Medicaid Provider Spending

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

HEALTHSOURCE OF OHIO, INC.

NPI: 1013436930 · BATAVIA, OH 45103 · Obstetrics & Gynecology Physician · NPI assigned 09/12/2017

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

Authorized official PRATHER II, JOSEPH controls 20+ related entities in our dataset. Read more

$2.71M
Total Medicaid Paid
120,063
Total Claims
75,278
Beneficiaries
34
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialPRATHER II, JOSEPH (CEO)
NPI Enumeration Date09/12/2017

Related Entities

Other providers sharing the same authorized official: PRATHER II, JOSEPH

ProviderCityStateTotal 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 $2.79M
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 12,861 $420K
2019 14,981 $436K
2020 15,901 $428K
2021 13,721 $372K
2022 16,240 $427K
2023 27,294 $395K
2024 19,065 $234K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 26,892 19,085 $1.90M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 23,153 12,641 $520K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 3,570 2,034 $103K
J1050 Injection, medroxyprogesterone acetate, 1 mg 1,267 971 $80K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,440 862 $45K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,302 1,422 $16K
81025 3,861 2,278 $12K
81002 10,290 5,308 $12K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,203 667 $8K
H1000 Prenatal care, at-risk assessment 165 130 $6K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 161 114 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 119 80 $2K
99459 68 66 $1K
76830 Ultrasound, transvaginal 23 14 $514.80
96127 164 89 $335.14
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 22 14 $264.16
90686 19 15 $180.77
4004F 5,294 3,131 $0.00
3078F 3,100 1,662 $0.00
1160F 4,513 2,414 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 6,357 6,017 $0.00
1159F 4,510 2,412 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 3,329 1,768 $0.00
3015F 1,629 848 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 13 12 $0.00
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 30 28 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 5,947 5,158 $0.00
3079F 468 244 $0.00
1036F 4,804 2,829 $0.00
3074F 4,063 2,194 $0.00
1126F 149 92 $0.00
H0049 Alcohol and/or drug screening 1,052 601 $0.00
3008F 18 15 $0.00
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 68 63 $0.00