Medicaid Provider Spending

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

HEALTHONE CLINIC SERVICES MEDICAL SPECIALTIES LLC

NPI: 1326674250 · DENVER, CO 80218 · Gastroenterology Physician · NPI assigned 03/23/2020

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

Authorized official SMITHAM, WILLIAM controls 14+ related entities in our dataset. Read more

$75K
Total Medicaid Paid
1,079
Total Claims
881
Beneficiaries
5
Codes Billed
2020-06
First Month
2024-08
Last Month

Provider Details

Authorized OfficialSMITHAM, WILLIAM (VICE PRESIDENT)
Parent OrganizationHEALTHONE CLINIC SERVICES MEDICAL SPECIALTIES LLC
NPI Enumeration Date03/23/2020

Related Entities

Other providers sharing the same authorized official: SMITHAM, WILLIAM

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 32 $0.00
2021 401 $29K
2022 236 $18K
2023 285 $19K
2024 125 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 742 683 $54K
99232 Subsequent hospital care, per day, moderate complexity 166 54 $8K
99215 Prolong outpt/office vis 114 91 $5K
99205 Prolong outpt/office vis 27 25 $4K
99222 Initial hospital care, per day, moderate complexity 30 28 $3K