Clinic
Winton Hills Medical & Health Center
Winton Hills Medical & Health Center was paid $3.11M by Medicaid between Jan 2018 and Dec 2024, across 72 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 infoWINTON HILLS MEDICAL & HEALTH CENTER
CINCINNATI, OH 45237
CINCINNATI, OH 45237
33aNPI1932347382assigned 01/22/2009
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$3.11M
24GClaims146,695
24DCodes billed72
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Ohio
Rank by total paid#110 of 348
Median peer was paid$1.33M
This provider vs. median2.3×
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 | 18,662 | $570K | |
| 2019 | 17,879 | $566K | |
| 2020 | 25,253 | $450K | |
| 2021 | 27,368 | $415K | |
| 2022 | 17,632 | $422K | |
| 2023 | 27,183 | $462K | |
| 2024incomplete | 12,718 | $225K |
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% | 30,424 | 24,817 | $2.08M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 16,359 | 9,815 | $341K |
| 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 | 4.3% | 4,433 | 2,755 | $133K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 4.0% | 7,961 | 4,675 | $125K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.2% | 3,272 | 1,993 | $100K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.8% | 3,009 | 1,742 | $88K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.6% | 1,498 | 840 | $49K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.6% | 1,901 | 1,149 | $49K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.1% | 2,649 | 1,584 | $33K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 714 | 242 | $29K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 1,432 | 1,134 | $12K |
| D1110 | Prophylaxis - adult | <1% | 1,012 | 851 | $11K |
60 more codes
| 92551 | <1% | 3,252 | $8K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 822 | $7K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 261 | $6K |
| D0274 | Bitewings - four radiographic images | <1% | 694 | $6K |
| 0012A | <1% | 206 | $6K | |
| D0120 | Dental checkup, returning patient | <1% | 1,136 | $4K |
| 0011A | <1% | 210 | $3K | |
| 99173 | <1% | 3,180 | $3K | |
| D1120 | Dental cleaning, child | <1% | 666 | $2K |
| 82962 | <1% | 1,882 | $2K | |
| D1206 | Topical application of fluoride varnish | <1% | 351 | $2K |
| 81002 | <1% | 1,413 | $2K | |
| 81003 | <1% | 1,399 | $2K | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 706 | $1K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 59 | $1K |
| 96127 | <1% | 530 | $1K | |
| 0013A | <1% | 33 | $859.60 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 29 | $641.00 |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 16 | $618.29 |
| 99385 | <1% | 30 | $589.44 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 22 | $489.76 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 53 | $385.40 |
| 90686 | <1% | 1,010 | $255.10 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 24 | $178.03 |
| 81025 | <1% | 29 | $148.20 | |
| D0272 | Bitewings - two radiographic images | <1% | 42 | $140.00 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 32 | $105.00 |
| 90670 | <1% | 1,088 | $79.71 | |
| 90698 | <1% | 604 | $79.45 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 38 | $79.14 |
| 90710 | <1% | 365 | $31.78 | |
| 90633 | <1% | 492 | $16.73 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 34 | $15.86 |
| 90685 | <1% | 105 | $15.83 | |
| 91301 | <1% | 492 | $4.21 | |
| 90734 | <1% | 257 | $0.23 | |
| 90744 | <1% | 288 | $0.14 | |
| 90651 | <1% | 311 | $0.14 | |
| 90715 | <1% | 69 | $0.06 | |
| 90621 | <1% | 92 | $0.06 | |
| 3077F | <1% | 779 | $0.01 | |
| 3079F | <1% | 1,436 | $0.01 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 2,658 | $0.00 |
| 3078F | 0% | 6,983 | $0.00 | |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 140 | $0.00 |
| 90661 | 0% | 64 | $0.00 | |
| 90700 | 0% | 25 | $0.00 | |
| 3008F | 0% | 12,981 | $0.00 | |
| 1036F | 0% | 5,433 | $0.00 | |
| 3075F | 0% | 142 | $0.00 | |
| 3074F | 0% | 8,095 | $0.00 | |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 0% | 3,365 | $0.00 |
| 3080F | 0% | 331 | $0.00 | |
| 2001F | 0% | 4,343 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 2,719 | $0.00 |
| 90619 | 0% | 12 | $0.00 | |
| G8755 | Most recent diastolic blood pressure >= 90 mmhg | 0% | 79 | $0.00 |
| 90674 | 0% | 42 | $0.00 | |
| 90677 | 0% | 14 | $0.00 | |
| 90696 | 0% | 68 | $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 officialCRENSHAW, MIRIAM (CEO)
| Provider | Location | Paid |
|---|---|---|
| Winton Hills Medical & Health Center | Cincinnati, OH | $3.12M |
| Winton Hills Medical & Health Center | Cincinnati, OH | $3.04M |
| Winton Hills Medical & Health Center | Cincinnati, OH | $304K |
| Winton Hills Medical & Health Center | Cincinnati, OH | $16K |
| Winton Hills Medical & Health Center | Cincinnati, OH | $317.29 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.