Medicaid Provider Spending

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

HEALTHONE CLINIC SERVICES - ORTHOPEDIC SPECIALISTS LLC

NPI: 1245556091 · WESTMINSTER, CO 80020 · Multi-Specialty Clinic/Center · NPI assigned 04/19/2010

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

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

$716K
Total Medicaid Paid
17,119
Total Claims
14,914
Beneficiaries
32
Codes Billed
2018-01
First Month
2022-08
Last Month

Provider Details

Authorized OfficialFENDER, THOMAS (VP)
NPI Enumeration Date04/19/2010

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 - 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 8,334 $343K
2019 5,540 $233K
2020 3,085 $133K
2021 110 $3K
2022 50 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,727 4,153 $236K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,594 1,443 $193K
20610 3,064 2,644 $141K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 786 650 $55K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 2,964 2,596 $19K
73564 991 886 $14K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 141 131 $12K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 297 256 $9K
29827 15 13 $8K
73030 446 419 $7K
29826 15 13 $6K
73610 288 246 $4K
73562 206 163 $3K
29823 36 26 $2K
73020 176 137 $2K
73630 118 94 $1K
20611 12 12 $1K
73565 91 67 $936.08
72170 25 24 $425.46
73502 13 13 $334.37
J1040 Injection, methylprednisolone acetate, 80 mg 15 12 $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)) 185 152 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 279 228 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 53 43 $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) 99 83 $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) 140 118 $0.00
4044F 188 155 $0.00
99024 56 52 $0.00
1036F 37 26 $0.00
G9459 Currently a tobacco non-user 12 12 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 19 18 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 31 29 $0.00