Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Healthone Clinic Services - Primary Care, LLC

Healthone Clinic Services - Primary Care, LLC was paid $392K by Medicaid between Jan 2021 and Nov 2024, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 83% of everything it billed.

33Billing provider infoHEALTHONE CLINIC SERVICES - PRIMARY CARE, LLC
ENGLEWOOD, CO 80113
33aNPI1154937977assigned 09/17/2020
28Total paid$392K
24GClaims5,452
24DCodes billed6
24AFirst – last monthJan 2021 – Nov 2024
Compared with peers

Next to other Family Medicine Physician providers in Colorado

Rank by total paid#92 of 532
Median peer was paid$35K
This provider vs. median11×

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$5.0K$10K$15K2018201920202021202220232024
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
20211,397$107K
20221,227$92K
20231,666$115K
2024incomplete1,162$78K
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 83% 4,061 3,615 $327K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 15% 974 907 $58K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 155 153 $3K
90686 <1% 177 166 $2K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 12 12 $1K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 73 55 $1K

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 - PRIMARY CARE, 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.