City of Cincinnati
City of Cincinnati was paid $8.32M by Medicaid between Jan 2018 and Dec 2024, across 86 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 47% of everything it billed.
CINCINNATI, OH 45202
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 | 35,944 | $866K | |
| 2019 | 33,708 | $875K | |
| 2020 | 55,741 | $1.27M | |
| 2021 | 99,861 | $1.84M | |
| 2022 | 98,869 | $1.81M | |
| 2023 | 75,000 | $1.22M | |
| 2024incomplete | 17,781 | $441K |
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 | 47% | 59,503 | 41,658 | $3.88M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.7% | 34,206 | 20,074 | $643K |
| D7140 | Extraction, erupted tooth or exposed root | 5.1% | 13,071 | 6,548 | $423K |
| D0330 | Panoramic radiographic image | 3.4% | 12,144 | 8,521 | $279K |
| D1351 | Sealant - per tooth | 3.2% | 12,469 | 3,754 | $265K |
| D1110 | Prophylaxis - adult | 3.0% | 10,523 | 8,396 | $249K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 2.4% | 14,346 | 12,560 | $199K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.2% | 9,690 | 7,952 | $185K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.2% | 10,246 | 9,544 | $181K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.1% | 10,670 | 6,652 | $172K |
| 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 | 2.1% | 6,063 | 3,712 | $171K |
| D1206 | Topical application of fluoride varnish | 1.9% | 11,797 | 10,812 | $158K |
74 more codes
| D0230 | Intraoral - periapical each additional radiographic image | 1.7% | 42,099 | $142K |
| D0274 | Bitewings - four radiographic images | 1.7% | 10,913 | $139K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.7% | 4,735 | $138K |
| D0140 | Limited oral evaluation - problem focused | 1.5% | 11,983 | $128K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 1.2% | 971 | $99K |
| D0220 | Intraoral - periapical first radiographic image | 1.1% | 24,766 | $88K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.1% | 3,827 | $88K |
| D1354 | 1.0% | 6,286 | $86K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.0% | 2,959 | $85K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 1,904 | $63K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 4,571 | $50K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 5,646 | $49K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,357 | $45K |
| 90677 | <1% | 323 | $38K | |
| D2140 | <1% | 945 | $29K | |
| D0272 | Bitewings - two radiographic images | <1% | 2,664 | $27K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,242 | $26K |
| 96160 | <1% | 17,963 | $24K | |
| 90686 | <1% | 3,624 | $21K | |
| G0467 | Community health center visit, returning patient | <1% | 1,965 | $20K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,680 | $18K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 704 | $16K |
| 90651 | <1% | 334 | $12K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,793 | $7K |
| 90756 | <1% | 794 | $7K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,023 | $7K |
| 90670 | <1% | 2,872 | $6K | |
| 90734 | <1% | 231 | $5K | |
| 90682 | <1% | 152 | $5K | |
| 90698 | <1% | 2,640 | $5K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 195 | $5K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,021 | $5K |
| 90837 | Psychotherapy session, about an hour | <1% | 40 | $4K |
| 90633 | <1% | 1,050 | $4K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 121 | $3K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 188 | $3K |
| D2160 | <1% | 73 | $2K | |
| 99188 | <1% | 927 | $2K | |
| 90688 | <1% | 519 | $2K | |
| 90744 | <1% | 1,318 | $2K | |
| 90681 | <1% | 800 | $1K | |
| 90715 | <1% | 233 | $1K | |
| 99381 | <1% | 69 | $1K | |
| D0270 | <1% | 498 | $1K | |
| D2332 | <1% | 25 | $689.58 | |
| 90732 | <1% | 21 | $685.08 | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 21 | $520.00 |
| 90672 | <1% | 211 | $492.80 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 57 | $479.47 |
| D4910 | <1% | 14 | $443.69 | |
| 90707 | <1% | 83 | $426.50 | |
| 90716 | <1% | 83 | $416.00 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 1,318 | $408.09 |
| 90658 | <1% | 322 | $296.63 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 40 | $228.38 |
| 90700 | <1% | 111 | $214.25 | |
| 0002A | <1% | 12 | $159.52 | |
| 90710 | <1% | 111 | $155.50 | |
| 90696 | <1% | 85 | $99.00 | |
| 90656 | <1% | 115 | $62.00 | |
| 90680 | <1% | 241 | $50.00 | |
| 3079F | <1% | 3,534 | $14.61 | |
| 3077F | <1% | 939 | $13.63 | |
| 3080F | <1% | 899 | $12.31 | |
| 3074F | <1% | 7,770 | $10.19 | |
| 3075F | <1% | 1,982 | $0.92 | |
| 3078F | <1% | 7,674 | $0.84 | |
| 90685 | 0% | 143 | $0.00 | |
| 91300 | 0% | 57 | $0.00 | |
| 3008F | 0% | 13,735 | $0.00 | |
| 90619 | 0% | 62 | $0.00 | |
| D9995 | 0% | 157 | $0.00 | |
| D0603 | 0% | 251 | $0.00 | |
| 91301 | 0% | 85 | $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 | $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 | $2.40M |
| 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.