City of Cincinnati
City of Cincinnati was paid $2.55M by Medicaid between Jan 2018 and Dec 2024, across 46 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 77% of everything it billed.
CINCINNATI, OH 45207
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 | 6,405 | $172K | |
| 2019 | 19,584 | $415K | |
| 2020 | 11,714 | $242K | |
| 2021 | 21,806 | $427K | |
| 2022 | 25,160 | $439K | |
| 2023 | 43,941 | $561K | |
| 2024incomplete | 11,693 | $292K |
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 | 77% | 35,896 | 22,387 | $1.97M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.7% | 7,665 | 3,877 | $170K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 2.9% | 6,859 | 4,502 | $73K |
| D1351 | Sealant - per tooth | 1.6% | 9,905 | 2,117 | $41K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 1.3% | 859 | 514 | $33K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 1.1% | 6,715 | 4,167 | $27K |
| 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 | 1.0% | 830 | 454 | $26K |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 5,854 | 4,275 | $24K |
| 92015 | Determination of refractive state | <1% | 9,110 | 5,810 | $23K |
| D1206 | Topical application of fluoride varnish | <1% | 5,227 | 3,610 | $21K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 5,367 | 3,845 | $18K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 1,957 | 1,114 | $14K |
34 more codes
| D7140 | Extraction, erupted tooth or exposed root | <1% | 1,049 | $12K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 1,088 | $12K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,485 | $9K |
| D0274 | Bitewings - four radiographic images | <1% | 3,552 | $9K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 2,558 | $8K |
| D1110 | Prophylaxis - adult | <1% | 1,259 | $7K |
| D1354 | <1% | 2,782 | $6K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 457 | $6K |
| D0272 | Bitewings - two radiographic images | <1% | 2,824 | $6K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 5,820 | $6K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 5,069 | $5K |
| D0330 | Panoramic radiographic image | <1% | 1,766 | $5K |
| D2140 | <1% | 308 | $5K | |
| 90686 | <1% | 567 | $2K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 83 | $2K |
| 90651 | <1% | 36 | $2K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 38 | $2K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 402 | $1K |
| 92341 | <1% | 261 | $1K | |
| D0240 | <1% | 41 | $779.62 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 21 | $580.49 |
| 90688 | <1% | 104 | $572.56 | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 1,589 | $482.25 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 22 | $441.21 |
| 96160 | <1% | 24 | $30.87 | |
| 90658 | <1% | 36 | $20.00 | |
| 3078F | 0% | 5,139 | $0.00 | |
| 3074F | 0% | 3,643 | $0.00 | |
| D0140 | Limited oral evaluation - problem focused | 0% | 115 | $0.00 |
| 3008F | 0% | 1,681 | $0.00 | |
| D0603 | 0% | 192 | $0.00 | |
| D2160 | 0% | 15 | $0.00 | |
| 90656 | 0% | 14 | $0.00 | |
| D0210 | Intraoral - complete series of radiographic images | 0% | 19 | $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 | $8.32M |
| 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 | $2.40M |
| 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.