Clinic
Butler County Community Health Consortium INC
Butler County Community Health Consortium INC was paid $15.55M by Medicaid between Jan 2018 and Dec 2024, across 106 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 64% of everything it billed.
33Billing provider infoBUTLER COUNTY COMMUNITY HEALTH CONSORTIUM INC
HAMILTON, OH 45013
HAMILTON, OH 45013
33aNPI1346579422assigned 12/18/2009
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$15.55M
24GClaims1,039,095
24DCodes billed106
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Ohio
Rank by total paid#11 of 348
Median peer was paid$1.33M
This provider vs. median12×
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.
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 | 63,438 | $1.81M | |
| 2019 | 121,415 | $1.98M | |
| 2020 | 164,228 | $2.66M | |
| 2021 | 165,324 | $2.40M | |
| 2022 | 246,077 | $2.43M | |
| 2023 | 189,760 | $2.83M | |
| 2024incomplete | 88,853 | $1.44M |
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 | 64% | 114,033 | 88,057 | $10.03M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 106,296 | 55,546 | $2.15M |
| 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 | 5.1% | 26,003 | 13,448 | $795K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3.9% | 44,140 | 18,322 | $605K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.8% | 18,704 | 9,888 | $440K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.6% | 14,219 | 7,894 | $403K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 1.6% | 5,006 | 2,797 | $241K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.1% | 5,958 | 3,316 | $168K |
| 99381 | <1% | 4,099 | 2,277 | $104K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 6,075 | 3,601 | $90K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 2,295 | 1,306 | $73K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 1,835 | 915 | $70K |
94 more codes
| 90832 | Psychotherapy session, about 30 minutes | <1% | 2,746 | $57K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 1,513 | $45K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 702 | $41K |
| 81025 | <1% | 7,836 | $28K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 412 | $25K |
| 81003 | <1% | 19,373 | $20K | |
| 90670 | <1% | 9,876 | $20K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,880 | $17K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 401 | $15K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 2,629 | $15K |
| 92551 | <1% | 3,200 | $12K | |
| 99051 | <1% | 856 | $9K | |
| 90710 | <1% | 3,602 | $9K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 664 | $7K |
| 90723 | <1% | 8,241 | $6K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 183 | $6K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 164 | $5K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 294 | $5K |
| H1000 | Prenatal care, at-risk assessment | <1% | 58 | $4K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 203 | $4K |
| 90633 | <1% | 5,132 | $3K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 117 | $3K |
| 90671 | <1% | 1,659 | $3K | |
| 99342 | <1% | 136 | $3K | |
| 99348 | <1% | 122 | $3K | |
| 99173 | <1% | 1,333 | $2K | |
| 90647 | <1% | 7,555 | $2K | |
| 99347 | <1% | 126 | $2K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 224 | $1K |
| 88142 | <1% | 762 | $1K | |
| 99384 | <1% | 35 | $1K | |
| 0001A | <1% | 42 | $1K | |
| G0467 | Community health center visit, returning patient | <1% | 513 | $1K |
| 97803 | <1% | 59 | $1K | |
| 59430 | <1% | 23 | $965.40 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 52 | $787.96 |
| 99383 | <1% | 22 | $749.96 | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 55 | $662.63 |
| 90734 | <1% | 1,003 | $614.25 | |
| 99382 | <1% | 44 | $581.30 | |
| 20610 | <1% | 32 | $552.77 | |
| 90661 | <1% | 450 | $507.11 | |
| 90715 | <1% | 315 | $447.41 | |
| 90688 | <1% | 1,782 | $441.61 | |
| 90685 | <1% | 385 | $245.48 | |
| 90651 | <1% | 664 | $243.77 | |
| 80305 | <1% | 166 | $211.87 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 35 | $208.63 |
| 90700 | <1% | 802 | $204.49 | |
| 87590 | <1% | 1,278 | $202.61 | |
| 90674 | <1% | 390 | $193.12 | |
| 87490 | <1% | 1,275 | $188.51 | |
| 90620 | <1% | 19 | $171.29 | |
| 90716 | <1% | 38 | $160.91 | |
| 87210 | <1% | 67 | $142.65 | |
| 81002 | <1% | 95 | $120.77 | |
| 86328 | <1% | 114 | $91.43 | |
| 90707 | <1% | 38 | $91.19 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 24 | $78.38 |
| 90687 | <1% | 263 | $72.93 | |
| 1036F | <1% | 62,545 | $71.29 | |
| 90696 | <1% | 537 | $70.05 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 33 | $65.64 |
| 90686 | <1% | 1,006 | $63.22 | |
| 90681 | <1% | 2,982 | $52.05 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 33 | $7.98 |
| 90648 | <1% | 350 | $0.89 | |
| 91300 | <1% | 53 | $0.27 | |
| 3078F | 0% | 61,128 | $0.00 | |
| 3077F | 0% | 6,338 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 72,901 | $0.00 |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 6,048 | $0.00 |
| 4004F | 0% | 4,800 | $0.00 | |
| 0502F | 0% | 1,608 | $0.00 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 0% | 546 | $0.00 |
| S9529 | Routine venipuncture for collection of specimen(s), single home bound, nursing home, or skilled nursing facility patient | 0% | 76 | $0.00 |
| 1159F | 0% | 487 | $0.00 | |
| 3046F | 0% | 31 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 67 | $0.00 |
| G0445 | High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes | 0% | 27 | $0.00 |
| 3074F | 0% | 71,301 | $0.00 | |
| 2001F | 0% | 95,445 | $0.00 | |
| 3079F | 0% | 22,106 | $0.00 | |
| 3008F | 0% | 95,315 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 74,978 | $0.00 |
| G8755 | Most recent diastolic blood pressure >= 90 mmhg | 0% | 4,273 | $0.00 |
| 3075F | 0% | 7,344 | $0.00 | |
| 3044F | 0% | 143 | $0.00 | |
| 3080F | 0% | 3,303 | $0.00 | |
| 90680 | 0% | 201 | $0.00 | |
| 90697 | 0% | 1,061 | $0.00 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 0% | 226 | $0.00 |
| 3048F | 0% | 17 | $0.00 | |
| 90694 | 0% | 44 | $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 officialPARMAR, KRISHAN (CFO)
Parent organizationBUTLER COUNTY COMMUNITY HEALTH CONSORTIUM INC