Clinic
Healthone Clinic Services - Primary Care LLC
Healthone Clinic Services - Primary Care LLC was paid $1.83M by Medicaid between Jan 2018 and May 2024, across 27 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 52% of everything it billed.
33Billing provider infoHEALTHONE CLINIC SERVICES - PRIMARY CARE LLC
DENVER, CO 80220
DENVER, CO 80220
33aNPI1518141761assigned 12/24/2007
33bProvider typeClinic/Center
28Total paid$1.83M
24GClaims39,555
24DCodes billed27
24AFirst – last monthJan 2018 – May 2024
Compared with peers
Next to other Clinic/Center providers in Colorado
Rank by total paid#15 of 87
Median peer was paid$179K
This provider vs. median10×
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 FENDER, THOMAS controls 15+ 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 | |
|---|---|---|---|
| 2018 | 15,568 | $583K | |
| 2019 | 12,240 | $627K | |
| 2020 | 9,129 | $475K | |
| 2021 | 972 | $66K | |
| 2022 | 679 | $46K | |
| 2023 | 460 | $28K | |
| 2024incomplete | 507 | $9K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 52% | 15,295 | 11,370 | $961K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 42% | 16,279 | 13,973 | $769K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.8% | 3,677 | 2,888 | $51K |
| 90686 | <1% | 1,950 | 1,723 | $17K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 279 | 122 | $10K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 96 | 42 | $4K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 104 | 51 | $4K |
| 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% | 24 | 16 | $2K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 24 | 24 | $2K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 167 | 105 | $2K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 40 | 37 | $2K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 80 | 27 | $1K |
15 more codes
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 41 | $1K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 27 | $1K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 14 | $1K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 65 | $1K |
| 99223 | Prolong inpt eval add15 m | <1% | 16 | $902.64 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 40 | $867.15 |
| 90688 | <1% | 134 | $824.18 | |
| 99221 | <1% | 19 | $520.24 | |
| 99443 | <1% | 19 | $165.32 | |
| 99406 | <1% | 14 | $161.59 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 63 | $159.00 |
| 99442 | <1% | 26 | $113.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 932 | $0.00 |
| G9920 | Screening performed and negative | 0% | 117 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 13 | $0.00 |
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 officialFENDER, THOMAS (VP)
| Provider | Location | Paid |
|---|---|---|
| Wesley Physicians Medical Specialties LLC | Wichita, KS | $8.07M |
| 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 |
| Healthone Clinic Services - Medical Specialties LLC | Denver, CO | $983K |
| 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.