Clinic
Healthsource of Ohio, INC.
Healthsource of Ohio, INC. was paid $13.68M by Medicaid between Jan 2018 and Dec 2024, across 84 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 60% of everything it billed.
33Billing provider infoHEALTHSOURCE OF OHIO, INC.
CINCINNATI, OH 45244
CINCINNATI, OH 45244
33aNPI1316994072assigned 05/28/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$13.68M
24GClaims738,853
24DCodes billed84
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Ohio
Rank by total paid#13 of 348
Median peer was paid$1.33M
This provider vs. median10×
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 | 110,051 | $2.24M | |
| 2019 | 112,782 | $2.32M | |
| 2020 | 83,972 | $1.71M | |
| 2021 | 99,500 | $2.01M | |
| 2022 | 88,820 | $1.94M | |
| 2023 | 145,993 | $2.29M | |
| 2024incomplete | 97,735 | $1.18M |
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 | 60% | 113,457 | 93,543 | $8.16M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 75,054 | 42,449 | $1.64M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 4.8% | 60,443 | 24,107 | $656K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.4% | 15,555 | 9,340 | $461K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.7% | 14,160 | 8,595 | $370K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.1% | 9,920 | 5,967 | $282K |
| 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 | 1.1% | 4,553 | 2,447 | $151K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.0% | 4,505 | 2,726 | $143K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.0% | 6,018 | 2,919 | $143K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 1.0% | 20,456 | 13,633 | $140K |
| D1110 | Prophylaxis - adult | <1% | 10,068 | 6,830 | $131K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 9,531 | 5,655 | $129K |
72 more codes
| D1120 | Dental cleaning, child | <1% | 16,984 | $122K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 20,393 | $115K |
| D0330 | Panoramic radiographic image | <1% | 7,180 | $109K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 4,751 | $104K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 14,092 | $89K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 3,653 | $81K |
| 92551 | <1% | 20,356 | $64K | |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 8,001 | $59K |
| D0140 | Limited oral evaluation - problem focused | <1% | 5,877 | $58K |
| 87428 | <1% | 3,100 | $52K | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 3,152 | $52K |
| D1351 | Sealant - per tooth | <1% | 5,878 | $52K |
| D0274 | Bitewings - four radiographic images | <1% | 7,242 | $51K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 1,112 | $33K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 1,024 | $30K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | <1% | 279 | $27K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 458 | $27K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 3,219 | $20K |
| D0272 | Bitewings - two radiographic images | <1% | 4,973 | $17K |
| 99173 | <1% | 12,064 | $15K | |
| 99381 | <1% | 608 | $15K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 4,957 | $12K |
| D2140 | <1% | 863 | $10K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 942 | $6K |
| D2160 | <1% | 327 | $6K | |
| 90670 | <1% | 8,360 | $6K | |
| D2331 | <1% | 189 | $5K | |
| 90686 | <1% | 11,919 | $5K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 156 | $4K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 237 | $4K |
| D0270 | <1% | 1,939 | $4K | |
| 85018 | <1% | 3,600 | $4K | |
| 90698 | <1% | 5,718 | $3K | |
| 99383 | <1% | 92 | $3K | |
| 0072A | <1% | 56 | $3K | |
| 90680 | <1% | 4,229 | $2K | |
| 0071A | <1% | 40 | $2K | |
| 90744 | <1% | 2,517 | $1K | |
| 90633 | <1% | 2,458 | $1K | |
| 90710 | <1% | 1,427 | $874.31 | |
| D2330 | <1% | 17 | $614.52 | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 256 | $536.64 |
| D2332 | <1% | 21 | $536.34 | |
| 90671 | <1% | 631 | $507.13 | |
| 90651 | <1% | 864 | $435.23 | |
| 90685 | <1% | 840 | $430.00 | |
| 87807 | <1% | 81 | $423.83 | |
| 96127 | <1% | 205 | $400.51 | |
| 90619 | <1% | 162 | $150.53 | |
| 90734 | <1% | 453 | $110.00 | |
| 90700 | <1% | 147 | $100.00 | |
| 90648 | <1% | 131 | $70.00 | |
| 90696 | <1% | 77 | $70.00 | |
| 90713 | <1% | 53 | $30.00 | |
| 90715 | <1% | 46 | $20.00 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 31 | $2.30 |
| 1160F | 0% | 24,830 | $0.00 | |
| 3078F | 0% | 14,821 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 44,185 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 14,763 | $0.00 |
| 1159F | 0% | 24,829 | $0.00 | |
| 81003 | 0% | 151 | $0.00 | |
| 1126F | 0% | 686 | $0.00 | |
| 3074F | 0% | 14,984 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 7,346 | $0.00 |
| 1036F | 0% | 9,433 | $0.00 | |
| 3008F | 0% | 40,370 | $0.00 | |
| 90716 | 0% | 40 | $0.00 | |
| D1330 | 0% | 17 | $0.00 | |
| 90656 | 0% | 157 | $0.00 | |
| D1310 | 0% | 21 | $0.00 | |
| 1125F | 0% | 63 | $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. | 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. | 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.