Butler County Community Health Consortium, INC.
Butler County Community Health Consortium, INC. was paid $2.25M by Medicaid between Jan 2018 and Dec 2024, across 59 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 60% of everything it billed.
HAMILTON, OH 45011
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 | 20,539 | $461K | |
| 2019 | 28,778 | $402K | |
| 2020 | 20,460 | $308K | |
| 2021 | 25,673 | $353K | |
| 2022 | 31,208 | $340K | |
| 2023 | 18,666 | $246K | |
| 2024incomplete | 9,168 | $136K |
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 | 60% | 24,819 | 16,848 | $1.35M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 11,932 | 6,496 | $247K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 5.4% | 9,267 | 4,189 | $122K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 4.1% | 1,999 | 1,144 | $91K |
| 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 | 3.5% | 2,681 | 1,536 | $79K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.9% | 2,035 | 1,061 | $65K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 2.3% | 4,154 | 2,571 | $53K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.0% | 1,589 | 883 | $45K |
| 92015 | Determination of refractive state | 1.4% | 6,122 | 3,997 | $32K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 1.4% | 1,588 | 942 | $32K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 1.3% | 2,358 | 1,422 | $29K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 808 | 432 | $22K |
47 more codes
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 738 | $17K |
| 99384 | <1% | 388 | $14K | |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 2,683 | $11K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 339 | $7K |
| V2020 | Frames, purchases | <1% | 424 | $7K |
| 92551 | <1% | 1,936 | $6K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 138 | $5K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 333 | $3K |
| 92341 | <1% | 307 | $2K | |
| 90670 | <1% | 473 | $2K | |
| 90651 | <1% | 1,090 | $1K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 144 | $1K |
| 90734 | <1% | 1,308 | $1K | |
| 90723 | <1% | 314 | $582.35 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 82 | $537.55 |
| 99173 | <1% | 424 | $495.39 | |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | <1% | 13 | $452.40 |
| 92002 | <1% | 41 | $410.85 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 71 | $396.50 |
| 90620 | <1% | 696 | $211.23 | |
| 90661 | <1% | 51 | $184.25 | |
| 90658 | <1% | 48 | $178.19 | |
| 90686 | <1% | 847 | $123.30 | |
| 90688 | <1% | 193 | $104.36 | |
| 90633 | <1% | 532 | $89.61 | |
| 90715 | <1% | 749 | $87.87 | |
| 90674 | <1% | 155 | $32.56 | |
| 90647 | <1% | 239 | $31.04 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 20 | $29.73 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 47 | $27.53 |
| 90687 | <1% | 188 | $9.87 | |
| 90710 | <1% | 44 | $0.19 | |
| 3078F | 0% | 8,330 | $0.00 | |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 677 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 8,678 | $0.00 |
| 4004F | 0% | 365 | $0.00 | |
| 1159F | 0% | 64 | $0.00 | |
| 3077F | 0% | 739 | $0.00 | |
| 3074F | 0% | 8,842 | $0.00 | |
| 1036F | 0% | 7,838 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 8,986 | $0.00 |
| 3008F | 0% | 11,128 | $0.00 | |
| 2001F | 0% | 11,154 | $0.00 | |
| 3079F | 0% | 1,790 | $0.00 | |
| 3080F | 0% | 222 | $0.00 | |
| G8755 | Most recent diastolic blood pressure >= 90 mmhg | 0% | 348 | $0.00 |
| 3075F | 0% | 924 | $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 |
|---|---|---|
| Butler County Community Health Consortium, INC. | Middletown, OH | $19.68M |
| Butler County Community Health Consortium INC | Hamilton, OH | $10.49M |
| Butler County Community Health Consortium, INC. | Fairfield, OH | $3.32M |
| Butler County Community Health Consortium INC | Middletown, OH | $2.90M |
| Butler County Community Health Consortium, INC. | Oxford, OH | $2.42M |
| Butler County Community Health Consortium, INC. | Trenton, OH | $2.02M |
| Butler County Community Health Consortium, INC. | Middletown, OH | $1.69M |
| Butler County Community Health Consortium, INC. | Dayton, OH | $989K |
| Butler County Community Health Consortium, INC. | Oxford, OH | $39K |
| Butler County Community Health Consortium, INC. | Oxford, OH | $33K |
| Butler County Community Health Consortium, INC. | Oxford, OH | $33K |
| Butler County Community Health Consortium INC | Hamilton, OH | $2K |
| Butler County Community Health Consortium INC | Hamilton, OH | $606.67 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.