Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

HEALTHSOURCE OF OHIO, INC.

NPI: 1942242284 · NEW RICHMOND, OH 45157 · Federally Qualified Health Center (FQHC) · NPI assigned 06/12/2006

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

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

$3.30M
Total Medicaid Paid
250,870
Total Claims
163,264
Beneficiaries
70
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPRATHER II, JOSEPH (CEO)
NPI Enumeration Date06/12/2006

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. 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 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 28,075 $538K
2019 27,827 $430K
2020 23,685 $414K
2021 31,071 $484K
2022 32,007 $487K
2023 56,634 $572K
2024 51,571 $376K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 33,333 27,145 $1.80M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 37,817 21,968 $821K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 12,690 7,792 $411K
90832 Psychotherapy, 30 minutes with patient 2,862 1,127 $68K
90791 Psychiatric diagnostic evaluation 829 483 $45K
90834 Psychotherapy, 45 minutes with patient 1,135 423 $30K
90460 Immunization administration through 18 years of age via any route, first or only component 2,180 995 $25K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1,138 643 $21K
87428 719 371 $13K
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 1,250 1,127 $12K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 85 82 $8K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 225 146 $7K
90686 800 522 $6K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 551 366 $6K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 800 406 $5K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 190 114 $5K
90785 503 236 $3K
99232 Subsequent hospital care, per day, moderate complexity 104 36 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 186 111 $2K
99239 Hospital discharge day management, more than 30 minutes 62 60 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 260 77 $2K
0011A 46 43 $2K
92551 404 239 $1K
0012A 36 36 $1K
99222 Initial hospital care, per day, moderate complexity 25 24 $1K
96127 597 343 $1K
90688 97 67 $977.56
99173 644 384 $854.68
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 24 13 $467.74
98927 20 12 $263.70
90715 20 16 $161.85
G8510 Screening for depression is documented as negative, a follow-up plan is not required 19,054 15,948 $35.80
81002 106 93 $24.01
81003 27 14 $20.60
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 19,321 17,859 $0.00
1160F 12,381 6,746 $0.00
1159F 12,378 6,743 $0.00
3078F 7,744 4,300 $0.00
4004F 16,968 9,923 $0.00
G8506 Patient receiving angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy 3,727 2,342 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 6,925 3,788 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 306 201 $0.00
3015F 1,010 574 $0.00
3077F 282 152 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 1,146 764 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 15 12 $0.00
Q2038 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) 12 12 $0.00
3050F 76 38 $0.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 63 52 $0.00
3045F 13 12 $0.00
3075F 1,107 638 $0.00
3074F 10,259 5,682 $0.00
3048F 2,671 1,713 $0.00
3008F 6,522 3,489 $0.00
3017F 1,487 818 $0.00
1036F 12,797 7,371 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 1,300 870 $0.00
H0049 Alcohol and/or drug screening 4,088 2,252 $0.00
4010F 1,714 922 $0.00
3079F 3,745 2,135 $0.00
3049F 216 139 $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) 1,113 679 $0.00
3061F 144 79 $0.00
3080F 288 159 $0.00
3014F 447 240 $0.00
1126F 1,428 881 $0.00
1125F 274 163 $0.00
2023F 26 15 $0.00
3044F 45 26 $0.00
G0008 Administration of influenza virus vaccine 13 13 $0.00