Clinic
Healthsource of Ohio, INC.
Healthsource of Ohio, INC. was paid $3.64M by Medicaid between Jan 2018 and Dec 2024, across 73 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 52% of everything it billed.
33Billing provider infoHEALTHSOURCE OF OHIO, INC.
LOVELAND, OH 45140
LOVELAND, OH 45140
33aNPI1306874326assigned 06/29/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$3.64M
24GClaims250,905
24DCodes billed73
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Ohio
Rank by total paid#92 of 348
Median peer was paid$1.33M
This provider vs. median2.7×
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 | 32,813 | $607K | |
| 2019 | 25,342 | $447K | |
| 2020 | 25,385 | $497K | |
| 2021 | 28,681 | $522K | |
| 2022 | 30,513 | $529K | |
| 2023 | 54,564 | $611K | |
| 2024incomplete | 53,607 | $422K |
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 | 52% | 35,431 | 29,879 | $1.90M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 21% | 34,395 | 20,507 | $746K |
| 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 | 5.8% | 6,088 | 3,668 | $209K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 4.5% | 12,751 | 5,463 | $162K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 4.1% | 1,605 | 1,503 | $149K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 3.9% | 6,141 | 2,984 | $141K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.4% | 1,956 | 1,145 | $51K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 1.3% | 1,474 | 790 | $49K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.3% | 1,549 | 965 | $47K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 1,173 | 732 | $34K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 782 | 478 | $25K |
| 87428 | <1% | 1,234 | 650 | $20K |
61 more codes
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | <1% | 270 | $20K |
| 90785 | <1% | 2,726 | $17K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 921 | $9K |
| 90686 | <1% | 2,398 | $8K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 373 | $7K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 480 | $7K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 912 | $6K |
| 92551 | <1% | 1,785 | $5K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 156 | $4K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 311 | $4K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 515 | $3K |
| 90715 | <1% | 135 | $2K | |
| 0011A | <1% | 39 | $1K | |
| 0012A | <1% | 34 | $1K | |
| G0467 | Community health center visit, returning patient | <1% | 77 | $1K |
| 99173 | <1% | 829 | $1K | |
| 90670 | <1% | 864 | $1K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 31 | $909.75 |
| 96127 | <1% | 447 | $841.49 | |
| 99385 | <1% | 29 | $814.16 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 39 | $804.13 |
| 81002 | <1% | 159 | $193.56 | |
| 90734 | <1% | 61 | $125.88 | |
| 90698 | <1% | 352 | $90.00 | |
| 90656 | <1% | 12 | $88.00 | |
| 90651 | <1% | 185 | $80.00 | |
| 90633 | <1% | 250 | $80.00 | |
| 90744 | <1% | 141 | $70.00 | |
| 90710 | <1% | 47 | $30.00 | |
| 90680 | <1% | 82 | $20.00 | |
| 90700 | <1% | 58 | $20.00 | |
| 90671 | <1% | 55 | $0.07 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 397 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 15,023 | $0.00 |
| H0049 | Alcohol and/or drug screening | 0% | 4,774 | $0.00 |
| 3008F | 0% | 8,183 | $0.00 | |
| 1036F | 0% | 14,424 | $0.00 | |
| 3079F | 0% | 1,414 | $0.00 | |
| 3048F | 0% | 1,894 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 60 | $0.00 |
| 1125F | 0% | 1,081 | $0.00 | |
| 3074F | 0% | 8,229 | $0.00 | |
| 3017F | 0% | 708 | $0.00 | |
| 1126F | 0% | 2,240 | $0.00 | |
| 3075F | 0% | 890 | $0.00 | |
| 4010F | 0% | 467 | $0.00 | |
| 3049F | 0% | 533 | $0.00 | |
| 3014F | 0% | 22 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 17,824 | $0.00 |
| 4004F | 0% | 11,413 | $0.00 | |
| 1160F | 0% | 12,465 | $0.00 | |
| 3078F | 0% | 8,270 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 165 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 7,035 | $0.00 |
| G8506 | Patient receiving angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy | 0% | 1,039 | $0.00 |
| 1159F | 0% | 12,466 | $0.00 | |
| 3015F | 0% | 115 | $0.00 | |
| 3050F | 0% | 143 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 239 | $0.00 |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 18 | $0.00 |
| 90685 | 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. | 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.