Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › OH › Wilmington › NPI 1427368596
Clinic

Healthsource of Ohio, INC.

Healthsource of Ohio, INC. was paid $26K by Medicaid between Sep 2019 and Mar 2020, across 8 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 28% of everything it billed.

33Billing provider infoHEALTHSOURCE OF OHIO, INC.
WILMINGTON, OH 45177
33aNPI1427368596assigned 10/07/2010
28Total paid$26K
24GClaims1,630
24DCodes billed8
24AFirst – last monthSep 2019 – Mar 2020
Compared with peers

Next to other Primary Care Clinic/Center providers in Ohio

Rank by total paid#77 of 118
Median peer was paid$67K
This provider vs. median0.4×

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

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
YearClaimsPaid
20191,008$16K
2020622$10K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D0150 Comprehensive oral evaluation - new or established patient 28% 307 276 $7K
D1351 Sealant - per tooth 23% 322 111 $6K
D1120 Dental cleaning, childProphylaxis - child 21% 313 290 $5K
D1208 Topical application of fluoride, excluding varnish 15% 319 297 $4K
D0272 Bitewings - two radiographic images 9.3% 285 256 $2K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 2.8% 51 47 $735.13
D0220 Intraoral - periapical first radiographic image <1% 19 19 $99.75
D0230 Intraoral - periapical each additional radiographic image <1% 14 13 $73.50

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)
Same official

Other billing entities under PRATHER II, JOSEPH

Full network →
ProviderLocationPaid
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.Wilmington, OH$2.91M
Healthsource of Ohio INCBatavia, 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 INCWilliamsburg, 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

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.