Clinic
Healthsource of Ohio, INC.
Healthsource of Ohio, INC. was paid $2.48M by Medicaid between Jan 2018 and Dec 2024, across 64 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 53% of everything it billed.
33Billing provider infoHEALTHSOURCE OF OHIO, INC.
WASHINGTON COURT HOUSE, OH 43160
WASHINGTON COURT HOUSE, OH 43160
33aNPI1164458717assigned 06/24/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$2.48M
24GClaims233,254
24DCodes billed64
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Ohio
Rank by total paid#134 of 348
Median peer was paid$1.33M
This provider vs. median1.9×
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 PRATHER II, JOSEPH controls 20+ 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 | |
|---|---|---|---|
| 2018 | 25,726 | $367K | |
| 2019 | 27,998 | $360K | |
| 2020 | 23,267 | $327K | |
| 2021 | 33,946 | $433K | |
| 2022 | 31,977 | $400K | |
| 2023 | 50,021 | $377K | |
| 2024incomplete | 40,319 | $218K |
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 | 53% | 25,535 | 21,606 | $1.32M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 31% | 36,829 | 20,754 | $779K |
| 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 | 4.7% | 3,941 | 2,517 | $116K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3.8% | 7,724 | 3,518 | $95K |
| G0467 | Community health center visit, returning patientFederally 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 | 2.4% | 2,393 | 2,130 | $59K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 401 | 249 | $14K |
| 90686 | <1% | 2,083 | 1,340 | $13K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,019 | 526 | $12K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,507 | 904 | $10K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 920 | 608 | $10K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 500 | 273 | $9K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 308 | 192 | $9K |
52 more codes
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 310 | $9K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 212 | $7K |
| 92551 | <1% | 1,506 | $5K | |
| 87428 | <1% | 248 | $5K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 85 | $3K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 85 | $2K |
| 99173 | <1% | 1,185 | $2K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 56 | $2K |
| 90656 | <1% | 89 | $1K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 168 | $959.28 |
| 96127 | <1% | 373 | $688.48 | |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | <1% | 17 | $490.35 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 61 | $277.14 |
| 90651 | <1% | 39 | $182.39 | |
| 90633 | <1% | 134 | $40.00 | |
| 90670 | <1% | 53 | $40.00 | |
| 81002 | <1% | 27 | $37.45 | |
| 3048F | 0% | 4,762 | $0.00 | |
| 3079F | 0% | 3,600 | $0.00 | |
| 3074F | 0% | 9,034 | $0.00 | |
| 3008F | 0% | 8,145 | $0.00 | |
| 1036F | 0% | 23,136 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 13,697 | $0.00 |
| 4010F | 0% | 1,463 | $0.00 | |
| 1126F | 0% | 7,742 | $0.00 | |
| 3049F | 0% | 1,479 | $0.00 | |
| H0049 | Alcohol and/or drug screening | 0% | 2,943 | $0.00 |
| 3017F | 0% | 760 | $0.00 | |
| 3044F | 0% | 634 | $0.00 | |
| 3075F | 0% | 602 | $0.00 | |
| 3014F | 0% | 674 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 1,467 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 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 | 0% | 13 | $0.00 |
| 1125F | 0% | 339 | $0.00 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 14 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 16,822 | $0.00 |
| G8506 | Patient receiving angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy | 0% | 3,297 | $0.00 |
| 1159F | 0% | 9,651 | $0.00 | |
| 4004F | 0% | 12,644 | $0.00 | |
| 3078F | 0% | 6,261 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 1,566 | $0.00 |
| 3077F | 0% | 30 | $0.00 | |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 4,513 | $0.00 |
| 1160F | 0% | 9,664 | $0.00 | |
| 81025 | 0% | 14 | $0.00 | |
| 3050F | 0% | 228 | $0.00 | |
| Q2038 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) | 0% | 25 | $0.00 |
| 3015F | 0% | 41 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 118 | $0.00 |
| 90734 | 0% | 22 | $0.00 | |
| 3046F | 0% | 22 | $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 officialPRATHER II, JOSEPH (CEO)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.