Clinic
Highland Health Providers Corp
Highland Health Providers Corp was paid $1.26M by Medicaid between Mar 2018 and Dec 2024, across 25 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 84% of everything it billed.
33Billing provider infoHIGHLAND HEALTH PROVIDERS CORP
HILLSBORO, OH 45133
HILLSBORO, OH 45133
33aNPI1447752936assigned 03/01/2018
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$1.26M
24GClaims72,284
24DCodes billed25
24AFirst – last monthMar 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Ohio
Rank by total paid#181 of 348
Median peer was paid$1.33M
This provider vs. median0.9×
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 | 5,287 | $110K | |
| 2019 | 7,484 | $139K | |
| 2020 | 9,993 | $127K | |
| 2021 | 13,041 | $147K | |
| 2022 | 18,567 | $219K | |
| 2023 | 14,880 | $445K | |
| 2024incomplete | 3,032 | $76K |
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 | 84% | 32,155 | 18,774 | $1.07M |
| 99308 | Subsequent nursing facility care, per day, straightforward | 5.9% | 5,121 | 2,278 | $74K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 4.5% | 3,382 | 2,270 | $57K |
| 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 | 2.3% | 3,971 | 2,903 | $29K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.6% | 14,929 | 9,453 | $20K |
| 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% | 3,200 | 2,080 | $11K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 6,155 | 1,640 | $3K |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | <1% | 293 | 219 | $2K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 916 | 593 | $836.71 |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 12 | 12 | $211.96 |
| 99306 | Prolong nursin fac eval 15m | <1% | 12 | 12 | $133.70 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 700 | 550 | $120.14 |
13 more codes
| 90698 | 0% | 229 | $0.00 | |
| 96161 | 0% | 230 | $0.00 | |
| 90680 | 0% | 91 | $0.00 | |
| H0033 | Oral medication administration, direct observation | 0% | 40 | $0.00 |
| 90686 | 0% | 54 | $0.00 | |
| 90670 | 0% | 381 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 151 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 132 | $0.00 |
| 90685 | 0% | 29 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 13 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 17 | $0.00 |
| 90633 | 0% | 16 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 55 | $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 officialACKLEY, MEGHANN (CHIEF FINANCIAL OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Highland Health Providers Corp | Hillsboro, OH | $2.67M |
| Highland Health Providers Corp | Hillsboro, OH | $1.05M |
| Highland Health Providers Corp | Hillsboro, OH | $580K |
| Highland Health Providers Corp | Greenfield, OH | $467K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.