City of Cincinnati
City of Cincinnati was paid $2.40M by Medicaid between Jan 2018 and Dec 2024, across 43 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 72% of everything it billed.
CINCINNATI, OH 45208
Next to other Federally Qualified Health Center (FQHC) providers in Ohio
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 22,384 | $554K | |
| 2019 | 17,476 | $429K | |
| 2020 | 5,122 | $118K | |
| 2021 | 12,388 | $238K | |
| 2022 | 20,559 | $312K | |
| 2023 | 32,730 | $428K | |
| 2024incomplete | 13,397 | $318K |
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 | 72% | 25,766 | 15,620 | $1.73M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 10% | 11,172 | 5,272 | $242K |
| D1351 | Sealant - per tooth | 2.5% | 10,893 | 1,640 | $61K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.2% | 1,635 | 927 | $54K |
| 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 | 1.7% | 1,300 | 660 | $41K |
| D1110 | Prophylaxis - adult | 1.5% | 3,739 | 2,646 | $36K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.3% | 4,274 | 2,033 | $31K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 1.1% | 5,022 | 3,442 | $25K |
| D0274 | Bitewings - four radiographic images | <1% | 4,834 | 3,168 | $19K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 12,401 | 2,908 | $18K |
| D1206 | Topical application of fluoride varnish | <1% | 3,133 | 2,182 | $17K |
| D1354 | <1% | 3,443 | 1,261 | $16K |
31 more codes
| D1120 | Dental cleaning, child | <1% | 2,566 | $15K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 992 | $13K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 690 | $12K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 2,137 | $12K |
| D0330 | Panoramic radiographic image | <1% | 1,805 | $11K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 711 | $10K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 5,008 | $7K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 2,316 | $6K |
| 90651 | <1% | 65 | $6K | |
| 96160 | <1% | 3,314 | $5K | |
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 34 | $3K |
| D2140 | <1% | 420 | $3K | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 165 | $2K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 101 | $2K |
| 94010 | <1% | 159 | $2K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 315 | $1K |
| 99384 | <1% | 14 | $1K | |
| D0272 | Bitewings - two radiographic images | <1% | 631 | $870.90 |
| 90686 | <1% | 137 | $740.00 | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 12 | $716.82 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 57 | $102.42 |
| D2160 | <1% | 87 | $65.00 | |
| 90658 | <1% | 117 | $20.00 | |
| 90713 | <1% | 26 | $10.00 | |
| 3008F | 0% | 2,272 | $0.00 | |
| 3074F | 0% | 5,010 | $0.00 | |
| 3079F | 0% | 488 | $0.00 | |
| D0603 | 0% | 200 | $0.00 | |
| 90744 | 0% | 17 | $0.00 | |
| 3078F | 0% | 6,415 | $0.00 | |
| 90734 | 0% | 163 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| City of Cincinnati | Cincinnati, OH | $8.32M |
| City of Cincinnati | Cincinnati, OH | $5.19M |
| City of Cincinnati | Cincinnati, OH | $5.05M |
| City of Cincinnati | Cincinnati, OH | $4.78M |
| City of Cincinnati | Cincinnati, OH | $2.90M |
| City of Cincinnati | Cincinnati, OH | $2.88M |
| City of Cincinnati | Cincinnati, OH | $2.68M |
| City of Cincinnati | Cincinnati, OH | $2.55M |
| City of Cincinnati | Cincinnati, OH | $1.67M |
| City of Cincinnati | Cincinnati, OH | $1.47M |
| City of Cincinnati | Cincinnati, OH | $1.10M |
| City of Cincinnati | Cincinnati, OH | $975K |
| City of Cincinnati | Cincinnati, OH | $875K |
| City of Cincinnati | Cincinnati, OH | $751K |
| City of Cincinnati | Cincinnati, OH | $692K |
| City of Cincinnati | Cincinnati, OH | $564K |
| City of Cincinnati | Cincinnati, OH | $493K |
| City of Cincinnati | Cincinnati, OH | $263K |
| City of Cincinnati | Cincinnati, OH | $122K |
| City of Cincinnati | Cincinnati, OH | $119K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.