Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

HEALTHSOURCE OF OHIO, INC.

NPI: 1164458717 · WASHINGTON COURT HOUSE, OH 43160 · Federally Qualified Health Center (FQHC) · NPI assigned 06/24/2006

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

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

$2.48M
Total Medicaid Paid
233,254
Total Claims
148,281
Beneficiaries
64
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPRATHER II, JOSEPH (CEO)
NPI Enumeration Date06/24/2006

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. LEBANON OH $2.36M
HEALTHSOURCE OF OHIO, INC. CINCINNATI OH $1.93M
HEALTHSOURCE OF OHIO, INC. CINCINNATI OH $1.79M
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 25,726 $367K
2019 27,998 $360K
2020 23,267 $327K
2021 33,946 $433K
2022 31,977 $400K
2023 50,021 $377K
2024 40,319 $218K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 25,535 21,606 $1.32M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 36,829 20,754 $779K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,941 2,517 $116K
90460 Immunization administration through 18 years of age via any route, first or only component 7,724 3,518 $95K
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 2,393 2,130 $59K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 401 249 $14K
90686 2,083 1,340 $13K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,019 526 $12K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,507 904 $10K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 920 608 $10K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 500 273 $9K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 308 192 $9K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 310 175 $9K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 212 112 $7K
92551 1,506 925 $5K
87428 248 124 $5K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 85 40 $3K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 85 56 $2K
99173 1,185 691 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 56 31 $2K
90656 89 89 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 168 46 $959.28
96127 373 217 $688.48
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 17 13 $490.35
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 61 41 $277.14
90651 39 29 $182.39
90633 134 117 $40.00
90670 53 49 $40.00
81002 27 12 $37.45
3048F 4,762 2,780 $0.00
3079F 3,600 1,978 $0.00
3074F 9,034 4,950 $0.00
3008F 8,145 4,367 $0.00
1036F 23,136 13,493 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 13,697 11,319 $0.00
4010F 1,463 759 $0.00
1126F 7,742 4,172 $0.00
3049F 1,479 761 $0.00
H0049 Alcohol and/or drug screening 2,943 1,583 $0.00
3017F 760 402 $0.00
3044F 634 346 $0.00
3075F 602 325 $0.00
3014F 674 318 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 1,467 935 $0.00
G0008 Administration of influenza virus vaccine 24 24 $0.00
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 13 12 $0.00
1125F 339 178 $0.00
J1885 Injection, ketorolac tromethamine, per 15 mg 14 12 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 16,822 15,215 $0.00
G8506 Patient receiving angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy 3,297 1,963 $0.00
1159F 9,651 5,205 $0.00
4004F 12,644 7,219 $0.00
3078F 6,261 3,502 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 1,566 1,016 $0.00
3077F 30 15 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 4,513 2,547 $0.00
1160F 9,664 5,214 $0.00
81025 14 12 $0.00
3050F 228 112 $0.00
Q2038 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) 25 25 $0.00
3015F 41 27 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 118 81 $0.00
90734 22 15 $0.00
3046F 22 15 $0.00