Clinic
Butler County Community Health Consortium, INC.
Butler County Community Health Consortium, INC. was paid $1.69M by Medicaid between Feb 2019 and Dec 2024, across 76 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 infoBUTLER COUNTY COMMUNITY HEALTH CONSORTIUM, INC.
MIDDLETOWN, OH 45042
MIDDLETOWN, OH 45042
33aNPI1124504378assigned 07/11/2018
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$1.69M
24GClaims99,002
24DCodes billed76
24AFirst – last monthFeb 2019 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Ohio
Rank by total paid#159 of 348
Median peer was paid$1.33M
This provider vs. median1.3×
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 RANDALL, RYAN controls 13+ related entities in our dataset. Read more
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 | |
|---|---|---|---|
| 2019 | 12,489 | $150K | |
| 2020 | 19,675 | $356K | |
| 2021 | 16,967 | $264K | |
| 2022 | 16,158 | $289K | |
| 2023 | 23,972 | $405K | |
| 2024incomplete | 9,741 | $229K |
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% | 17,406 | 12,435 | $1.09M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.5% | 5,883 | 3,192 | $127K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 4.3% | 5,429 | 2,109 | $73K |
| D7140 | Extraction, erupted tooth or exposed root | 3.2% | 1,197 | 485 | $55K |
| D0330 | Panoramic radiographic image | 3.2% | 2,296 | 1,445 | $54K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.7% | 2,257 | 1,427 | $30K |
| 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 | 1.6% | 786 | 435 | $26K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 1.4% | 118 | 29 | $24K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 1.2% | 2,213 | 1,445 | $20K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.1% | 818 | 438 | $19K |
| D0140 | Limited oral evaluation - problem focused | 1.1% | 1,766 | 1,014 | $18K |
| D1110 | Prophylaxis - adult | 1.0% | 971 | 584 | $17K |
64 more codes
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 371 | $12K |
| D1120 | Dental cleaning, child | <1% | 775 | $11K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 630 | $8K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 194 | $7K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 249 | $7K |
| D1206 | Topical application of fluoride varnish | <1% | 549 | $7K |
| D1351 | Sealant - per tooth | <1% | 459 | $7K |
| D0120 | Dental checkup, returning patient | <1% | 705 | $7K |
| 99384 | <1% | 179 | $7K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 179 | $6K |
| 92015 | Determination of refractive state | <1% | 1,586 | $6K |
| D0274 | Bitewings - four radiographic images | <1% | 1,135 | $6K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 105 | $5K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 179 | $5K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 1,674 | $4K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 610 | $4K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,636 | $4K |
| 92551 | <1% | 1,199 | $4K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 532 | $3K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 88 | $3K |
| D0240 | <1% | 138 | $2K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 82 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 605 | $2K |
| 99381 | <1% | 72 | $2K | |
| D0272 | Bitewings - two radiographic images | <1% | 168 | $2K |
| D1354 | <1% | 124 | $2K | |
| 99383 | <1% | 25 | $746.57 | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 64 | $619.28 |
| 90734 | <1% | 443 | $609.44 | |
| 99173 | <1% | 337 | $466.08 | |
| 90651 | <1% | 267 | $270.86 | |
| 90658 | <1% | 162 | $242.09 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 16 | $176.05 |
| 90715 | <1% | 314 | $150.77 | |
| 90661 | <1% | 49 | $107.77 | |
| 90723 | <1% | 329 | $92.82 | |
| 90686 | <1% | 112 | $39.55 | |
| 92341 | <1% | 23 | $26.97 | |
| 90670 | <1% | 552 | $1.02 | |
| 90633 | <1% | 264 | $0.95 | |
| 90647 | <1% | 206 | $0.23 | |
| 90681 | <1% | 96 | $0.16 | |
| 90710 | <1% | 102 | $0.12 | |
| 90656 | <1% | 39 | $0.10 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 4,945 | $0.00 |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 482 | $0.00 |
| 3078F | 0% | 4,288 | $0.00 | |
| 4004F | 0% | 391 | $0.00 | |
| 3077F | 0% | 530 | $0.00 | |
| V2020 | Frames, purchases | 0% | 15 | $0.00 |
| 90671 | 0% | 13 | $0.00 | |
| 2001F | 0% | 6,762 | $0.00 | |
| 3079F | 0% | 1,344 | $0.00 | |
| 1036F | 0% | 4,173 | $0.00 | |
| 3008F | 0% | 6,796 | $0.00 | |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 0% | 24 | $0.00 |
| G8755 | Most recent diastolic blood pressure >= 90 mmhg | 0% | 159 | $0.00 |
| 3074F | 0% | 4,700 | $0.00 | |
| 90697 | 0% | 12 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 5,200 | $0.00 |
| 3075F | 0% | 281 | $0.00 | |
| 3048F | 0% | 14 | $0.00 | |
| 3080F | 0% | 79 | $0.00 | |
| 90657 | 0% | 31 | $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 officialRANDALL, RYAN (CFO)
| Provider | Location | Paid |
|---|---|---|
| Butler County Community Health Consortium, INC. | Middletown, OH | $19.68M |
| Butler County Community Health Consortium INC | Hamilton, OH | $10.49M |
| Butler County Community Health Consortium, INC. | Fairfield, OH | $3.32M |
| Butler County Community Health Consortium INC | Middletown, OH | $2.90M |
| Butler County Community Health Consortium, INC. | Oxford, OH | $2.42M |
| Butler County Community Health Consortium, INC. | Hamilton, OH | $2.25M |
| Butler County Community Health Consortium, INC. | Trenton, OH | $2.02M |
| Butler County Community Health Consortium, INC. | Dayton, OH | $989K |
| Butler County Community Health Consortium, INC. | Oxford, OH | $39K |
| Butler County Community Health Consortium, INC. | Oxford, OH | $33K |
| Butler County Community Health Consortium, INC. | Oxford, OH | $33K |
| Butler County Community Health Consortium INC | Hamilton, OH | $2K |
| Butler County Community Health Consortium INC | Hamilton, OH | $606.67 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.