Healthone Clinic Services - Medical Specialties LLC
Healthone Clinic Services - Medical Specialties LLC was paid $983K by Medicaid between Jan 2018 and Sep 2024, across 15 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 48% of everything it billed.
DENVER, CO 80218
Next to other Clinic/Center providers in Colorado
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 439 | $30K | |
| 2019 | 1,050 | $75K | |
| 2020 | 11,018 | $656K | |
| 2021 | 3,143 | $174K | |
| 2022 | 579 | $36K | |
| 2023 | 182 | $9K | |
| 2024incomplete | 39 | $3K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 48% | 9,223 | 3,180 | $471K |
| 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 | 23% | 3,149 | 2,885 | $226K |
| 99223 | Prolong inpt eval add15 m | 9.2% | 862 | 720 | $91K |
| 99239 | Hospital discharge day management, more than 30 minutes | 5.5% | 974 | 794 | $54K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.8% | 578 | 537 | $38K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.5% | 442 | 377 | $34K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 3.0% | 797 | 312 | $29K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 1.8% | 96 | 51 | $17K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 71 | 68 | $8K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 104 | 94 | $8K |
| 99205 | Prolong outpt/office vis | <1% | 58 | 37 | $5K |
| 99220 | <1% | 23 | 12 | $1K |
3 more codes
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.
Who's on the registration
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.