Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Premier Care of Ohio, LLC

Premier Care of Ohio, LLC was paid $18.54M by Medicaid between Jun 2019 and Dec 2024, across 16 billing codes. Its largest line is H0020, Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) — 80% of everything it billed.

33Billing provider infoPREMIER CARE OF OHIO, LLC
COLUMBUS, OH 43215
33aNPI1043641293assigned 12/12/2013
28Total paid$18.54M
24GClaims975,359
24DCodes billed16
24AFirst – last monthJun 2019 – Dec 2024
Compared with peers

Next to other Mental Health Clinic/Center (Including Community Mental Health Center) providers in Ohio

Rank by total paid#13 of 211
Median peer was paid$280K
This provider vs. median66×

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 GAITHER, CINDY controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$200K$400K2018201920202021202220232024
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
201942,234$855K
2020168,198$3.32M
2021219,765$4.03M
2022224,979$4.10M
2023192,344$3.58M
2024incomplete127,839$2.66M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
H0020 Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) 80% 900,419 38,687 $14.80M
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 7.5% 11,697 10,475 $1.38M
T1002 Rn services, up to 15 minutes 3.8% 22,779 19,981 $697K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 2.7% 10,133 7,463 $494K
T1003 Lpn/lvn services, up to 15 minutes 2.2% 15,500 13,712 $406K
90832 Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient 1.1% 4,327 3,632 $201K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1.1% 2,839 2,489 $200K
H0006 Alcohol and/or drug services; case management <1% 5,742 4,644 $173K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity <1% 940 916 $153K
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient <1% 372 314 $24K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 314 266 $6K
G2067 Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatment program) <1% 90 30 $5K
4 more codes
H0001 Alcohol and/or drug assessment <1% 38 $3K
90837 Psychotherapy session, about an hour <1% 27 $3K
86803 <1% 85 $770.40
86780 <1% 57 $496.50

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 officialGAITHER, CINDY (VP OF REVENUE CYCLE)
Same official

Other billing entities under GAITHER, CINDY

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.