Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Healthone Clinic Services - Primary Care, LLC

Healthone Clinic Services - Primary Care, LLC was paid $1.10M by Medicaid between May 2021 and Dec 2024, across 9 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 61% of everything it billed.

33Billing provider infoHEALTHONE CLINIC SERVICES - PRIMARY CARE, LLC
ENGLEWOOD, CO 80113
33aNPI1871186353assigned 02/16/2021
28Total paid$1.10M
24GClaims18,339
24DCodes billed9
24AFirst – last monthMay 2021 – Dec 2024
Compared with peers

Next to other Family Medicine Physician providers in Colorado

Rank by total paid#40 of 532
Median peer was paid$35K
This provider vs. median32×

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$20K$40K2018201920202021202220232024
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
20213,056$211K
20226,313$354K
20235,006$292K
2024incomplete3,964$240K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 61% 8,340 7,629 $671K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 37% 7,200 6,686 $406K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1.5% 911 864 $17K
90686 <1% 369 350 $3K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 25 25 $315.00
90472 Immunization administration, each additional vaccine (list separately) <1% 12 12 $210.60
83036 Hemoglobin; glycosylated (A1C) <1% 12 12 $106.81
G9919 Screening performed and positive and provision of recommendations 0% 123 107 $0.00
G9920 Screening performed and negative 0% 1,347 1,230 $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.