Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CO › Englewood › NPI 1679189658
Physician

Healthone Clinic Services - Primary Care, LLC

Healthone Clinic Services - Primary Care, LLC was paid $11K by Medicaid between Jan 2021 and Jun 2024, across 4 billing codes. Its largest line is 99223, Prolong inpt eval add15 m — 48% of everything it billed.

33Billing provider infoHEALTHONE CLINIC SERVICES - PRIMARY CARE, LLC
ENGLEWOOD, CO 80113
33aNPI1679189658assigned 09/16/2020
28Total paid$11K
24GClaims1,977
24DCodes billed4
24AFirst – last monthJan 2021 – Jun 2024
Compared with peers

Next to other Family Medicine Physician providers in Colorado

Rank by total paid#344 of 532
Median peer was paid$35K
This provider vs. median0.3×

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 SMITHAM, WILLIAM controls 14+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$1.0K$2.0K2018201920202021202220232024
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
YearClaimsPaid
2021547$0.00
2022732$2K
2023359$3K
2024incomplete339$5K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99223 Prolong inpt eval add15 m 48% 55 41 $5K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 46% 88 37 $5K
99231 Subsequent hospital care, per day, straightforward or low complexity 6.6% 30 13 $698.72
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 1,804 767 $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 officialSMITHAM, WILLIAM (VICE PRESIDENT)
Parent organizationHEALTHONE CLINIC SERVICES - PRIMARY CARE, LLC
Same official

Other billing entities under SMITHAM, WILLIAM

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.