Council on Aging of Southwestern Ohio

Council on Aging of Southwestern Ohio was paid $4.46M by Medicaid between Jan 2018 and Nov 2024, across 2 billing codes. Its largest line is T1016, Case management, each 15 minutes — 98% of everything it billed.

33Billing provider infoCOUNCIL ON AGING OF SOUTHWESTERN OHIO
CINCINNATI, OH 45246

33aNPI1922554179assigned 08/28/2016

33bProvider typeCase Management Agency

28Total paid$4.46M

24GClaims120,903

24DCodes billed2

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Case Management Agency providers in Ohio

Rank by total paid#21 of 90

Median peer was paid$1.18M

This provider vs. median3.8×

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.

Single-Code Concentration98% of spending on code T1016 with only 2 total codes billed. Highly concentrated billing profile.

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	12,344	$269K
2019	6,298	$230K
2020	17,162	$841K
2021	17,466	$756K
2022	18,186	$768K
2023	19,266	$135K
2024incomplete	30,181	$1.46M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
T1016	Case management, each 15 minutes	98%	119,975	62,686	$4.37M
S5170	Home delivered meals, including preparation; per meal	1.9%	928	840	$83K

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 officialBURKE, SUZANNE (C.E.O)