Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

HEALTHONE CLINIC SERVICES - BEHAVIORAL HEALTH LLC

NPI: 1184893604 · AURORA, CO 80011 · Clinic/Center · NPI assigned 02/28/2008

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official FENDER, THOMAS controls 15+ related entities in our dataset. Read more

$999K
Total Medicaid Paid
27,651
Total Claims
11,426
Beneficiaries
21
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialFENDER, THOMAS (VP)
NPI Enumeration Date02/28/2008

Related Entities

Other providers sharing the same authorized official: FENDER, THOMAS

ProviderCityStateTotal Paid
WESLEY PHYSICIANS MEDICAL SPECIALTIES LLC WICHITA KS $8.07M
HEALTHONE CLINIC SERVICES - PRIMARY CARE LLC DENVER CO $1.83M
HEALTHONE HEART CARE LLC AURORA CO $1.48M
HEALTHONE CLINIC SERVICES - PEDIATRIC SPECIALTIES LLC DENVER CO $1.41M
HEALTHONE CLINIC SERVICES - MEDICAL SPECIALTIES LLC DENVER CO $983K
WESLEY PHYSICIAN SERVICES LLC WICHITA KS $846K
HEALTHONE CLINIC SERVICES - ORTHOPEDIC SPECIALISTS LLC WESTMINSTER CO $716K
HEALTHONE CLINIC SERVICES-SURGICAL SPECIALTIES LLC DENVER CO $516K
HEALTHONE CLINIC SERVICES - OBSTETRICS AND GYNECOLOGY LLC AURORA CO $447K
NEUROLOGY ASSOCIATES OF KANSAS LLC WICHITA KS $162K
HEALTHONE CLINIC SERVICES - BARIATRIC MEDICINE LLC DENVER CO $148K
HEALTHONE CLINIC SERVICES - CARDIOVASCULAR LLC AURORA CO $89K
HEALTHONE CLINIC SERVICES - ONCOLOGY HEMATOLOGY LLC DENVER CO $74K
HEALTHONE HIGH STREET PRIMARY CARE DENVER CO $49K
HEARTLAND WOMEN'S GROUP AT WESLEY LLC WICHITA KS $5K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,155 $102K
2019 7,958 $222K
2020 8,544 $400K
2021 523 $21K
2022 1,097 $68K
2023 1,122 $123K
2024 4,252 $63K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99232 Subsequent hospital care, per day, moderate complexity 18,876 5,105 $506K
90792 Psychiatric diagnostic evaluation with medical services 1,486 1,296 $204K
99239 Hospital discharge day management, more than 30 minutes 3,816 2,829 $174K
99222 Initial hospital care, per day, moderate complexity 705 537 $47K
99233 Prolong inpt eval add15 m 704 315 $39K
99231 Subsequent hospital care, per day, straightforward or low complexity 770 257 $8K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 140 98 $6K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 128 107 $6K
99223 Prolong inpt eval add15 m 87 71 $5K
90791 Psychiatric diagnostic evaluation 18 18 $3K
G9902 Patient screened for tobacco use and identified as a tobacco user 26 26 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 71 71 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 16 15 $0.00
G9906 Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) 26 26 $0.00
G9717 Documentation stating the patient has had a diagnosis of bipolar disorder 14 14 $0.00
G8430 Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (e.g., patient is in an acute health crisis where time is of the essence and delay of treatment would jeopardize the patient's health status) 20 20 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 429 363 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 95 94 $0.00
G8731 Pain assessment using a standardized tool is documented as negative, no follow-up plan required 181 121 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 15 15 $0.00
99238 Hospital discharge day management, 30 minutes or less 28 28 $0.00