Medicaid Provider Spending

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

HEALTHONE CLINIC SERVICES - PEDIATRIC SPECIALTIES LLC

NPI: 1669088068 · DENVER, CO 80205 · Pediatrics Physician · NPI assigned 09/21/2020

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

Authorized official SMITHAM, WILLIAM controls 14+ related entities in our dataset. Read more

$344K
Total Medicaid Paid
4,051
Total Claims
3,854
Beneficiaries
11
Codes Billed
2021-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSMITHAM, WILLIAM (VICE PRESIDENT)
Parent OrganizationHEALTHONE CLINIC SERVICES - PEDIATRIC SPECIALTIES LLC
NPI Enumeration Date09/21/2020

Related Entities

Other providers sharing the same authorized official: SMITHAM, WILLIAM

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 964 $89K
2022 1,040 $94K
2023 1,167 $95K
2024 880 $66K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 973 947 $134K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,099 1,048 $96K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,213 1,152 $78K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 292 272 $26K
73100 311 280 $5K
99205 Prolong outpt/office vis 14 13 $3K
72081 50 49 $1K
Q4010 Cast supplies, short arm cast, adult (11 years +), fiberglass 12 12 $594.00
Q4008 Cast supplies, long arm cast, pediatric (0-10 years), fiberglass 12 12 $480.00
73070 15 14 $195.00
99024 60 55 $0.00