Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › OH › CINCINNATI › HEALTHSOURCE OF OHIO, INC.

HEALTHSOURCE OF OHIO, INC.

NPI: 1023358892 · CINCINNATI, OH 45230 · Federally Qualified Health Center (FQHC) · NPI assigned 02/15/2013

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

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

$1.79M
Total Medicaid Paid
94,452
Total Claims
64,851
Beneficiaries
52
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPRATHER II, JOSEPH (CEO)
NPI Enumeration Date02/15/2013

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. 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 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 16,963 $391K
2019 20,407 $383K
2020 17,319 $376K
2021 16,716 $323K
2022 6,999 $146K
2023 7,322 $110K
2024 8,726 $65K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 13,792 11,559 $1.22M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12,933 7,383 $277K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,914 4,223 $212K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,081 550 $14K
90460 Immunization administration through 18 years of age via any route, first or only component 1,274 460 $12K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 386 209 $11K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 119 97 $10K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 566 440 $8K
90686 862 637 $8K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 231 176 $6K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 150 109 $4K
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 232 210 $3K
0011A 67 63 $2K
0012A 61 61 $2K
90715 31 29 $787.70
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 22 13 $759.51
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 29 17 $743.01
96127 321 186 $644.09
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 18 13 $432.81
87428 25 12 $405.32
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 15 15 $164.07
99215 Prolong outpt/office vis 30 28 $94.11
1036F 6,289 3,752 $21.24
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 10,041 9,108 $0.00
4004F 7,501 4,598 $0.00
3078F 1,520 970 $0.00
1159F 1,968 1,240 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 1,016 651 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 1,694 1,056 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 1,145 712 $0.00
1160F 1,966 1,240 $0.00
G8506 Patient receiving angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy 2,527 1,515 $0.00
3077F 209 127 $0.00
3015F 72 52 $0.00
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 16 13 $0.00
3050F 96 48 $0.00
81002 32 27 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 46 25 $0.00
4010F 284 169 $0.00
3049F 335 203 $0.00
3048F 2,904 1,890 $0.00
H0049 Alcohol and/or drug screening 1,913 1,071 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 1,303 797 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 7,721 6,136 $0.00
1126F 1,048 674 $0.00
3074F 1,773 1,117 $0.00
3008F 952 548 $0.00
3080F 73 37 $0.00
3075F 28 26 $0.00
1125F 435 298 $0.00
3017F 54 44 $0.00
3079F 332 217 $0.00