Clinic
Healthone Clinic Services-Surgical Specialties LLC
Healthone Clinic Services-Surgical Specialties LLC was paid $516K by Medicaid between Jan 2018 and Oct 2024, across 19 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 39% of everything it billed.
33Billing provider infoHEALTHONE CLINIC SERVICES-SURGICAL SPECIALTIES LLC
DENVER, CO 80218
DENVER, CO 80218
33aNPI1639376585assigned 07/02/2007
33bProvider typeClinic/Center
28Total paid$516K
24GClaims9,355
24DCodes billed19
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Clinic/Center providers in Colorado
Rank by total paid#31 of 87
Median peer was paid$179K
This provider vs. median2.9×
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 | 2,286 | $118K | |
| 2019 | 3,100 | $156K | |
| 2020 | 1,593 | $100K | |
| 2021 | 1,359 | $82K | |
| 2022 | 1,002 | $58K | |
| 2024incomplete | 15 | $2K |
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 | 39% | 2,995 | 2,422 | $200K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 24% | 2,878 | 2,216 | $125K |
| 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 | 16% | 693 | 632 | $82K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 8.2% | 753 | 548 | $42K |
| 72110 | 5.1% | 758 | 668 | $26K | |
| 72082 | 4.2% | 643 | 598 | $22K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.2% | 167 | 117 | $6K |
| 72100 | <1% | 193 | 167 | $4K | |
| 93971 | <1% | 88 | 48 | $3K | |
| 99223 | Prolong inpt eval add15 m | <1% | 18 | 16 | $1K |
| 20930 | <1% | 14 | 13 | $1K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 13 | 12 | $1K |
7 more codes
| 20936 | <1% | 14 | $993.50 | |
| 72050 | <1% | 26 | $951.52 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 12 | $482.29 |
| 72040 | <1% | 14 | $309.27 | |
| 99406 | <1% | 29 | $134.42 | |
| G8730 | Pain assessment documented as positive using a standardized tool and a follow-up plan is documented | 0% | 31 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 16 | $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 (VICE PRESIDENT)
| 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 |
| 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 - 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.