Butler County Community Health Consortium, INC.
Butler County Community Health Consortium, INC. was paid $3.32M 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) — 63% of everything it billed.
FAIRFIELD, OH 45014
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 | 21,508 | $470K | |
| 2019 | 29,993 | $486K | |
| 2020 | 26,785 | $435K | |
| 2021 | 37,209 | $588K | |
| 2022 | 40,219 | $475K | |
| 2023 | 38,203 | $639K | |
| 2024incomplete | 13,908 | $228K |
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 | 63% | 35,975 | 26,710 | $2.08M |
| 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% | 12,453 | 6,696 | $257K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 5.0% | 11,503 | 5,036 | $165K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.0% | 2,391 | 1,282 | $67K |
| D0330 | Panoramic radiographic image | 1.9% | 3,769 | 2,771 | $63K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.7% | 2,526 | 1,321 | $57K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.7% | 1,931 | 1,026 | $56K |
| D1351 | Sealant - per tooth | 1.6% | 4,762 | 1,086 | $53K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 1.3% | 2,905 | 1,779 | $42K |
| D7140 | Extraction, erupted tooth or exposed root | 1.2% | 1,372 | 667 | $40K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.1% | 4,376 | 3,175 | $38K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.1% | 1,088 | 573 | $37K |
74 more codes
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 1.1% | 2,760 | $35K |
| 99214 | Doctor's office visit, returning patient (more involved) | 1.0% | 1,134 | $35K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 1,530 | $29K |
| D1120 | Dental cleaning, child | <1% | 4,362 | $29K |
| D1110 | Prophylaxis - adult | <1% | 2,524 | $28K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 1,491 | $27K |
| 92015 | Determination of refractive state | <1% | 5,128 | $24K |
| D0120 | Dental checkup, returning patient | <1% | 3,721 | $20K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 4,342 | $17K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 315 | $16K |
| D0140 | Limited oral evaluation - problem focused | <1% | 1,501 | $12K |
| D1206 | Topical application of fluoride varnish | <1% | 1,082 | $11K |
| D0274 | Bitewings - four radiographic images | <1% | 2,660 | $11K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 2,457 | $10K |
| D1354 | <1% | 1,007 | $10K | |
| 92551 | <1% | 2,016 | $6K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 296 | $6K |
| D0272 | Bitewings - two radiographic images | <1% | 1,688 | $4K |
| 90651 | <1% | 728 | $4K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 576 | $4K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 154 | $3K |
| V2020 | Frames, purchases | <1% | 235 | $3K |
| 92341 | <1% | 510 | $3K | |
| 90670 | <1% | 1,397 | $2K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 46 | $1K |
| 90734 | <1% | 538 | $1K | |
| 99173 | <1% | 1,119 | $1K | |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 113 | $1K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 881 | $915.00 |
| 99384 | <1% | 25 | $823.73 | |
| 90674 | <1% | 717 | $776.24 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 145 | $757.66 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 118 | $745.35 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 511 | $590.00 |
| 90756 | <1% | 57 | $544.83 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 26 | $398.54 |
| 92002 | <1% | 29 | $383.46 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 56 | $378.50 |
| 90633 | <1% | 897 | $367.13 | |
| 90723 | <1% | 412 | $365.68 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 51 | $340.11 |
| 90686 | <1% | 1,106 | $337.87 | |
| 90688 | <1% | 280 | $218.77 | |
| 90715 | <1% | 191 | $190.14 | |
| 90661 | <1% | 88 | $181.47 | |
| 90710 | <1% | 283 | $162.20 | |
| 90647 | <1% | 866 | $136.42 | |
| 90620 | <1% | 304 | $113.67 | |
| 90658 | <1% | 17 | $52.99 | |
| 90700 | <1% | 254 | $34.92 | |
| 90687 | <1% | 379 | $30.56 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 30 | $25.33 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 16 | $14.50 |
| 90681 | <1% | 68 | $0.14 | |
| 90680 | <1% | 32 | $0.04 | |
| 90707 | <1% | 57 | $0.03 | |
| 90716 | <1% | 43 | $0.03 | |
| 90713 | <1% | 103 | $0.01 | |
| 3078F | 0% | 8,468 | $0.00 | |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 299 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 8,535 | $0.00 |
| 3077F | 0% | 302 | $0.00 | |
| 1159F | 0% | 97 | $0.00 | |
| 90671 | 0% | 17 | $0.00 | |
| 3074F | 0% | 9,047 | $0.00 | |
| 2001F | 0% | 11,375 | $0.00 | |
| 3008F | 0% | 11,381 | $0.00 | |
| 1036F | 0% | 9,047 | $0.00 | |
| G8755 | Most recent diastolic blood pressure >= 90 mmhg | 0% | 111 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 8,655 | $0.00 |
| 3079F | 0% | 1,426 | $0.00 | |
| 3075F | 0% | 469 | $0.00 | |
| 3080F | 0% | 22 | $0.00 | |
| D0603 | 0% | 51 | $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 | 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.