Healthone Clinic Services Medical Specialties LLC
Healthone Clinic Services Medical Specialties LLC was paid $423K by Medicaid between Jun 2020 and Jan 2022, across 5 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 72% of everything it billed.
ENGLEWOOD, CO 80113
Next to other Gastroenterology 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 | |
|---|---|---|---|
| 2020 | 1,158 | $953.52 | |
| 2021 | 5,343 | $395K | |
| 2022 | 370 | $27K |
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 | 72% | 5,556 | 1,931 | $306K |
| 99223 | Prolong inpt eval add15 m | 22% | 835 | 765 | $92K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 3.0% | 284 | 107 | $13K |
| 99239 | Hospital discharge day management, more than 30 minutes | 1.9% | 131 | 120 | $8K |
| 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 | 1.0% | 65 | 63 | $4K |
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 | 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.