Medicaid Provider Spending

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

HEALTHONE CLINIC SERVICES - MEDICAL SPECIALTIES LLC

NPI: 1457549461 · DENVER, CO 80218 · Clinic/Center · NPI assigned 10/04/2007

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

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

$983K
Total Medicaid Paid
16,450
Total Claims
9,136
Beneficiaries
15
Codes Billed
2018-01
First Month
2024-09
Last Month

Provider Details

Authorized OfficialFENDER, THOMAS (VP)
NPI Enumeration Date10/04/2007

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
WESLEY PHYSICIAN SERVICES LLC WICHITA KS $846K
HEALTHONE CLINIC SERVICES - ORTHOPEDIC SPECIALISTS LLC WESTMINSTER CO $716K
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 439 $30K
2019 1,050 $75K
2020 11,018 $656K
2021 3,143 $174K
2022 579 $36K
2023 182 $9K
2024 39 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99233 Prolong inpt eval add15 m 9,223 3,180 $471K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,149 2,885 $226K
99223 Prolong inpt eval add15 m 862 720 $91K
99239 Hospital discharge day management, more than 30 minutes 974 794 $54K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 578 537 $38K
99215 Prolong outpt/office vis 442 377 $34K
99232 Subsequent hospital care, per day, moderate complexity 797 312 $29K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 96 51 $17K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 71 68 $8K
99222 Initial hospital care, per day, moderate complexity 104 94 $8K
99205 Prolong outpt/office vis 58 37 $5K
99220 23 12 $1K
83036 Hemoglobin; glycosylated (A1C) 12 12 $97.10
36415 Collection of venous blood by venipuncture 45 41 $96.97
96127 16 16 $54.60