Medicaid Provider Spending

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

HEALTHSOURCE OF OHIO, INC.

NPI: 1205864162 · SEAMAN, OH 45679 · Federally Qualified Health Center (FQHC) · NPI assigned 06/29/2006

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

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

$6.04M
Total Medicaid Paid
302,561
Total Claims
203,220
Beneficiaries
98
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPRATHER II, JOSEPH (CEO)
NPI Enumeration Date06/29/2006

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. 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 35,513 $549K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 40,196 31,648 $2.76M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 27,164 15,629 $578K
D1110 Prophylaxis - adult 12,235 8,763 $277K
D0120 Periodic oral evaluation - established patient 22,037 16,105 $266K
D0330 Panoramic radiographic image 9,003 6,457 $256K
D1120 Prophylaxis - child 15,290 11,734 $226K
D1208 Topical application of fluoride, excluding varnish 19,477 14,742 $217K
D2150 Silver amalgam - two surfaces, primary or permanent 4,961 2,666 $173K
D7140 Extraction, erupted tooth or exposed root 4,222 1,747 $159K
D0150 Comprehensive oral evaluation - new or established patient 8,269 6,084 $147K
D2391 Resin-based composite - one surface, posterior, primary or permanent 3,493 1,711 $127K
D0274 Bitewings - four radiographic images 9,928 7,266 $105K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 1,897 1,141 $84K
D1351 Sealant - per tooth 4,679 1,244 $80K
D2140 3,293 1,572 $76K
90460 Immunization administration through 18 years of age via any route, first or only component 6,155 2,658 $73K
D0140 Limited oral evaluation - problem focused 4,112 2,723 $47K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,289 845 $39K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,058 662 $38K
D2330 1,003 515 $34K
D0272 Bitewings - two radiographic images 5,238 3,934 $32K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 912 557 $30K
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 941 837 $24K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 709 421 $22K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 585 379 $19K
D2160 270 223 $16K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,422 1,484 $16K
D2331 340 185 $15K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 742 653 $14K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 214 161 $13K
87428 676 359 $11K
D2335 91 52 $7K
D2332 147 77 $7K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 361 192 $6K
D0210 Intraoral - complete series of radiographic images 150 146 $6K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 486 356 $6K
90686 1,214 792 $5K
D0220 Intraoral - periapical first radiographic image 1,614 1,083 $5K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 79 48 $5K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 410 116 $3K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 68 57 $3K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 79 50 $2K
90832 Psychotherapy, 30 minutes with patient 82 42 $2K
0011A 40 39 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 54 26 $1K
92551 367 211 $1K
0012A 28 28 $1K
90834 Psychotherapy, 45 minutes with patient 51 12 $1K
99173 779 462 $990.47
90715 91 76 $833.08
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 127 79 $721.23
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 56 31 $604.59
96127 298 170 $588.45
81002 179 122 $192.65
81003 216 115 $166.04
90651 212 134 $70.00
D0270 19 19 $70.00
90734 165 106 $50.00
90670 134 111 $40.00
90698 14 14 $10.00
3008F 6,400 3,537 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 9,479 7,807 $0.00
3048F 2,636 1,618 $0.00
3061F 110 69 $0.00
3079F 1,364 745 $0.00
1126F 1,510 882 $0.00
3074F 5,470 3,005 $0.00
1036F 6,185 3,753 $0.00
H0049 Alcohol and/or drug screening 1,372 738 $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) 530 343 $0.00
3049F 1,282 679 $0.00
3014F 44 24 $0.00
3075F 307 169 $0.00
3017F 701 362 $0.00
2023F 27 12 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 1,194 813 $0.00
4010F 682 358 $0.00
3044F 78 36 $0.00
1125F 387 223 $0.00
G0008 Administration of influenza virus vaccine 15 15 $0.00
90619 13 13 $0.00
4004F 4,871 3,016 $0.00
3077F 245 125 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 12,110 11,055 $0.00
G8506 Patient receiving angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy 1,954 1,169 $0.00
3078F 4,845 2,652 $0.00
1160F 6,291 3,403 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 947 660 $0.00
1159F 6,290 3,402 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 3,728 2,061 $0.00
3015F 487 255 $0.00
90671 20 13 $0.00
90633 38 28 $0.00
3050F 390 206 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 28 27 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 59 30 $0.00
90685 36 31 $0.00
Q2038 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) 15 15 $0.00