Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Premier Care of Ohio LLC

Premier Care of Ohio LLC was paid $13.13M by Medicaid between Jun 2019 and Dec 2024, across 14 billing codes. Its largest line is H0020, Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) — 77% of everything it billed.

33Billing provider infoPREMIER CARE OF OHIO LLC
CINCINNATI, OH 45246
33aNPI1568707420assigned 12/04/2012
28Total paid$13.13M
24GClaims687,919
24DCodes billed14
24AFirst – last monthJun 2019 – Dec 2024
Compared with peers

Next to other Substance Use Disorder Rehabilitation Clinic/Center providers in Ohio

Rank by total paid#22 of 97
Median peer was paid$1.34M
This provider vs. median9.8×

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 GAITHER, CINDY controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$100K$200K$300K2018201920202021202220232024
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
201938,955$599K
202096,852$1.87M
2021132,315$2.42M
2022150,851$2.86M
2023141,818$2.74M
2024incomplete127,128$2.64M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
H0020 Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) 77% 621,925 29,317 $10.14M
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 6.5% 7,116 6,084 $852K
T1002 Rn services, up to 15 minutes 4.8% 19,791 17,249 $636K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 4.5% 11,568 9,032 $584K
90832 Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient 2.7% 7,438 6,829 $356K
H0006 Alcohol and/or drug services; case management 1.7% 9,069 5,974 $224K
T1003 Lpn/lvn services, up to 15 minutes 1.7% 9,180 8,190 $220K
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% 680 637 $46K
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% 223 209 $32K
G2067 Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatment program) <1% 651 234 $20K
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient <1% 129 125 $8K
H0001 Alcohol and/or drug assessment <1% 66 61 $5K
2 more codes
H0038 Self-help/peer services, per 15 minutes <1% 70 $1K
90837 Psychotherapy session, about an hour <1% 13 $1K

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 officialGAITHER, CINDY (VP REVENUE CYCLE MGMT)
Same official

Other billing entities under GAITHER, CINDY

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