Medicaid Provider Spending

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

HEALTHONE CLINIC SERVICES - PEDIATRIC SPECIALTIES LLC

NPI: 1548875537 · DENVER, CO 80218 · Pediatrics Physician · NPI assigned 09/15/2020

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

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

$36K
Total Medicaid Paid
405
Total Claims
339
Beneficiaries
7
Codes Billed
2021-08
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSMITHAM, WILLIAM (VICE PRESIDENT)
Parent OrganizationHEALTHONE CLINIC SERVICES - PEDIATRIC SPECIALTIES LLC
NPI Enumeration Date09/15/2020

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
2021 49 $5K
2022 119 $12K
2023 170 $16K
2024 67 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
31622 157 146 $12K
42820 Tonsillectomy and adenoidectomy; younger than age 12 78 65 $10K
30140 24 24 $8K
99233 Prolong inpt eval add15 m 37 12 $3K
99223 Prolong inpt eval add15 m 12 12 $2K
42975 84 67 $989.35
31231 13 13 $235.78