Healthone Clinic Services - Pediatric Specialties LLC
Healthone Clinic Services - Pediatric Specialties LLC was paid $36K by Medicaid between Aug 2021 and Dec 2024, across 7 billing codes. Its largest line is 31622, — 35% of everything it billed.
DENVER, CO 80218
Next to other Pediatrics Physician 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 | |
|---|---|---|---|
| 2021 | 49 | $5K | |
| 2022 | 119 | $12K | |
| 2023 | 170 | $16K | |
| 2024incomplete | 67 | $4K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 31622 | 35% | 157 | 146 | $12K | |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | 27% | 78 | 65 | $10K |
| 30140 | 22% | 24 | 24 | $8K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 7.9% | 37 | 12 | $3K |
| 99223 | Prolong inpt eval add15 m | 5.1% | 12 | 12 | $2K |
| 42975 | 2.8% | 84 | 67 | $989.35 | |
| 31231 | <1% | 13 | 13 | $235.78 |
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 |
|---|---|---|
| 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.