Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Healthone Clinic Services Medical Specialties LLC

Healthone Clinic Services Medical Specialties LLC was paid $75K by Medicaid between Jun 2020 and Aug 2024, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 73% of everything it billed.

33Billing provider infoHEALTHONE CLINIC SERVICES MEDICAL SPECIALTIES LLC
DENVER, CO 80218
33aNPI1326674250assigned 03/23/2020
28Total paid$75K
24GClaims1,079
24DCodes billed5
24AFirst – last monthJun 2020 – Aug 2024
Compared with peers

Next to other Gastroenterology Physician providers in Colorado

Rank by total paid#19 of 34
Median peer was paid$75K
This provider vs. median1.0×

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

$0$2.5K$5.0K$7.5K2018201920202021202220232024
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
YearClaimsPaid
202032$0.00
2021401$29K
2022236$18K
2023285$19K
2024incomplete125$9K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 73% 742 683 $54K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 11% 166 54 $8K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 7.1% 114 91 $5K
99205 Prolong outpt/office vis 5.9% 27 25 $4K
99222 Initial hospital care, per day, moderate complexity 3.8% 30 28 $3K

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 (VICE PRESIDENT)
Parent organizationHEALTHONE CLINIC SERVICES MEDICAL SPECIALTIES LLC
Same official

Other billing entities under SMITHAM, WILLIAM

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.