Clinic
Healthone Clinic Services - Orthopedic Specialists LLC
Healthone Clinic Services - Orthopedic Specialists LLC was paid $716K by Medicaid between Jan 2018 and Aug 2022, across 32 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 33% of everything it billed.
33Billing provider infoHEALTHONE CLINIC SERVICES - ORTHOPEDIC SPECIALISTS LLC
WESTMINSTER, CO 80020
WESTMINSTER, CO 80020
33aNPI1245556091assigned 04/19/2010
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$716K
24GClaims17,119
24DCodes billed32
24AFirst – last monthJan 2018 – Aug 2022
Compared with peers
Next to other Multi-Specialty Clinic/Center providers in Colorado
Rank by total paid#14 of 106
Median peer was paid$75K
This provider vs. median9.5×
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 | 8,334 | $343K | |
| 2019 | 5,540 | $233K | |
| 2020 | 3,085 | $133K | |
| 2021 | 110 | $3K | |
| 2022 | 50 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 33% | 4,727 | 4,153 | $236K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 27% | 1,594 | 1,443 | $193K |
| 20610 | 20% | 3,064 | 2,644 | $141K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 7.7% | 786 | 650 | $55K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 2.7% | 2,964 | 2,596 | $19K |
| 73564 | 2.0% | 991 | 886 | $14K | |
| 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 | 1.6% | 141 | 131 | $12K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.3% | 297 | 256 | $9K |
| 29827 | 1.2% | 15 | 13 | $8K | |
| 73030 | 1.0% | 446 | 419 | $7K | |
| 29826 | <1% | 15 | 13 | $6K | |
| 73610 | <1% | 288 | 246 | $4K |
20 more codes
| 73562 | <1% | 206 | $3K | |
| 29823 | <1% | 36 | $2K | |
| 73020 | <1% | 176 | $2K | |
| 73630 | <1% | 118 | $1K | |
| 20611 | <1% | 12 | $1K | |
| 73565 | <1% | 91 | $936.08 | |
| 72170 | <1% | 25 | $425.46 | |
| 73502 | <1% | 13 | $334.37 | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 15 | $123.09 |
| G9196 | Documentation of medical reason(s) for not ordering a first or second generation cephalosporin for antimicrobial prophylaxis (e.g., patients enrolled in clinical trials, patients with documented infection prior to surgical procedure of interest, patients who were receiving antibiotics more than 24 hours prior to surgery [except colon surgery patients taking oral prophylactic antibiotics], patients who were receiving antibiotics within 24 hours prior to arrival [except colon surgery patients taking oral prophylactic antibiotics], other medical reason(s)) | 0% | 185 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 279 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 53 | $0.00 |
| G9299 | Patients who are not evaluated for venous thromboembolic and cardiovascular risk factors within 30 days prior to the procedure (e.g., history of dvt, pe, mi, arrhythmia and stroke, reason not given) | 0% | 99 | $0.00 |
| G9300 | Documentation of medical reason(s) for not completely infusing the prophylactic antibiotic prior to the inflation of the proximal tourniquet (e.g., a tourniquet was not used) | 0% | 140 | $0.00 |
| 4044F | 0% | 188 | $0.00 | |
| 99024 | 0% | 56 | $0.00 | |
| 1036F | 0% | 37 | $0.00 | |
| G9459 | Currently a tobacco non-user | 0% | 12 | $0.00 |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | 0% | 19 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 31 | $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 - Behavioral Health LLC | Aurora, CO | $999K |
| Healthone Clinic Services - Medical Specialties LLC | Denver, CO | $983K |
| Wesley Physician Services LLC | Wichita, KS | $846K |
| 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.