Medicaid Provider Spending

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

HEALTHSOURCE OF OHIO, INC.

NPI: 1255372207 · GEORGETOWN, OH 45121 · Federally Qualified Health Center (FQHC) · NPI assigned 06/09/2006

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

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

$8.34M
Total Medicaid Paid
492,097
Total Claims
312,780
Beneficiaries
91
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPRATHER II, JOSEPH (CEO)
NPI Enumeration Date06/09/2006

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. 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. 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 52,876 $1.25M
2019 61,580 $1.25M
2020 48,312 $1.05M
2021 60,415 $1.21M
2022 60,755 $1.29M
2023 110,827 $1.42M
2024 97,332 $864K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 60,002 50,613 $5.23M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 75,961 44,471 $1.61M
90460 Immunization administration through 18 years of age via any route, first or only component 25,830 10,622 $287K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 9,375 5,610 $262K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 6,077 3,682 $177K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 5,742 3,416 $149K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 5,093 3,071 $146K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 3,682 2,245 $120K
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 2,654 2,345 $72K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 9,969 5,656 $62K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3,937 2,273 $51K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 2,861 1,661 $51K
87428 2,689 1,422 $45K
90832 Psychotherapy, 30 minutes with patient 613 313 $14K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 170 133 $13K
90791 Psychiatric diagnostic evaluation 147 111 $11K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 507 466 $7K
90686 5,619 3,372 $7K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 492 343 $5K
90670 3,603 2,276 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 375 140 $2K
0011A 51 51 $2K
99381 86 65 $2K
90715 156 126 $2K
0012A 44 44 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 37 26 $1K
96127 556 326 $1K
90698 2,552 1,572 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 178 127 $1K
99173 656 385 $788.05
81002 734 484 $786.95
90651 1,229 789 $629.33
92551 206 113 $611.35
85018 604 332 $540.45
90680 1,407 887 $530.00
90656 138 138 $503.00
0071A 13 13 $493.74
83036 Hemoglobin; glycosylated (A1C) 103 53 $367.50
90744 821 530 $352.04
90734 444 264 $343.34
90785 57 31 $335.08
90710 269 144 $296.00
90633 1,236 778 $280.00
81003 261 140 $191.54
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 26 12 $137.16
96110 Developmental screening, with scoring and documentation, per standardized instrument 45 28 $133.12
90685 262 204 $130.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 28 26 $128.42
81025 13 12 $72.07
90696 172 92 $60.50
90700 65 39 $30.00
3044F 63 37 $20.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 108 64 $7.97
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 26 12 $0.44
4004F 17,777 10,243 $0.00
1159F 24,796 13,390 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 15,304 8,416 $0.00
1160F 24,800 13,391 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 36,404 33,128 $0.00
3078F 16,377 9,033 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 2,250 1,436 $0.00
G8506 Patient receiving angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy 3,213 1,950 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 1,018 678 $0.00
90671 542 327 $0.00
3077F 199 107 $0.00
3015F 1,002 537 $0.00
3050F 195 125 $0.00
90648 37 26 $0.00
90380 15 12 $0.00
90707 23 12 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 27 26 $0.00
3017F 1,335 713 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 21,196 17,527 $0.00
3074F 18,075 9,913 $0.00
1036F 23,717 13,892 $0.00
3048F 3,005 1,806 $0.00
1125F 2,109 1,298 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 1,128 769 $0.00
4010F 1,030 547 $0.00
H0049 Alcohol and/or drug screening 3,890 2,066 $0.00
3079F 3,021 1,650 $0.00
3075F 647 342 $0.00
1126F 3,004 1,799 $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) 210 118 $0.00
3008F 26,429 14,590 $0.00
3049F 901 509 $0.00
3080F 130 71 $0.00
90619 134 73 $0.00
G8755 Most recent diastolic blood pressure >= 90 mmhg 26 26 $0.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 15 13 $0.00
3014F 72 36 $0.00