Medicaid Provider Spending

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

HEALTHONE CLINIC SERVICES-SURGICAL SPECIALTIES LLC

NPI: 1639376585 · DENVER, CO 80218 · Clinic/Center · NPI assigned 07/02/2007

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

Authorized official FENDER, THOMAS controls 15+ related entities in our dataset. Read more

$516K
Total Medicaid Paid
9,355
Total Claims
7,584
Beneficiaries
19
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialFENDER, THOMAS (VICE PRESIDENT)
NPI Enumeration Date07/02/2007

Related Entities

Other providers sharing the same authorized official: FENDER, THOMAS

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,286 $118K
2019 3,100 $156K
2020 1,593 $100K
2021 1,359 $82K
2022 1,002 $58K
2024 15 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,995 2,422 $200K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,878 2,216 $125K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 693 632 $82K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 753 548 $42K
72110 758 668 $26K
72082 643 598 $22K
99232 Subsequent hospital care, per day, moderate complexity 167 117 $6K
72100 193 167 $4K
93971 88 48 $3K
99223 Prolong inpt eval add15 m 18 16 $1K
20930 14 13 $1K
99239 Hospital discharge day management, more than 30 minutes 13 12 $1K
20936 14 13 $993.50
72050 26 26 $951.52
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 12 12 $482.29
72040 14 14 $309.27
99406 29 19 $134.42
G8730 Pain assessment documented as positive using a standardized tool and a follow-up plan is documented 31 27 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 16 16 $0.00