Clinic
Healthsource of Ohio INC
Healthsource of Ohio INC was paid $2.79M by Medicaid between Feb 2018 and Dec 2024, across 80 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 62% of everything it billed.
33Billing provider infoHEALTHSOURCE OF OHIO INC
BATAVIA, OH 45103
BATAVIA, OH 45103
33aNPI1013428200assigned 10/16/2017
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$2.79M
24GClaims154,614
24DCodes billed80
24AFirst – last monthFeb 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Ohio
Rank by total paid#124 of 348
Median peer was paid$1.33M
This provider vs. median2.1×
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 PRATHER II, JOSEPH controls 20+ 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 | |
|---|---|---|---|
| 2018 | 3,451 | $74K | |
| 2019 | 13,030 | $232K | |
| 2020 | 16,183 | $268K | |
| 2021 | 28,916 | $458K | |
| 2022 | 26,349 | $468K | |
| 2023 | 43,409 | $717K | |
| 2024incomplete | 23,276 | $572K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 62% | 32,088 | 23,780 | $1.74M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9.0% | 11,503 | 6,002 | $252K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.0% | 2,608 | 1,440 | $110K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.9% | 3,244 | 1,799 | $108K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 2.4% | 5,166 | 3,572 | $68K |
| D1120 | Dental cleaning, childProphylaxis - child | 1.7% | 6,633 | 5,302 | $49K |
| D1208 | Topical application of fluoride, excluding varnish | 1.6% | 7,539 | 5,997 | $45K |
| D1351 | Sealant - per tooth | 1.4% | 3,659 | 1,336 | $39K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 1.3% | 4,491 | 3,543 | $37K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.2% | 558 | 365 | $34K |
| 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 | 1.0% | 647 | 486 | $29K |
| D0330 | Panoramic radiographic image | <1% | 1,492 | 1,221 | $26K |
68 more codes
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 3,729 | $26K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 4,325 | $24K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 1,328 | $20K |
| D1110 | Prophylaxis - adult | <1% | 1,180 | $20K |
| D0272 | Bitewings - two radiographic images | <1% | 5,095 | $18K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 290 | $17K |
| 92015 | Determination of refractive state | <1% | 5,992 | $16K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 295 | $11K |
| D0274 | Bitewings - four radiographic images | <1% | 1,377 | $10K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | <1% | 125 | $10K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 266 | $9K |
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 41 | $8K |
| 87428 | <1% | 447 | $8K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 1,073 | $7K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 217 | $6K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 470 | $6K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 645 | $4K |
| D1354 | <1% | 198 | $4K | |
| 92341 | <1% | 697 | $4K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 164 | $4K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,640 | $3K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 97 | $3K |
| D2330 | <1% | 23 | $2K | |
| 90686 | <1% | 319 | $2K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 262 | $2K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 55 | $2K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 58 | $2K |
| V2020 | Frames, purchases | <1% | 205 | $1K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 116 | $1K |
| 90734 | <1% | 193 | $718.70 | |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 73 | $632.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 21 | $629.31 |
| 90619 | <1% | 49 | $471.60 | |
| 96127 | <1% | 212 | $409.77 | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 46 | $360.00 |
| 36415 | Collection of venous blood by venipuncture | <1% | 308 | $346.07 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 21 | $260.00 |
| 81002 | <1% | 72 | $93.09 | |
| 90715 | <1% | 116 | $91.24 | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 105 | $90.00 |
| V2799 | Vision item or service, miscellaneous | <1% | 293 | $0.16 |
| 3049F | 0% | 246 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 4,588 | $0.00 |
| H0049 | Alcohol and/or drug screening | 0% | 1,791 | $0.00 |
| 3079F | 0% | 823 | $0.00 | |
| 3075F | 0% | 73 | $0.00 | |
| 1126F | 0% | 471 | $0.00 | |
| 1036F | 0% | 6,073 | $0.00 | |
| 3048F | 0% | 986 | $0.00 | |
| 4010F | 0% | 171 | $0.00 | |
| 3008F | 0% | 3,377 | $0.00 | |
| 3074F | 0% | 2,928 | $0.00 | |
| 1125F | 0% | 259 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 52 | $0.00 |
| 3017F | 0% | 109 | $0.00 | |
| 3061F | 0% | 37 | $0.00 | |
| 1159F | 0% | 3,268 | $0.00 | |
| 4004F | 0% | 3,629 | $0.00 | |
| G8506 | Patient receiving angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy | 0% | 502 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 4,800 | $0.00 |
| 1160F | 0% | 3,268 | $0.00 | |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 2,062 | $0.00 |
| 3078F | 0% | 2,313 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 510 | $0.00 |
| 3015F | 0% | 158 | $0.00 | |
| 3050F | 0% | 150 | $0.00 | |
| D0270 | 0% | 56 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 48 | $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 officialPRATHER II, JOSEPH (CEO)
| Provider | Location | Paid |
|---|---|---|
| Healthsource of Ohio, INC. | Cincinnati, OH | $13.68M |
| Healthsource of Ohio, INC. | Georgetown, OH | $8.34M |
| Healthsource of Ohio, INC. | Mount Orab, OH | $7.99M |
| Healthsource of Ohio, INC. | Seaman, OH | $6.04M |
| Healthsource of Ohio, INC. | Batavia, OH | $4.37M |
| Healthsource of Ohio, INC. | Loveland, OH | $3.64M |
| Healthsource of Ohio, INC. | New Richmond, OH | $3.30M |
| Healthsource of Ohio, INC. | Wilmington, OH | $2.91M |
| Healthsource of Ohio, INC. | Batavia, OH | $2.71M |
| Healthsource of Ohio, INC. | Hillsboro, OH | $2.49M |
| Healthsource of Ohio, INC. | Washington Court House, OH | $2.48M |
| Healthsource of Ohio, INC. | Lebanon, OH | $2.36M |
| Healthsource of Ohio, INC. | Cincinnati, OH | $1.93M |
| Healthsource of Ohio, INC. | Cincinnati, OH | $1.79M |
| Healthsource of Ohio INC | Williamsburg, OH | $542K |
| Healthsource of Ohio, INC. | Mount Orab, OH | $301K |
| Healthsource of Ohio, INC. | Batavia, OH | $260K |
| Healthsource of Ohio, INC. | Goshen, OH | $139K |
| Healthsource of Ohio, INC. | Felicity, OH | $91K |
| Healthsource of Ohio, INC. | Wilmington, OH | $26K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.