Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › OH › LEBANON › HEALTHSOURCE OF OHIO, INC.

HEALTHSOURCE OF OHIO, INC.

NPI: 1841624350 · LEBANON, OH 45036 · Federally Qualified Health Center (FQHC) · NPI assigned 09/03/2013

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official PRATHER II, JOSEPH controls 20+ related entities in our dataset. Read more

$2.36M
Total Medicaid Paid
137,078
Total Claims
86,339
Beneficiaries
56
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPRATHER II, JOSEPH (CEO)
NPI Enumeration Date09/03/2013

Related Entities

Other providers sharing the same authorized official: PRATHER II, JOSEPH

ProviderCityStateTotal Paid
HEALTHSOURCE OF OHIO, INC. CINCINNATI OH $13.68M
HEALTHSOURCE OF OHIO, INC. GEORGETOWN OH $8.34M
HEALTHSOURCE OF OHIO, INC. MOUNT ORAB OH $7.99M
HEALTHSOURCE OF OHIO, INC. SEAMAN OH $6.04M
HEALTHSOURCE OF OHIO, INC. BATAVIA OH $4.37M
HEALTHSOURCE OF OHIO, INC. LOVELAND OH $3.64M
HEALTHSOURCE OF OHIO, INC. NEW RICHMOND OH $3.30M
HEALTHSOURCE OF OHIO, INC. WILMINGTON OH $2.91M
HEALTHSOURCE OF OHIO INC BATAVIA OH $2.79M
HEALTHSOURCE OF OHIO, INC. BATAVIA OH $2.71M
HEALTHSOURCE OF OHIO, INC. HILLSBORO OH $2.49M
HEALTHSOURCE OF OHIO, INC. WASHINGTON COURT HOUSE OH $2.48M
HEALTHSOURCE OF OHIO, INC. CINCINNATI OH $1.93M
HEALTHSOURCE OF OHIO, INC. CINCINNATI OH $1.79M
HEALTHSOURCE OF OHIO INC WILLIAMSBURG OH $542K
HEALTHSOURCE OF OHIO, INC. MOUNT ORAB OH $301K
HEALTHSOURCE OF OHIO, INC. BATAVIA OH $260K
HEALTHSOURCE OF OHIO, INC. GOSHEN OH $139K
HEALTHSOURCE OF OHIO, INC. FELICITY OH $91K
HEALTHSOURCE OF OHIO, INC. WILMINGTON OH $26K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 12,206 $310K
2019 18,669 $348K
2020 9,658 $229K
2021 14,454 $284K
2022 16,588 $393K
2023 35,007 $504K
2024 30,496 $290K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 17,825 15,045 $1.49M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 10,386 5,942 $339K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14,807 8,433 $321K
90791 Psychiatric diagnostic evaluation 1,161 630 $61K
90460 Immunization administration through 18 years of age via any route, first or only component 3,452 1,385 $41K
90832 Psychotherapy, 30 minutes with patient 1,551 697 $37K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 460 278 $12K
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 551 466 $11K
90686 1,181 746 $7K
87428 384 190 $6K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 399 299 $5K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 165 88 $5K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 147 89 $5K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 216 116 $3K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 26 23 $3K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 68 38 $2K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 119 66 $2K
0011A 45 44 $2K
90715 66 57 $2K
0012A 37 37 $1K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 45 27 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 120 58 $785.77
99383 23 12 $760.13
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 23 12 $678.77
96127 199 118 $426.28
90785 82 39 $422.07
36415 Collection of venous blood by venipuncture 359 187 $396.29
90688 25 22 $346.08
90656 29 27 $308.00
90633 16 15 $10.00
1159F 8,191 4,416 $0.00
3078F 6,130 3,354 $0.00
4004F 8,992 5,063 $0.00
G8506 Patient receiving angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy 1,528 910 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 5,315 2,892 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 8,836 7,999 $0.00
1160F 8,192 4,417 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 771 451 $0.00
3050F 136 69 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 46 31 $0.00
3008F 4,430 2,394 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 8,780 6,922 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 816 475 $0.00
1036F 6,041 3,469 $0.00
3048F 2,016 1,176 $0.00
3044F 91 53 $0.00
3074F 7,319 4,000 $0.00
1125F 255 178 $0.00
3079F 962 539 $0.00
H0049 Alcohol and/or drug screening 2,638 1,446 $0.00
3049F 222 116 $0.00
1126F 317 212 $0.00
3017F 662 347 $0.00
G9226 Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) 83 52 $0.00
4010F 285 145 $0.00
3075F 57 27 $0.00