Clinic
Healthsource of Ohio, INC.
Healthsource of Ohio, INC. was paid $6.04M by Medicaid between Jan 2018 and Dec 2024, across 98 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 46% of everything it billed.
33Billing provider infoHEALTHSOURCE OF OHIO, INC.
SEAMAN, OH 45679
SEAMAN, OH 45679
33aNPI1205864162assigned 06/29/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$6.04M
24GClaims302,561
24DCodes billed98
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Ohio
Rank by total paid#50 of 348
Median peer was paid$1.33M
This provider vs. median4.5×
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 | 62,116 | $1.34M | |
| 2019 | 57,404 | $1.24M | |
| 2020 | 25,405 | $525K | |
| 2021 | 38,439 | $813K | |
| 2022 | 34,665 | $769K | |
| 2023 | 49,019 | $804K | |
| 2024incomplete | 35,513 | $549K |
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 | 46% | 40,196 | 31,648 | $2.76M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9.6% | 27,164 | 15,629 | $578K |
| D1110 | Prophylaxis - adult | 4.6% | 12,235 | 8,763 | $277K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.4% | 22,037 | 16,105 | $266K |
| D0330 | Panoramic radiographic image | 4.2% | 9,003 | 6,457 | $256K |
| D1120 | Dental cleaning, childProphylaxis - child | 3.7% | 15,290 | 11,734 | $226K |
| D1208 | Topical application of fluoride, excluding varnish | 3.6% | 19,477 | 14,742 | $217K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 2.9% | 4,961 | 2,666 | $173K |
| D7140 | Extraction, erupted tooth or exposed root | 2.6% | 4,222 | 1,747 | $159K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.4% | 8,269 | 6,084 | $147K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.1% | 3,493 | 1,711 | $127K |
| D0274 | Bitewings - four radiographic images | 1.7% | 9,928 | 7,266 | $105K |
86 more codes
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.4% | 1,897 | $84K |
| D1351 | Sealant - per tooth | 1.3% | 4,679 | $80K |
| D2140 | 1.3% | 3,293 | $76K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.2% | 6,155 | $73K |
| D0140 | Limited oral evaluation - problem focused | <1% | 4,112 | $47K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 1,289 | $39K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,058 | $38K |
| D2330 | <1% | 1,003 | $34K | |
| D0272 | Bitewings - two radiographic images | <1% | 5,238 | $32K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 912 | $30K |
| G0467 | Community health center visit, returning patient | <1% | 941 | $24K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 709 | $22K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 585 | $19K |
| D2160 | <1% | 270 | $16K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,422 | $16K |
| D2331 | <1% | 340 | $15K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 742 | $14K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | <1% | 214 | $13K |
| 87428 | <1% | 676 | $11K | |
| D2335 | <1% | 91 | $7K | |
| D2332 | <1% | 147 | $7K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 361 | $6K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 150 | $6K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 486 | $6K |
| 90686 | <1% | 1,214 | $5K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,614 | $5K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 79 | $5K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 410 | $3K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 68 | $3K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 79 | $2K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 82 | $2K |
| 0011A | <1% | 40 | $2K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 54 | $1K |
| 92551 | <1% | 367 | $1K | |
| 0012A | <1% | 28 | $1K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 51 | $1K |
| 99173 | <1% | 779 | $990.47 | |
| 90715 | <1% | 91 | $833.08 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 127 | $721.23 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 56 | $604.59 |
| 96127 | <1% | 298 | $588.45 | |
| 81002 | <1% | 179 | $192.65 | |
| 81003 | <1% | 216 | $166.04 | |
| 90651 | <1% | 212 | $70.00 | |
| D0270 | <1% | 19 | $70.00 | |
| 90734 | <1% | 165 | $50.00 | |
| 90670 | <1% | 134 | $40.00 | |
| 90698 | <1% | 14 | $10.00 | |
| 3008F | 0% | 6,400 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 9,479 | $0.00 |
| 3048F | 0% | 2,636 | $0.00 | |
| 3061F | 0% | 110 | $0.00 | |
| 3079F | 0% | 1,364 | $0.00 | |
| 1126F | 0% | 1,510 | $0.00 | |
| 3074F | 0% | 5,470 | $0.00 | |
| 1036F | 0% | 6,185 | $0.00 | |
| H0049 | Alcohol and/or drug screening | 0% | 1,372 | $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) | 0% | 530 | $0.00 |
| 3049F | 0% | 1,282 | $0.00 | |
| 3014F | 0% | 44 | $0.00 | |
| 3075F | 0% | 307 | $0.00 | |
| 3017F | 0% | 701 | $0.00 | |
| 2023F | 0% | 27 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 1,194 | $0.00 |
| 4010F | 0% | 682 | $0.00 | |
| 3044F | 0% | 78 | $0.00 | |
| 1125F | 0% | 387 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 15 | $0.00 |
| 90619 | 0% | 13 | $0.00 | |
| 4004F | 0% | 4,871 | $0.00 | |
| 3077F | 0% | 245 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 12,110 | $0.00 |
| G8506 | Patient receiving angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy | 0% | 1,954 | $0.00 |
| 3078F | 0% | 4,845 | $0.00 | |
| 1160F | 0% | 6,291 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 947 | $0.00 |
| 1159F | 0% | 6,290 | $0.00 | |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 3,728 | $0.00 |
| 3015F | 0% | 487 | $0.00 | |
| 90671 | 0% | 20 | $0.00 | |
| 90633 | 0% | 38 | $0.00 | |
| 3050F | 0% | 390 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 28 | $0.00 |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 59 | $0.00 |
| 90685 | 0% | 36 | $0.00 | |
| Q2038 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) | 0% | 15 | $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. | 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. | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.