Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CO › Denver › NPI 1982210381
Physician

Healthone Clinic Services - Pediatric Specialties LLC

Healthone Clinic Services - Pediatric Specialties LLC was paid $125K by Medicaid between Jan 2021 and Nov 2024, across 2 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 71% of everything it billed.

33Billing provider infoHEALTHONE CLINIC SERVICES - PEDIATRIC SPECIALTIES LLC
DENVER, CO 80205
33aNPI1982210381assigned 09/21/2020
33bProvider typePediatrics Physician
28Total paid$125K
24GClaims1,360
24DCodes billed2
24AFirst – last monthJan 2021 – Nov 2024
Compared with peers

Next to other Pediatrics Physician providers in Colorado

Rank by total paid#78 of 186
Median peer was paid$68K
This provider vs. median1.8×

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$2.5K$5.0K$7.5K2018201920202021202220232024
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
2021513$47K
2022440$39K
2023298$27K
2024incomplete109$13K
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 71% 1,030 997 $88K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 29% 330 294 $37K

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 - PEDIATRIC SPECIALTIES 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.