Clinic
Rocking Horse Childrens Health Center
Rocking Horse Childrens Health Center was paid $32.26M by Medicaid between Jan 2018 and Dec 2024, across 123 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 65% of everything it billed.
33Billing provider infoROCKING HORSE CHILDRENS HEALTH CENTER
SPRINGFIELD, OH 45505
SPRINGFIELD, OH 45505
33aNPI1093952350assigned 01/08/2009
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$32.26M
24GClaims1,490,579
24DCodes billed123
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Ohio
Rank by total paid#2 of 348
Median peer was paid$1.33M
This provider vs. median24×
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.
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 | 157,634 | $4.01M | |
| 2019 | 196,701 | $4.56M | |
| 2020 | 158,991 | $4.51M | |
| 2021 | 157,499 | $5.60M | |
| 2022 | 170,261 | $5.14M | |
| 2023 | 446,384 | $5.38M | |
| 2024incomplete | 203,109 | $3.06M |
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 | 65% | 289,630 | 178,536 | $20.93M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 10% | 176,826 | 95,892 | $3.32M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 8.7% | 79,904 | 22,558 | $2.80M |
| 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 | 4.0% | 44,710 | 25,173 | $1.30M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.5% | 46,080 | 26,584 | $801K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.3% | 16,082 | 9,256 | $429K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.2% | 18,216 | 10,376 | $394K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.1% | 31,387 | 15,738 | $361K |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 31,948 | 12,115 | $308K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 10,652 | 6,112 | $276K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 5,299 | 3,078 | $149K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 4,479 | 1,887 | $121K |
111 more codes
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 978 | $90K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 2,278 | $85K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 2,114 | $81K |
| G0467 | Community health center visit, returning patient | <1% | 5,299 | $65K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 12,010 | $63K |
| D1120 | Dental cleaning, child | <1% | 7,443 | $61K |
| D1206 | Topical application of fluoride varnish | <1% | 8,709 | $55K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 1,396 | $55K |
| D0120 | Dental checkup, returning patient | <1% | 5,966 | $48K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 4,541 | $41K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 1,408 | $33K |
| D1110 | Prophylaxis - adult | <1% | 1,740 | $29K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 668 | $27K |
| 99381 | <1% | 1,238 | $25K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 1,176 | $23K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 401 | $22K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 423 | $18K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 1,753 | $17K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 490 | $16K |
| D1351 | Sealant - per tooth | <1% | 1,110 | $16K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,832 | $15K |
| D0274 | Bitewings - four radiographic images | <1% | 1,267 | $14K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 2,047 | $11K |
| D0272 | Bitewings - two radiographic images | <1% | 2,517 | $11K |
| 87400 | <1% | 2,324 | $11K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 3,767 | $10K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,896 | $10K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 373 | $9K |
| 90686 | <1% | 11,076 | $9K | |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 1,344 | $9K |
| 36415 | Collection of venous blood by venipuncture | <1% | 6,149 | $8K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 3,109 | $7K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 283 | $7K |
| 90674 | <1% | 2,258 | $6K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,290 | $6K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 1,169 | $6K |
| 98940 | <1% | 506 | $4K | |
| 59430 | <1% | 188 | $4K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,506 | $3K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 107 | $3K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 270 | $3K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 217 | $3K |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 101 | $3K |
| 31720 | <1% | 346 | $3K | |
| 90633 | <1% | 4,162 | $3K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 573 | $3K |
| D0330 | Panoramic radiographic image | <1% | 548 | $3K |
| 90670 | <1% | 11,720 | $3K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 78 | $2K |
| 76801 | <1% | 61 | $2K | |
| 90661 | <1% | 614 | $2K | |
| 90480 | <1% | 60 | $1K | |
| 99385 | <1% | 49 | $1K | |
| 90688 | <1% | 581 | $1K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 96 | $1K |
| 90651 | <1% | 1,691 | $1K | |
| 99383 | <1% | 24 | $863.28 | |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 5,563 | $855.66 |
| 90716 | <1% | 3,687 | $842.94 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 173 | $821.12 |
| 90707 | <1% | 3,694 | $747.92 | |
| 99188 | <1% | 155 | $706.50 | |
| 81003 | <1% | 1,024 | $560.77 | |
| 90647 | <1% | 9,849 | $420.03 | |
| 90734 | <1% | 1,250 | $347.72 | |
| 69210 | <1% | 69 | $333.21 | |
| 80305 | <1% | 190 | $316.76 | |
| 90723 | <1% | 11,075 | $147.03 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 107 | $130.68 |
| 90715 | <1% | 364 | $78.18 | |
| 90681 | <1% | 3,925 | $20.99 | |
| 90696 | <1% | 264 | $10.00 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 14 | $3.84 |
| 90677 | <1% | 532 | $1.09 | |
| J7620 | Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme | <1% | 81 | $0.29 |
| 90700 | <1% | 206 | $0.09 | |
| 90381 | <1% | 25 | $0.04 | |
| 90620 | <1% | 62 | $0.02 | |
| 3079F | 0% | 34,987 | $0.00 | |
| 3074F | 0% | 103,735 | $0.00 | |
| 3008F | 0% | 64,207 | $0.00 | |
| G8755 | Most recent diastolic blood pressure >= 90 mmhg | 0% | 1,514 | $0.00 |
| 3075F | 0% | 11,005 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 60,527 | $0.00 |
| 2001F | 0% | 29,831 | $0.00 | |
| 1111F | 0% | 26,238 | $0.00 | |
| 1036F | 0% | 27,744 | $0.00 | |
| 3080F | 0% | 2,943 | $0.00 | |
| 97014 | 0% | 3,806 | $0.00 | |
| 1034F | 0% | 3,375 | $0.00 | |
| 99000 | 0% | 28 | $0.00 | |
| D1310 | 0% | 191 | $0.00 | |
| D1330 | 0% | 202 | $0.00 | |
| D9215 | 0% | 66 | $0.00 | |
| D0603 | 0% | 166 | $0.00 | |
| 90847 | Family psychotherapy with the patient present, 50 minutes | 0% | 45 | $0.00 |
| 97010 | 0% | 135 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 19 | $0.00 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 0% | 16 | $0.00 |
| 82962 | 0% | 15 | $0.00 | |
| 3044F | 0% | 65 | $0.00 | |
| 93000 | 0% | 101 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 59,317 | $0.00 |
| 3078F | 0% | 120,343 | $0.00 | |
| 3077F | 0% | 8,320 | $0.00 | |
| 4004F | 0% | 3,188 | $0.00 | |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 2,542 | $0.00 |
| 59899 | 0% | 275 | $0.00 | |
| 90685 | 0% | 589 | $0.00 | |
| 81025 | 0% | 158 | $0.00 | |
| 90621 | 0% | 24 | $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 officialWALLACE, SHONDA (CHIEF FINANCIAL OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Rocking Horse Childrens Health Center | London, OH | $2.29M |
| Rocking Horse Childrens Health Center | Springfield, OH | $846K |
| Rocking Horse Childrens Health Center | Springfield, OH | $812K |
| Rocking Horse Childrens Health Center | Springfield, OH | $107K |
| Rocking Horse Childrens Health Center | Springfield, OH | $105K |
| Rocking Horse Childrens Health Center | Springfield, OH | $89K |
| Rocking Horse Childrens Health Center | London, OH | $12K |
| Rocking Horse Childrens Health Center | London, OH | $6K |
| Rocking Horse Childrens Health Center | Springfield, OH | $5K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.