Clinic
Talbert House Health Center
Talbert House Health Center was paid $5.33M by Medicaid between Jan 2018 and Dec 2024, across 87 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 64% of everything it billed.
33Billing provider infoTALBERT HOUSE HEALTH CENTER
MIDDLETOWN, OH 45042
MIDDLETOWN, OH 45042
33aNPI1871045609assigned 10/27/2016
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$5.33M
24GClaims164,252
24DCodes billed87
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Ohio
Rank by total paid#58 of 348
Median peer was paid$1.33M
This provider vs. median4.0×
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.
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 | |
|---|---|---|---|
| 2018 | 30,522 | $719K | |
| 2019 | 30,394 | $850K | |
| 2020 | 23,957 | $864K | |
| 2021 | 21,800 | $882K | |
| 2022 | 19,963 | $774K | |
| 2023 | 25,023 | $832K | |
| 2024incomplete | 12,593 | $411K |
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 | 64% | 47,055 | 36,129 | $3.42M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 39,026 | 21,086 | $819K |
| 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 | 5.2% | 9,103 | 4,866 | $278K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 4.3% | 19,241 | 7,520 | $231K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 2.7% | 7,111 | 2,930 | $144K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.6% | 3,258 | 1,790 | $87K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.4% | 3,219 | 1,858 | $74K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 885 | 864 | $22K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,658 | 897 | $22K |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 834 | 818 | $15K |
| D1110 | Prophylaxis - adult | <1% | 556 | 540 | $15K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 270 | 177 | $14K |
75 more codes
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 310 | $14K |
| D1206 | Topical application of fluoride varnish | <1% | 1,015 | $14K |
| D0120 | Dental checkup, returning patient | <1% | 821 | $14K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 230 | $13K |
| 99382 | <1% | 437 | $13K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 615 | $12K |
| D0330 | Panoramic radiographic image | <1% | 266 | $11K |
| 99383 | <1% | 383 | $11K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 369 | $11K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 303 | $8K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 163 | $8K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 241 | $7K |
| 97803 | <1% | 284 | $6K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 94 | $5K |
| 96152 | <1% | 704 | $5K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 96 | $5K |
| 99381 | <1% | 287 | $5K | |
| D1351 | Sealant - per tooth | <1% | 195 | $4K |
| D0274 | Bitewings - four radiographic images | <1% | 330 | $4K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 169 | $4K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 405 | $3K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 41 | $2K |
| 90686 | <1% | 3,196 | $2K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 266 | $2K |
| 97802 | <1% | 47 | $2K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 74 | $1K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 319 | $1K |
| D2140 | <1% | 38 | $1K | |
| 99384 | <1% | 34 | $957.84 | |
| 99441 | <1% | 186 | $938.56 | |
| 85018 | <1% | 931 | $931.41 | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 54 | $875.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 22 | $693.33 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 83 | $653.45 |
| 96127 | <1% | 290 | $590.85 | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 40 | $570.00 |
| D0272 | Bitewings - two radiographic images | <1% | 101 | $560.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 168 | $552.43 |
| G0467 | Community health center visit, returning patient | <1% | 46 | $493.56 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 92 | $365.96 |
| 3078F | <1% | 2,320 | $313.00 | |
| 90656 | <1% | 51 | $312.94 | |
| 3074F | <1% | 2,608 | $300.00 | |
| 3008F | <1% | 3,572 | $244.00 | |
| 80305 | <1% | 39 | $234.60 | |
| D0350 | <1% | 17 | $196.96 | |
| 3079F | <1% | 410 | $123.00 | |
| 81025 | <1% | 30 | $90.76 | |
| 36416 | <1% | 101 | $32.85 | |
| 96156 | <1% | 47 | $24.23 | |
| 90670 | <1% | 2,824 | $3.28 | |
| 90633 | <1% | 1,308 | $2.83 | |
| 90698 | <1% | 1,670 | $1.04 | |
| 90680 | <1% | 778 | $0.53 | |
| 90744 | <1% | 596 | $0.29 | |
| 90685 | <1% | 240 | $0.10 | |
| 90651 | <1% | 155 | $0.02 | |
| 90648 | <1% | 98 | $0.02 | |
| 90716 | <1% | 53 | $0.01 | |
| 90707 | <1% | 112 | $0.01 | |
| 90710 | <1% | 51 | $0.01 | |
| 90700 | <1% | 49 | $0.01 | |
| D1330 | 0% | 279 | $0.00 | |
| 1036F | 0% | 495 | $0.00 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 0% | 32 | $0.00 |
| 90696 | 0% | 48 | $0.00 | |
| 3075F | 0% | 46 | $0.00 | |
| 90697 | 0% | 26 | $0.00 | |
| 90723 | 0% | 16 | $0.00 | |
| D0603 | 0% | 12 | $0.00 | |
| 90734 | 0% | 55 | $0.00 | |
| 90658 | 0% | 31 | $0.00 | |
| 90715 | 0% | 28 | $0.00 | |
| 4004F | 0% | 82 | $0.00 | |
| D5986 | 0% | 12 | $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 officialENGLE, CATHERINE (CEO)
| Provider | Location | Paid |
|---|---|---|
| Talbert House Health Center | Franklin, OH | $2.71M |
| Talbert House Health Center | Franklin, OH | $1.32M |
| Talbert House Health Center | Cincinnati, OH | $488K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.