Medicaid Provider Spending

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

HEALTHONE CLINIC SERVICES - PRIMARY CARE, LLC

NPI: 1679189658 · ENGLEWOOD, CO 80113 · Family Medicine Physician · NPI assigned 09/16/2020

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

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

$11K
Total Medicaid Paid
1,977
Total Claims
858
Beneficiaries
4
Codes Billed
2021-01
First Month
2024-06
Last Month

Provider Details

Authorized OfficialSMITHAM, WILLIAM (VICE PRESIDENT)
Parent OrganizationHEALTHONE CLINIC SERVICES - PRIMARY CARE, LLC
NPI Enumeration Date09/16/2020

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 547 $0.00
2022 732 $2K
2023 359 $3K
2024 339 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99223 Prolong inpt eval add15 m 55 41 $5K
99232 Subsequent hospital care, per day, moderate complexity 88 37 $5K
99231 Subsequent hospital care, per day, straightforward or low complexity 30 13 $698.72
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 1,804 767 $0.00