NP / PA
Healthone Clinic Services - Obstetrics and Gynecology LLC
Healthone Clinic Services - Obstetrics and Gynecology LLC was paid $447K by Medicaid between Jan 2018 and May 2024, across 24 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 29% of everything it billed.
33Billing provider infoHEALTHONE CLINIC SERVICES - OBSTETRICS AND GYNECOLOGY LLC
AURORA, CO 80012
AURORA, CO 80012
33aNPI1831397215assigned 07/06/2007
33bProvider typeAdvanced Practice Midwife
28Total paid$447K
24GClaims11,021
24DCodes billed24
24AFirst – last monthJan 2018 – May 2024
Compared with peers
Next to other Advanced Practice Midwife providers in Colorado
Rank by total paid#1 of 14
Median peer was paid$7K
This provider vs. median67×
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 | 5,363 | $239K | |
| 2019 | 2,680 | $96K | |
| 2020 | 1,619 | $60K | |
| 2021 | 90 | $6K | |
| 2022 | 56 | $4K | |
| 2023 | 1,145 | $40K | |
| 2024incomplete | 68 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 29% | 2,701 | 1,949 | $128K |
| H1005 | Prenatal care, at-risk enhanced service package (includes h1001-h1004) | 25% | 231 | 217 | $111K |
| 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 | 25% | 1,490 | 1,191 | $111K |
| 76830 | Ultrasound, transvaginal | 6.0% | 431 | 379 | $27K |
| 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 | 3.2% | 131 | 102 | $14K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 2.7% | 116 | 111 | $12K |
| 81025 | 1.5% | 1,157 | 879 | $7K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.5% | 411 | 370 | $7K |
| 36415 | Collection of venous blood by venipuncture | 1.3% | 2,379 | 1,974 | $6K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 1.3% | 82 | 75 | $6K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 57 | 52 | $4K |
| 90686 | <1% | 242 | 220 | $4K |
12 more codes
| 59025 | Fetal non-stress test | <1% | 105 | $3K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 52 | $3K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 42 | $3K |
| 90715 | <1% | 25 | $1K | |
| 81002 | <1% | 202 | $521.31 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 16 | $475.17 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 49 | $460.10 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 30 | $348.64 |
| 85018 | <1% | 12 | $26.07 | |
| 81003 | <1% | 22 | $7.02 | |
| 0503F | 0% | 15 | $0.00 | |
| 0502F | 0% | 1,023 | $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 - Pediatric Specialties LLC | Denver, CO | $1.41M |
| 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 |
| 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.