Clinic
Healthsource of Ohio, INC.
Healthsource of Ohio, INC. was paid $2.91M by Medicaid between Jan 2018 and Dec 2024, across 65 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 57% of everything it billed.
33Billing provider infoHEALTHSOURCE OF OHIO, INC.
WILMINGTON, OH 45177
WILMINGTON, OH 45177
33aNPI1417266537assigned 10/07/2010
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$2.91M
24GClaims214,755
24DCodes billed65
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Ohio
Rank by total paid#117 of 348
Median peer was paid$1.33M
This provider vs. median2.2×
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 | 28,635 | $491K | |
| 2019 | 29,011 | $446K | |
| 2020 | 25,262 | $436K | |
| 2021 | 30,276 | $498K | |
| 2022 | 23,518 | $394K | |
| 2023 | 42,103 | $414K | |
| 2024incomplete | 35,950 | $235K |
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 | 57% | 25,645 | 21,461 | $1.67M |
| 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 | 19% | 17,447 | 10,466 | $547K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 20,701 | 12,270 | $432K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.6% | 7,348 | 2,624 | $76K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 1.1% | 702 | 350 | $33K |
| G0467 | Community health center visit, returning patientFederally 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 | 1.0% | 1,584 | 1,357 | $30K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 811 | 537 | $24K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 1,067 | 431 | $23K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 715 | 461 | $18K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 650 | 412 | $16K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 418 | 249 | $11K |
| 90686 | <1% | 1,518 | 1,033 | $9K |
53 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 503 | $6K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 329 | $4K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 189 | $3K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 137 | $2K |
| 87428 | <1% | 129 | $2K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 326 | $2K |
| 0011A | <1% | 46 | $2K | |
| 0012A | <1% | 41 | $2K | |
| 90670 | <1% | 276 | $1K | |
| 96127 | <1% | 509 | $1K | |
| 90715 | <1% | 66 | $739.23 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 102 | $656.48 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 33 | $441.67 |
| 90785 | <1% | 72 | $305.31 | |
| 81002 | <1% | 233 | $186.04 | |
| 99173 | <1% | 127 | $163.63 | |
| 92551 | <1% | 24 | $86.02 | |
| 90698 | <1% | 69 | $70.00 | |
| 90734 | <1% | 21 | $20.00 | |
| 90633 | <1% | 41 | $10.00 | |
| 90685 | <1% | 39 | $10.00 | |
| 90651 | <1% | 24 | $10.00 | |
| 4004F | 0% | 13,784 | $0.00 | |
| 1159F | 0% | 9,000 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 18,011 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 271 | $0.00 |
| G8506 | Patient receiving angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy | 0% | 2,472 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 5,573 | $0.00 |
| 3078F | 0% | 6,256 | $0.00 | |
| 1160F | 0% | 9,003 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 702 | $0.00 |
| 90710 | 0% | 45 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 12 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 15,388 | $0.00 |
| H0049 | Alcohol and/or drug screening | 0% | 3,762 | $0.00 |
| 3017F | 0% | 1,242 | $0.00 | |
| 1126F | 0% | 3,588 | $0.00 | |
| 1036F | 0% | 20,467 | $0.00 | |
| 3008F | 0% | 7,887 | $0.00 | |
| 3079F | 0% | 1,428 | $0.00 | |
| 3048F | 0% | 2,639 | $0.00 | |
| 1125F | 0% | 1,757 | $0.00 | |
| 3074F | 0% | 7,414 | $0.00 | |
| 4010F | 0% | 735 | $0.00 | |
| 3075F | 0% | 189 | $0.00 | |
| 3044F | 0% | 118 | $0.00 | |
| 3049F | 0% | 249 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 737 | $0.00 |
| 90696 | 0% | 22 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 12 | $0.00 |
| 3014F | 0% | 13 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 17 | $0.00 |
| 3080F | 0% | 20 | $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. | Loveland, OH | $3.64M |
| Healthsource of Ohio, INC. | New Richmond, OH | $3.30M |
| 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.