Medicaid Provider Spending

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

HEALTHONE CLINIC SERVICES - PRIMARY CARE, LLC

NPI: 1871186353 · ENGLEWOOD, CO 80113 · Family Medicine Physician · NPI assigned 02/16/2021

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

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

$1.10M
Total Medicaid Paid
18,339
Total Claims
16,915
Beneficiaries
9
Codes Billed
2021-05
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSMITHAM, WILLIAM (VICE PRESIDENT)
Parent OrganizationHEALTHONE CLINIC SERVICES - PRIMARY CARE, LLC
NPI Enumeration Date02/16/2021

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 3,056 $211K
2022 6,313 $354K
2023 5,006 $292K
2024 3,964 $240K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 8,340 7,629 $671K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,200 6,686 $406K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 911 864 $17K
90686 369 350 $3K
96110 Developmental screening, with scoring and documentation, per standardized instrument 25 25 $315.00
90472 Immunization administration, each additional vaccine (list separately) 12 12 $210.60
83036 Hemoglobin; glycosylated (A1C) 12 12 $106.81
G9919 Screening performed and positive and provision of recommendations 123 107 $0.00
G9920 Screening performed and negative 1,347 1,230 $0.00