Healthone Clinic Services - Pediatric Specialties LLC
Healthone Clinic Services - Pediatric Specialties LLC was paid $344K by Medicaid between Jan 2021 and Dec 2024, across 11 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 39% of everything it billed.
DENVER, CO 80205
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 | 964 | $89K | |
| 2022 | 1,040 | $94K | |
| 2023 | 1,167 | $95K | |
| 2024incomplete | 880 | $66K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 39% | 973 | 947 | $134K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 28% | 1,099 | 1,048 | $96K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 23% | 1,213 | 1,152 | $78K |
| 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 | 7.5% | 292 | 272 | $26K |
| 73100 | 1.4% | 311 | 280 | $5K | |
| 99205 | Prolong outpt/office vis | <1% | 14 | 13 | $3K |
| 72081 | <1% | 50 | 49 | $1K | |
| Q4010 | Cast supplies, short arm cast, adult (11 years +), fiberglass | <1% | 12 | 12 | $594.00 |
| Q4008 | Cast supplies, long arm cast, pediatric (0-10 years), fiberglass | <1% | 12 | 12 | $480.00 |
| 73070 | <1% | 15 | 14 | $195.00 | |
| 99024 | 0% | 60 | 55 | $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.
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.