K

5,094 claims · 0.0%

Your Cost: $0.30/claim|Median: $5.94
0.1× median
99201Top 25%

Office/outpatient visit, new patient, straightforward

$1K

16 claims · 0.0%

Your Cost: $93.56/claim|Median: $27.38
3.4× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$1K

957 claims · 0.0%

Your Cost: $1.20/claim|Median: $7.33
0.2× median
99173Normal range

$1K

5,246 claims · 0.0%

Your Cost: $0.22/claim|Median: $2.16
0.1× median
0073ANormal range

$1K

27 claims · 0.0%

Your Cost: $39.65/claim|Median: $40.00
1.0× median
90723Normal range

DTaP-HepB-IPV vaccine

$1K

2,663 claims · 0.0%

Your Cost: $0.40/claim|Median: $5.78
0.1× median
90680Normal range

$908

2,313 claims · 0.0%

Your Cost: $0.39/claim|Median: $5.58
0.1× median
90472Normal range

Immunization administration, each additional vaccine

$860

862 claims · 0.0%

Your Cost: $1.00/claim|Median: $11.79
0.1× median
99000Normal range

$821

1,358 claims · 0.0%

Your Cost: $0.60/claim|Median: $2.30
0.3× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$814

275 claims · 0.0%

Your Cost: $2.96/claim|Median: $32.07
0.1× median
0072ANormal range

$782

20 claims · 0.0%

Your Cost: $39.12/claim|Median: $39.57
1.0× median
90734Normal range

$733

403 claims · 0.0%

Your Cost: $1.82/claim|Median: $6.40
0.3× median

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