Physician
Healthone Irl Pathology Services, LLC
Healthone Irl Pathology Services, LLC was paid $165K by Medicaid between Dec 2020 and Nov 2024, across 13 billing codes. Its largest line is 88307, — 45% of everything it billed.
33Billing provider infoHEALTHONE IRL PATHOLOGY SERVICES, LLC
DENVER, CO 80218
DENVER, CO 80218
33aNPI1275136798assigned 11/18/2020
33bProvider typeAnatomic Pathology & Clinical Pathology Physician
28Total paid$165K
24GClaims3,130
24DCodes billed13
24AFirst – last monthDec 2020 – Nov 2024
Compared with peers
Next to other Anatomic Pathology & Clinical Pathology Physician providers in Colorado
Rank by total paid#9 of 40
Median peer was paid$32K
This provider vs. median5.2×
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
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 | |
|---|---|---|---|
| 2020 | 110 | $3K | |
| 2021 | 710 | $35K | |
| 2022 | 755 | $41K | |
| 2023 | 1,121 | $59K | |
| 2024incomplete | 434 | $26K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 88307 | 45% | 1,268 | 1,204 | $75K | |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 42% | 929 | 885 | $69K |
| 85060 | 5.6% | 584 | 530 | $9K | |
| 88341 | 2.2% | 39 | 38 | $4K | |
| 88189 | 1.5% | 30 | 30 | $3K | |
| 88342 | 1.1% | 55 | 55 | $2K | |
| 88360 | <1% | 25 | 25 | $1K | |
| 88304 | <1% | 94 | 94 | $1K | |
| 88313 | <1% | 30 | 30 | $720.00 | |
| 85097 | <1% | 18 | 18 | $662.83 | |
| 86077 | <1% | 13 | 13 | $422.81 | |
| 88108 | <1% | 15 | 12 | $318.49 |
1 more codes
| 88311 | <1% | 30 | $286.81 |
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 (AUTHORIZED OFFICIAL)
| Provider | Location | Paid |
|---|---|---|
| Healthone Clinic Services - Behavioral Health LLC | Aurora, CO | $1.66M |
| Healthone Clinic Services Medical Specialties LLC | Englewood, CO | $423K |
| Healthone Clinic Services Medical Specialties LLC | Denver, CO | $75K |
| Healthone Clinic Services - Obstetrics and Gynecology LLC | Thornton, CO | $37K |
| Healthone Clinic Services - Cardiovascular LLC | Englewood, CO | $31K |
| Healthone Clinic Services - Bariatric Medicine LLC | Englewood, CO | $28K |
| Healthone Clinic Services - Otolaryngology Specialists LLC | Centennial, CO | $24K |
| Healthone Clinic Services - Bariatric Medicine LLC | Lone Tree, CO | $19K |
| Healthone Clinic Services - Behavioral Health LLC | Aurora, CO | $12K |
| Healthone Clinic Services - Cardiovascular LLC | Denver, CO | $7K |
| Healthone Clinic Services - Behavioral Health LLC | Thornton, CO | $3K |
| Healthone Clinic Services - Bariatric Medicine LLC | Denver, CO | $500.46 |
| Healthone Clinic Services - Cardiovascular LLC | Denver, CO | $202.59 |
| Healthone Clinic Services - Behavioral Health LLC | Aurora, CO | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.