Clinic
Healthone Clinic Services - Behavioral Health LLC
Healthone Clinic Services - Behavioral Health LLC was paid $999K by Medicaid between Jan 2018 and Oct 2024, across 21 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 51% of everything it billed.
33Billing provider infoHEALTHONE CLINIC SERVICES - BEHAVIORAL HEALTH LLC
AURORA, CO 80011
AURORA, CO 80011
33aNPI1184893604assigned 02/28/2008
33bProvider typeClinic/Center
28Total paid$999K
24GClaims27,651
24DCodes billed21
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Clinic/Center providers in Colorado
Rank by total paid#23 of 87
Median peer was paid$179K
This provider vs. median5.6×
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 FENDER, THOMAS controls 15+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 4,155 | $102K | |
| 2019 | 7,958 | $222K | |
| 2020 | 8,544 | $400K | |
| 2021 | 523 | $21K | |
| 2022 | 1,097 | $68K | |
| 2023 | 1,122 | $123K | |
| 2024incomplete | 4,252 | $63K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 51% | 18,876 | 5,105 | $506K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 20% | 1,486 | 1,296 | $204K |
| 99239 | Hospital discharge day management, more than 30 minutes | 17% | 3,816 | 2,829 | $174K |
| 99222 | Initial hospital care, per day, moderate complexity | 4.7% | 705 | 537 | $47K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 3.9% | 704 | 315 | $39K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 770 | 257 | $8K |
| 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 | <1% | 140 | 98 | $6K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 128 | 107 | $6K |
| 99223 | Prolong inpt eval add15 m | <1% | 87 | 71 | $5K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 18 | 18 | $3K |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 26 | 26 | $0.00 |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | 0% | 71 | 71 | $0.00 |
9 more codes
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 16 | $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) | 0% | 26 | $0.00 |
| G9717 | Documentation stating the patient has had a diagnosis of bipolar disorder | 0% | 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) | 0% | 20 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 429 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 95 | $0.00 |
| G8731 | Pain assessment using a standardized tool is documented as negative, no follow-up plan required | 0% | 181 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 15 | $0.00 |
| 99238 | Hospital discharge day management, 30 minutes or less | 0% | 28 | $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 officialFENDER, THOMAS (VP)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.