Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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NP / PA

Healthone Clinic Services Medical Specialties LLC

Healthone Clinic Services Medical Specialties LLC was paid $20K by Medicaid between Apr 2020 and Oct 2024, across 4 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 60% of everything it billed.

33Billing provider infoHEALTHONE CLINIC SERVICES MEDICAL SPECIALTIES LLC
DENVER, CO 80218
33aNPI1083240915assigned 03/23/2020
33bProvider typePhysician Assistant
28Total paid$20K
24GClaims802
24DCodes billed4
24AFirst – last monthApr 2020 – Oct 2024
Compared with peers

Next to other Physician Assistant providers in Colorado

Rank by total paid#40 of 95
Median peer was paid$12K
This provider vs. median1.7×

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 SMITHAM, WILLIAM controls 14+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
YearClaimsPaid
2020420$1K
202115$856.14
2022262$18K
2024incomplete105$0.00
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 60% 569 437 $12K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 40% 186 151 $8K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 28 12 $44.39
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 0% 19 19 $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 officialSMITHAM, WILLIAM (VICE PRESIDENT)
Parent organizationHEALTHONE CLINIC SERVICES MEDICAL SPECIALTIES LLC
Same official

Other billing entities under SMITHAM, WILLIAM

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.