Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

HEALTHSOURCE OF OHIO, INC.

NPI: 1417266537 · WILMINGTON, OH 45177 · Federally Qualified Health Center (FQHC) · NPI assigned 10/07/2010

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official PRATHER II, JOSEPH controls 20+ related entities in our dataset. Read more

$2.91M
Total Medicaid Paid
214,755
Total Claims
139,804
Beneficiaries
65
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPRATHER II, JOSEPH (CEO)
NPI Enumeration Date10/07/2010

Related Entities

Other providers sharing the same authorized official: PRATHER II, JOSEPH

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 35,950 $235K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 25,645 21,461 $1.67M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 17,447 10,466 $547K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 20,701 12,270 $432K
90460 Immunization administration through 18 years of age via any route, first or only component 7,348 2,624 $76K
90791 Psychiatric diagnostic evaluation 702 350 $33K
G0467 Federally 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 1,584 1,357 $30K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 811 537 $24K
90832 Psychotherapy, 30 minutes with patient 1,067 431 $23K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 715 461 $18K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 650 412 $16K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 418 249 $11K
90686 1,518 1,033 $9K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 503 370 $6K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 329 174 $4K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 189 108 $3K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 137 102 $2K
87428 129 65 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 326 161 $2K
0011A 46 46 $2K
0012A 41 41 $2K
90670 276 227 $1K
96127 509 288 $1K
90715 66 52 $739.23
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 102 27 $656.48
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 33 32 $441.67
90785 72 25 $305.31
81002 233 174 $186.04
99173 127 71 $163.63
92551 24 14 $86.02
90698 69 62 $70.00
90734 21 12 $20.00
90633 41 25 $10.00
90685 39 29 $10.00
90651 24 12 $10.00
4004F 13,784 8,208 $0.00
1159F 9,000 4,881 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 18,011 16,398 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 271 156 $0.00
G8506 Patient receiving angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy 2,472 1,540 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 5,573 3,072 $0.00
3078F 6,256 3,479 $0.00
1160F 9,003 4,884 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 702 438 $0.00
90710 45 25 $0.00
G0444 Annual depression screening, 5 to 15 minutes 12 12 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 15,388 12,827 $0.00
H0049 Alcohol and/or drug screening 3,762 2,064 $0.00
3017F 1,242 714 $0.00
1126F 3,588 2,026 $0.00
1036F 20,467 12,369 $0.00
3008F 7,887 4,227 $0.00
3079F 1,428 818 $0.00
3048F 2,639 1,611 $0.00
1125F 1,757 974 $0.00
3074F 7,414 4,094 $0.00
4010F 735 378 $0.00
3075F 189 105 $0.00
3044F 118 73 $0.00
3049F 249 134 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 737 465 $0.00
90696 22 12 $0.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 12 12 $0.00
3014F 13 12 $0.00
G0008 Administration of influenza virus vaccine 17 16 $0.00
3080F 20 12 $0.00