Clinic
Healthsource of Ohio INC
Healthsource of Ohio INC was paid $542K by Medicaid between Jul 2020 and Dec 2024, across 34 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 67% of everything it billed.
33Billing provider infoHEALTHSOURCE OF OHIO INC
WILLIAMSBURG, OH 45176
WILLIAMSBURG, OH 45176
33aNPI1841812393assigned 05/07/2020
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$542K
24GClaims37,263
24DCodes billed34
24AFirst – last monthJul 2020 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Ohio
Rank by total paid#228 of 348
Median peer was paid$1.33M
This provider vs. median0.4×
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 PRATHER II, JOSEPH controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 2,341 | $52K | |
| 2021 | 7,005 | $148K | |
| 2022 | 7,149 | $139K | |
| 2023 | 9,896 | $127K | |
| 2024incomplete | 10,872 | $76K |
Box 24 · Service lines
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 | 67% | 4,429 | 3,953 | $361K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 27% | 6,645 | 3,585 | $148K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 2.0% | 196 | 132 | $11K |
| 87428 | 1.1% | 325 | 184 | $6K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.0% | 290 | 166 | $5K |
| 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% | 111 | 61 | $3K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 401 | 224 | $3K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 50 | 29 | $2K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 113 | 64 | $2K |
| 36415 | Collection of venous blood by venipuncture | <1% | 346 | 193 | $390.35 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 50 | 13 | $328.86 |
| 96127 | <1% | 166 | 92 | $289.24 |
22 more codes
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 18 | $250.88 |
| 3078F | 0% | 1,779 | $0.00 | |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 1,690 | $0.00 |
| 4004F | 0% | 2,538 | $0.00 | |
| 1159F | 0% | 2,555 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 1,970 | $0.00 |
| 1160F | 0% | 2,555 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 144 | $0.00 |
| G8506 | Patient receiving angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy | 0% | 47 | $0.00 |
| 1036F | 0% | 2,490 | $0.00 | |
| 1126F | 0% | 125 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 2,604 | $0.00 |
| 3008F | 0% | 1,908 | $0.00 | |
| 3074F | 0% | 2,014 | $0.00 | |
| H0049 | Alcohol and/or drug screening | 0% | 806 | $0.00 |
| 3017F | 0% | 12 | $0.00 | |
| 3079F | 0% | 446 | $0.00 | |
| 3049F | 0% | 97 | $0.00 | |
| 3048F | 0% | 179 | $0.00 | |
| 4010F | 0% | 44 | $0.00 | |
| 1125F | 0% | 98 | $0.00 | |
| 3075F | 0% | 22 | $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.
From NPPES
Who's on the registration
Authorized officialPRATHER II, JOSEPH (CEO)
| Provider | Location | 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. | Lebanon, OH | $2.36M |
| Healthsource of Ohio, INC. | Cincinnati, OH | $1.93M |
| Healthsource of Ohio, INC. | Cincinnati, OH | $1.79M |
| 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.