City of Cincinnati
City of Cincinnati was paid $4.78M by Medicaid between Jan 2018 and Dec 2024, across 52 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 68% of everything it billed.
CINCINNATI, OH 45204
Next to other Federally Qualified Health Center (FQHC) providers in Ohio
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 40,485 | $879K | |
| 2019 | 45,391 | $951K | |
| 2020 | 24,642 | $428K | |
| 2021 | 31,010 | $580K | |
| 2022 | 32,467 | $632K | |
| 2023 | 52,493 | $854K | |
| 2024incomplete | 16,137 | $460K |
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 | 68% | 58,509 | 40,242 | $3.26M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.8% | 16,633 | 7,674 | $374K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 6.3% | 18,998 | 11,905 | $300K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 2.8% | 20,306 | 12,199 | $135K |
| 92015 | Determination of refractive state | 2.4% | 22,898 | 14,274 | $114K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 1.9% | 2,161 | 1,276 | $92K |
| D1351 | Sealant - per tooth | 1.9% | 18,752 | 3,645 | $89K |
| 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 | 1.2% | 1,790 | 1,029 | $56K |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 9,844 | 7,375 | $43K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 962 | 537 | $34K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 7,996 | 6,110 | $31K |
| D1206 | Topical application of fluoride varnish | <1% | 6,628 | 4,868 | $28K |
40 more codes
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 2,975 | $25K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 1,904 | $23K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 969 | $18K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 2,794 | $16K |
| D1354 | <1% | 5,907 | $15K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 444 | $13K |
| D0330 | Panoramic radiographic image | <1% | 912 | $13K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 5,309 | $12K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,644 | $12K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 6,777 | $10K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 6,180 | $9K |
| V2020 | Frames, purchases | <1% | 878 | $9K |
| D0272 | Bitewings - two radiographic images | <1% | 4,510 | $8K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 282 | $7K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 438 | $6K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 814 | $4K |
| D0274 | Bitewings - four radiographic images | <1% | 1,841 | $4K |
| 99381 | <1% | 238 | $4K | |
| 90660 | <1% | 401 | $3K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 585 | $2K |
| 90473 | <1% | 315 | $2K | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 322 | $2K |
| 90651 | <1% | 58 | $2K | |
| 96160 | <1% | 991 | $2K | |
| D1110 | Prophylaxis - adult | <1% | 323 | $2K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 250 | $1K |
| 94010 | <1% | 114 | $1K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 79 | $1K |
| 90686 | <1% | 169 | $389.03 | |
| 90688 | <1% | 111 | $232.08 | |
| 90658 | <1% | 313 | $231.96 | |
| D2140 | 0% | 165 | $0.00 | |
| 3078F | 0% | 2,763 | $0.00 | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 0% | 33 | $0.00 |
| 90734 | 0% | 18 | $0.00 | |
| 3008F | 0% | 2,719 | $0.00 | |
| 3074F | 0% | 2,114 | $0.00 | |
| 90744 | 0% | 23 | $0.00 | |
| 3079F | 0% | 38 | $0.00 | |
| D0603 | 0% | 428 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| City of Cincinnati | Cincinnati, OH | $8.32M |
| City of Cincinnati | Cincinnati, OH | $5.19M |
| City of Cincinnati | Cincinnati, OH | $5.05M |
| City of Cincinnati | Cincinnati, OH | $2.90M |
| City of Cincinnati | Cincinnati, OH | $2.88M |
| City of Cincinnati | Cincinnati, OH | $2.68M |
| City of Cincinnati | Cincinnati, OH | $2.55M |
| City of Cincinnati | Cincinnati, OH | $2.40M |
| City of Cincinnati | Cincinnati, OH | $1.67M |
| City of Cincinnati | Cincinnati, OH | $1.47M |
| City of Cincinnati | Cincinnati, OH | $1.10M |
| City of Cincinnati | Cincinnati, OH | $975K |
| City of Cincinnati | Cincinnati, OH | $875K |
| City of Cincinnati | Cincinnati, OH | $751K |
| City of Cincinnati | Cincinnati, OH | $692K |
| City of Cincinnati | Cincinnati, OH | $564K |
| City of Cincinnati | Cincinnati, OH | $493K |
| City of Cincinnati | Cincinnati, OH | $263K |
| City of Cincinnati | Cincinnati, OH | $122K |
| City of Cincinnati | Cincinnati, OH | $119K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.