Healthone Clinic Services - Pediatric Specialties LLC
Healthone Clinic Services - Pediatric Specialties LLC was paid $1.41M by Medicaid between Jan 2018 and Dec 2024, across 39 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 29% of everything it billed.
33Billing provider infoHEALTHONE CLINIC SERVICES - PEDIATRIC SPECIALTIES LLC
DENVER, CO 80205
DENVER, CO 80205
33aNPI1720293251assigned 05/10/2007
33bProvider typeAudiologist
28Total paid$1.41M
24GClaims22,347
24DCodes billed39
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Audiologist providers in Colorado
Rank by total paid#3 of 21
Median peer was paid$6K
This provider vs. median251×
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 FENDER, THOMAS controls 15+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 5,762 | $358K | |
| 2019 | 5,837 | $396K | |
| 2020 | 4,068 | $278K | |
| 2021 | 1,347 | $77K | |
| 2022 | 2,564 | $147K | |
| 2023 | 1,969 | $118K | |
| 2024incomplete | 800 | $31K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 29% | 5,012 | 4,573 | $401K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 21% | 2,883 | 2,341 | $296K |
| 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 | 18% | 1,965 | 1,846 | $250K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 10% | 2,611 | 2,417 | $145K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 8.0% | 1,285 | 1,228 | $113K |
| 92567 | 2.8% | 3,652 | 3,394 | $39K | |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | 1.7% | 160 | 141 | $25K |
| 99205 | Prolong outpt/office vis | 1.5% | 164 | 130 | $21K |
| 92579 | 1.0% | 464 | 435 | $14K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 374 | 358 | $13K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 1,723 | 1,312 | $13K |
| 92588 | <1% | 263 | 255 | $13K |
27 more codes
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 165 | $11K |
| 96132 | <1% | 103 | $11K | |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | <1% | 44 | $9K |
| 92587 | <1% | 164 | $5K | |
| 73100 | <1% | 365 | $4K | |
| 95782 | <1% | 29 | $4K | |
| Q4010 | Cast supplies, short arm cast, adult (11 years +), fiberglass | <1% | 46 | $2K |
| 99223 | Prolong inpt eval add15 m | <1% | 14 | $2K |
| 31622 | <1% | 14 | $2K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 29 | $2K |
| 25600 | <1% | 14 | $2K | |
| 31575 | <1% | 38 | $2K | |
| 72081 | <1% | 56 | $1K | |
| 69210 | <1% | 66 | $1K | |
| 92555 | <1% | 49 | $930.68 | |
| 29075 | <1% | 18 | $906.40 | |
| 73090 | <1% | 60 | $858.46 | |
| Q4012 | Cast supplies, short arm cast, pediatric (0-10 years), fiberglass | <1% | 28 | $570.32 |
| 72082 | <1% | 12 | $503.25 | |
| 31231 | <1% | 14 | $498.32 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 317 | $479.04 |
| 92582 | <1% | 26 | $410.76 | |
| 73070 | <1% | 29 | $367.72 | |
| 95816 | <1% | 20 | $362.71 | |
| 92556 | <1% | 13 | $355.70 | |
| 92552 | <1% | 28 | $279.84 | |
| 99024 | 0% | 30 | $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 officialFENDER, THOMAS (VP)
| Provider | Location | 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 - 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-Surgical Specialties LLC | Denver, CO | $516K |
| 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.