Clinic
Butler County Community Health Consortium INC
Butler County Community Health Consortium INC was paid $10.49M by Medicaid between Jan 2018 and Dec 2024, across 116 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 61% of everything it billed.
33Billing provider infoBUTLER COUNTY COMMUNITY HEALTH CONSORTIUM INC
HAMILTON, OH 45011
HAMILTON, OH 45011
33aNPI1568489359assigned 07/16/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$10.49M
24GClaims586,003
24DCodes billed116
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Ohio
Rank by total paid#20 of 348
Median peer was paid$1.33M
This provider vs. median7.9×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official RANDALL, RYAN controls 13+ related entities in our dataset. Read more
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 | 73,937 | $1.83M | |
| 2019 | 87,334 | $1.32M | |
| 2020 | 85,672 | $1.41M | |
| 2021 | 78,374 | $1.46M | |
| 2022 | 85,345 | $1.10M | |
| 2023 | 112,797 | $1.94M | |
| 2024incomplete | 62,544 | $1.43M |
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 | 61% | 89,616 | 68,537 | $6.41M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9.0% | 48,048 | 26,027 | $948K |
| 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 | 5.4% | 19,080 | 10,911 | $566K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3.6% | 30,826 | 12,406 | $376K |
| D7140 | Extraction, erupted tooth or exposed root | 2.7% | 8,007 | 3,870 | $288K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.1% | 7,913 | 4,383 | $216K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.0% | 9,629 | 5,108 | $207K |
| D0330 | Panoramic radiographic image | 1.9% | 9,615 | 7,152 | $198K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 1.6% | 3,528 | 1,991 | $163K |
| D1351 | Sealant - per tooth | 1.2% | 8,222 | 2,153 | $126K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.1% | 4,229 | 2,361 | $112K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 8,671 | 6,424 | $82K |
104 more codes
| D1110 | Prophylaxis - adult | <1% | 4,547 | $68K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 3,642 | $68K |
| D0140 | Limited oral evaluation - problem focused | <1% | 6,675 | $67K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 2,430 | $64K |
| D1206 | Topical application of fluoride varnish | <1% | 5,237 | $64K |
| D1120 | Dental cleaning, child | <1% | 6,422 | $62K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,973 | $60K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 1,289 | $51K |
| D0120 | Dental checkup, returning patient | <1% | 7,203 | $50K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 6,419 | $29K |
| D1354 | <1% | 1,865 | $28K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,295 | $25K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 603 | $20K |
| D0274 | Bitewings - four radiographic images | <1% | 2,239 | $19K |
| D0272 | Bitewings - two radiographic images | <1% | 4,127 | $17K |
| 92551 | <1% | 2,606 | $8K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 244 | $8K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 269 | $7K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 198 | $6K |
| 99381 | <1% | 365 | $6K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 432 | $6K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 365 | $6K |
| 90671 | <1% | 1,739 | $5K | |
| 90670 | <1% | 4,558 | $5K | |
| D2330 | <1% | 83 | $4K | |
| G0467 | Community health center visit, returning patient | <1% | 754 | $4K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 300 | $3K |
| 90723 | <1% | 3,140 | $3K | |
| 0011A | <1% | 103 | $3K | |
| 0012A | <1% | 92 | $3K | |
| 87590 | <1% | 264 | $2K | |
| 87490 | <1% | 266 | $2K | |
| 90658 | <1% | 401 | $2K | |
| 81025 | <1% | 682 | $2K | |
| 90688 | <1% | 2,053 | $2K | |
| 99383 | <1% | 86 | $2K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 206 | $1K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 15 | $1K |
| 90651 | <1% | 702 | $1K | |
| 99384 | <1% | 71 | $1K | |
| 88142 | <1% | 169 | $1K | |
| 90710 | <1% | 1,661 | $1K | |
| 81003 | <1% | 1,503 | $1K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 217 | $1K |
| 82962 | <1% | 1,022 | $1K | |
| 99173 | <1% | 695 | $960.56 | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 248 | $852.35 |
| 90633 | <1% | 2,918 | $759.23 | |
| 90785 | <1% | 296 | $712.91 | |
| 80305 | <1% | 152 | $669.70 | |
| 90661 | <1% | 394 | $657.74 | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 22 | $634.59 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 151 | $612.16 |
| D2140 | <1% | 15 | $578.00 | |
| 90656 | <1% | 62 | $520.51 | |
| 87210 | <1% | 246 | $493.23 | |
| 90734 | <1% | 872 | $489.18 | |
| 90647 | <1% | 2,546 | $414.04 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 136 | $403.75 |
| 90685 | <1% | 398 | $385.61 | |
| 99441 | <1% | 28 | $361.40 | |
| D2940 | <1% | 61 | $360.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 30 | $333.90 |
| 90700 | <1% | 490 | $207.50 | |
| 90686 | <1% | 1,307 | $189.46 | |
| 90674 | <1% | 171 | $163.59 | |
| 90648 | <1% | 952 | $116.18 | |
| 90715 | <1% | 179 | $39.27 | |
| 90863 | <1% | 308 | $31.99 | |
| 90681 | <1% | 1,272 | $0.97 | |
| 91301 | <1% | 174 | $0.90 | |
| 90713 | <1% | 63 | $0.12 | |
| 90707 | <1% | 76 | $0.12 | |
| 90716 | <1% | 68 | $0.09 | |
| 90744 | <1% | 36 | $0.02 | |
| 90680 | <1% | 39 | $0.02 | |
| 3077F | 0% | 5,597 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 25,586 | $0.00 |
| 3078F | 0% | 24,370 | $0.00 | |
| 4004F | 0% | 3,872 | $0.00 | |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 4,855 | $0.00 |
| 90687 | 0% | 139 | $0.00 | |
| Q2037 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) | 0% | 14 | $0.00 |
| D0270 | 0% | 90 | $0.00 | |
| 1159F | 0% | 115 | $0.00 | |
| 3046F | 0% | 99 | $0.00 | |
| 99382 | 0% | 14 | $0.00 | |
| 3008F | 0% | 38,337 | $0.00 | |
| G8755 | Most recent diastolic blood pressure >= 90 mmhg | 0% | 3,186 | $0.00 |
| 3074F | 0% | 26,263 | $0.00 | |
| 2001F | 0% | 38,321 | $0.00 | |
| 1036F | 0% | 25,583 | $0.00 | |
| 3075F | 0% | 4,416 | $0.00 | |
| 3079F | 0% | 9,228 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 27,437 | $0.00 |
| 3080F | 0% | 3,008 | $0.00 | |
| 3048F | 0% | 267 | $0.00 | |
| D0250 | 0% | 342 | $0.00 | |
| 90697 | 0% | 1,232 | $0.00 | |
| 90696 | 0% | 103 | $0.00 | |
| D0603 | 0% | 112 | $0.00 | |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | 0% | 17 | $0.00 |
| 3044F | 0% | 67 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 12 | $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 officialRANDALL, RYAN (CFO)
| Provider | Location | Paid |
|---|---|---|
| Butler County Community Health Consortium, INC. | Middletown, OH | $19.68M |
| 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. | Hamilton, OH | $2.25M |
| 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.