Medicaid Provider Spending

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

HEALTHONE CLINIC SERVICES - BEHAVIORAL HEALTH LLC

NPI: 1932734860 · AURORA, CO 80011 · Psychiatry Physician · NPI assigned 03/11/2020

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

Authorized official SMITHAM, WILLIAM controls 13+ related entities in our dataset. Read more

$1.66M
Total Medicaid Paid
30,670
Total Claims
15,830
Beneficiaries
15
Codes Billed
2020-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSMITHAM, WILLIAM (VICE PRESIDENT)
Parent OrganizationHEALTHONE CLINIC SERVICES - BEHAVIORAL HEALTH LLC
NPI Enumeration Date03/11/2020

Related Entities

Other providers sharing the same authorized official: SMITHAM, WILLIAM

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 150 $4K
2021 9,745 $556K
2022 8,590 $448K
2023 7,723 $459K
2024 4,462 $192K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99232 Subsequent hospital care, per day, moderate complexity 20,898 7,517 $1.01M
99239 Hospital discharge day management, more than 30 minutes 4,414 4,188 $325K
90792 Psychiatric diagnostic evaluation with medical services 1,615 1,452 $152K
99233 Prolong inpt eval add15 m 779 522 $58K
99223 Prolong inpt eval add15 m 361 345 $50K
99222 Initial hospital care, per day, moderate complexity 377 348 $34K
99231 Subsequent hospital care, per day, straightforward or low complexity 1,003 322 $23K
99238 Hospital discharge day management, 30 minutes or less 161 140 $6K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 17 12 $1K
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 204 189 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 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) 273 254 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 47 45 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 230 224 $0.00
G9717 Documentation stating the patient has had a diagnosis of bipolar disorder 149 134 $0.00