Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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HEALTHSOURCE OF OHIO, INC.

NPI: 1174555478 · HILLSBORO, OH 45133 · Federally Qualified Health Center (FQHC) · NPI assigned 07/07/2006

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

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

$2.49M
Total Medicaid Paid
197,674
Total Claims
127,224
Beneficiaries
65
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPRATHER II, JOSEPH (CEO)
NPI Enumeration Date07/07/2006

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. WASHINGTON COURT HOUSE OH $2.48M
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 18,372 $381K
2019 16,344 $296K
2020 14,436 $283K
2021 25,630 $395K
2022 27,027 $412K
2023 52,108 $448K
2024 43,757 $274K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 27,363 23,300 $1.34M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 24,734 14,331 $547K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,537 4,177 $211K
90460 Immunization administration through 18 years of age via any route, first or only component 8,310 3,828 $113K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 6,340 3,297 $84K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,998 1,297 $64K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,383 885 $39K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 957 593 $28K
87428 762 387 $11K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 305 193 $11K
90834 Psychotherapy, 45 minutes with patient 398 156 $10K
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 453 402 $9K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 153 125 $8K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 308 167 $6K
92551 1,277 799 $4K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 325 175 $2K
99215 Prolong outpt/office vis 23 17 $1K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 48 27 $1K
99173 939 556 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 160 45 $1K
90670 916 643 $956.00
90686 1,052 703 $814.36
87807 139 78 $658.52
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 63 39 $585.96
90698 637 440 $360.66
96127 165 89 $332.97
90710 110 81 $284.31
90633 413 286 $140.00
90680 306 210 $80.00
90744 155 117 $40.00
90621 39 38 $30.00
90707 35 25 $30.00
90716 33 24 $30.00
1160F 12,359 6,919 $0.00
1159F 12,352 6,914 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 14,468 13,375 $0.00
3078F 8,102 4,607 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 213 112 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 6,486 3,705 $0.00
4004F 8,089 4,504 $0.00
G8506 Patient receiving angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy 684 358 $0.00
90685 94 78 $0.00
3077F 43 24 $0.00
3050F 104 46 $0.00
90734 22 14 $0.00
83655 12 12 $0.00
3048F 1,343 702 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 7,593 6,511 $0.00
4010F 809 442 $0.00
1036F 10,009 5,719 $0.00
3008F 9,978 5,512 $0.00
1126F 3,284 1,843 $0.00
1125F 1,522 842 $0.00
3074F 8,672 4,939 $0.00
3075F 404 223 $0.00
3017F 437 232 $0.00
3079F 1,234 701 $0.00
H0049 Alcohol and/or drug screening 2,004 1,077 $0.00
3049F 392 207 $0.00
3044F 30 14 $0.00
99381 12 12 $0.00
G9226 Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) 25 12 $0.00
90696 19 13 $0.00
3080F 25 12 $0.00
90651 18 13 $0.00