Physician
Healthone Clinic Services - Behavioral Health LLC
Healthone Clinic Services - Behavioral Health LLC was paid $1.66M by Medicaid between Oct 2020 and Dec 2024, across 15 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 61% of everything it billed.
33Billing provider infoHEALTHONE CLINIC SERVICES - BEHAVIORAL HEALTH LLC
AURORA, CO 80011
AURORA, CO 80011
33aNPI1932734860assigned 03/11/2020
33bProvider typePsychiatry Physician
28Total paid$1.66M
24GClaims30,670
24DCodes billed15
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers
Next to other Psychiatry Physician providers in Colorado
Rank by total paid#2 of 54
Median peer was paid$9K
This provider vs. median185×
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 13+ 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 | |
|---|---|---|---|
| 2020 | 150 | $4K | |
| 2021 | 9,745 | $556K | |
| 2022 | 8,590 | $448K | |
| 2023 | 7,723 | $459K | |
| 2024incomplete | 4,462 | $192K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 61% | 20,898 | 7,517 | $1.01M |
| 99239 | Hospital discharge day management, more than 30 minutes | 20% | 4,414 | 4,188 | $325K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 9.2% | 1,615 | 1,452 | $152K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 3.5% | 779 | 522 | $58K |
| 99223 | Prolong inpt eval add15 m | 3.0% | 361 | 345 | $50K |
| 99222 | Initial hospital care, per day, moderate complexity | 2.0% | 377 | 348 | $34K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 1.4% | 1,003 | 322 | $23K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 161 | 140 | $6K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 17 | 12 | $1K |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 204 | 189 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 142 | 138 | $0.00 |
| G8430 | Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (e.g., patient is in an acute health crisis where time is of the essence and delay of treatment would jeopardize the patient's health status) | 0% | 273 | 254 | $0.00 |
3 more codes
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 47 | $0.00 |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | 0% | 230 | $0.00 |
| G9717 | Documentation stating the patient has had a diagnosis of bipolar disorder | 0% | 149 | $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 - BEHAVIORAL HEALTH LLC
| Provider | Location | Paid |
|---|---|---|
| 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.