Butler County Community Health Consortium, INC.
Butler County Community Health Consortium, INC. was paid $19.68M by Medicaid between Jan 2018 and Dec 2024, across 133 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 55% of everything it billed.
MIDDLETOWN, OH 45044
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 | 136,140 | $3.33M | |
| 2019 | 186,391 | $2.77M | |
| 2020 | 171,135 | $2.57M | |
| 2021 | 199,505 | $2.83M | |
| 2022 | 296,275 | $2.81M | |
| 2023 | 221,788 | $3.05M | |
| 2024incomplete | 121,509 | $2.31M |
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 | 55% | 159,637 | 116,666 | $10.79M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 133,106 | 68,354 | $2.66M |
| 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 | 7.2% | 46,296 | 25,965 | $1.43M |
| D7140 | Extraction, erupted tooth or exposed root | 2.5% | 11,374 | 5,070 | $492K |
| D0330 | Panoramic radiographic image | 2.3% | 15,366 | 11,432 | $456K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.2% | 32,771 | 13,184 | $436K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 1.9% | 8,224 | 4,336 | $367K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.6% | 18,454 | 13,108 | $312K |
| D1351 | Sealant - per tooth | 1.2% | 11,855 | 2,606 | $230K |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 13,470 | 9,915 | $197K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 6,789 | 3,773 | $192K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 5,794 | 3,001 | $191K |
121 more codes
| D1110 | Prophylaxis - adult | <1% | 9,209 | $191K |
| D0140 | Limited oral evaluation - problem focused | <1% | 14,300 | $167K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 13,217 | $165K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 5,372 | $165K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 5,744 | $138K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 4,907 | $134K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 13,461 | $131K |
| D0120 | Dental checkup, returning patient | <1% | 10,734 | $118K |
| D1206 | Topical application of fluoride varnish | <1% | 6,570 | $94K |
| D0274 | Bitewings - four radiographic images | <1% | 9,295 | $76K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 2,072 | $63K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 2,191 | $49K |
| 99051 | <1% | 3,827 | $40K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 13,247 | $37K |
| G0467 | Community health center visit, returning patient | <1% | 3,983 | $36K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 1,911 | $34K |
| D0272 | Bitewings - two radiographic images | <1% | 5,578 | $34K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 722 | $32K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 703 | $25K |
| 92551 | <1% | 6,910 | $21K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 385 | $17K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 758 | $14K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,996 | $11K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 2,323 | $11K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 840 | $10K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 3,643 | $9K |
| D0250 | <1% | 692 | $9K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 309 | $8K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 537 | $8K |
| 90670 | <1% | 4,055 | $6K | |
| 99381 | <1% | 208 | $4K | |
| D2330 | <1% | 155 | $4K | |
| D1354 | <1% | 164 | $4K | |
| D2331 | <1% | 68 | $4K | |
| 99383 | <1% | 222 | $4K | |
| 99348 | <1% | 216 | $4K | |
| 90710 | <1% | 2,317 | $4K | |
| 92552 | <1% | 681 | $4K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 386 | $4K |
| 99347 | <1% | 256 | $3K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 928 | $3K |
| 92015 | Determination of refractive state | <1% | 240 | $3K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 158 | $3K |
| 99342 | <1% | 136 | $2K | |
| 99382 | <1% | 136 | $2K | |
| 99173 | <1% | 1,703 | $2K | |
| 90671 | <1% | 706 | $2K | |
| 90661 | <1% | 346 | $2K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 58 | $2K |
| 99354 | <1% | 69 | $2K | |
| 90658 | <1% | 620 | $2K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 23 | $1K |
| 90656 | <1% | 593 | $1K | |
| 90674 | <1% | 519 | $1K | |
| 90723 | <1% | 3,505 | $1K | |
| 90633 | <1% | 3,124 | $1K | |
| 99384 | <1% | 65 | $1K | |
| D2332 | <1% | 16 | $1K | |
| 20610 | <1% | 76 | $1K | |
| 90651 | <1% | 1,114 | $1K | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 18 | $918.00 |
| 81025 | <1% | 216 | $761.46 | |
| 80305 | <1% | 165 | $712.16 | |
| 0012A | <1% | 19 | $652.50 | |
| 90746 | <1% | 20 | $633.42 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 12 | $607.75 |
| V2020 | Frames, purchases | <1% | 82 | $570.00 |
| D0270 | <1% | 190 | $545.00 | |
| 0011A | <1% | 31 | $530.24 | |
| 90647 | <1% | 3,538 | $530.22 | |
| 90686 | <1% | 1,232 | $514.63 | |
| 81003 | <1% | 574 | $422.01 | |
| 81002 | <1% | 381 | $377.09 | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 13 | $330.00 |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 29 | $288.00 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 61 | $262.04 |
| 90734 | <1% | 829 | $253.50 | |
| 90685 | <1% | 950 | $247.29 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 34 | $243.68 |
| 36416 | <1% | 144 | $225.86 | |
| 99406 | <1% | 37 | $154.51 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 89 | $118.52 |
| 90715 | <1% | 357 | $109.73 | |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 40 | $64.00 |
| 3044F | <1% | 2,501 | $60.00 | |
| 90696 | <1% | 345 | $57.26 | |
| 90681 | <1% | 1,474 | $38.04 | |
| 85018 | <1% | 27 | $21.36 | |
| 90700 | <1% | 430 | $10.79 | |
| 91301 | <1% | 50 | $0.24 | |
| 90687 | <1% | 1,074 | $0.14 | |
| 90657 | <1% | 75 | $0.04 | |
| 90620 | <1% | 50 | $0.03 | |
| 90707 | <1% | 30 | $0.01 | |
| 3078F | 0% | 59,600 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 74,334 | $0.00 |
| 3077F | 0% | 19,488 | $0.00 | |
| 4004F | 0% | 12,588 | $0.00 | |
| 3051F | 0% | 111 | $0.00 | |
| 3046F | 0% | 1,871 | $0.00 | |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 17,474 | $0.00 |
| 3045F | 0% | 112 | $0.00 | |
| 1159F | 0% | 434 | $0.00 | |
| D0190 | 0% | 29 | $0.00 | |
| 86328 | 0% | 189 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 36 | $0.00 |
| S9529 | Routine venipuncture for collection of specimen(s), single home bound, nursing home, or skilled nursing facility patient | 0% | 120 | $0.00 |
| 2001F | 0% | 107,042 | $0.00 | |
| 3074F | 0% | 68,886 | $0.00 | |
| G8755 | Most recent diastolic blood pressure >= 90 mmhg | 0% | 14,067 | $0.00 |
| 3075F | 0% | 15,579 | $0.00 | |
| 1036F | 0% | 64,083 | $0.00 | |
| 3079F | 0% | 31,308 | $0.00 | |
| 3008F | 0% | 106,903 | $0.00 | |
| D0603 | 0% | 88 | $0.00 | |
| 3080F | 0% | 12,795 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 77,786 | $0.00 |
| 3048F | 0% | 591 | $0.00 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 0% | 405 | $0.00 |
| 90697 | 0% | 254 | $0.00 | |
| 99172 | 0% | 18 | $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 | 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. | 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.