Clinic
Healthsource of Ohio, INC.
Healthsource of Ohio, INC. was paid $3.30M by Medicaid between Jan 2018 and Dec 2024, across 70 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 54% of everything it billed.
33Billing provider infoHEALTHSOURCE OF OHIO, INC.
NEW RICHMOND, OH 45157
NEW RICHMOND, OH 45157
33aNPI1942242284assigned 06/12/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$3.30M
24GClaims250,870
24DCodes billed70
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Ohio
Rank by total paid#103 of 348
Median peer was paid$1.33M
This provider vs. median2.5×
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 | |
|---|---|---|---|
| 2018 | 28,075 | $538K | |
| 2019 | 27,827 | $430K | |
| 2020 | 23,685 | $414K | |
| 2021 | 31,071 | $484K | |
| 2022 | 32,007 | $487K | |
| 2023 | 56,634 | $572K | |
| 2024incomplete | 51,571 | $376K |
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 | 54% | 33,333 | 27,145 | $1.80M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 25% | 37,817 | 21,968 | $821K |
| 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 | 12% | 12,690 | 7,792 | $411K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 2.1% | 2,862 | 1,127 | $68K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 1.4% | 829 | 483 | $45K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 1,135 | 423 | $30K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 2,180 | 995 | $25K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 1,138 | 643 | $21K |
| 87428 | <1% | 719 | 371 | $13K | |
| G0467 | Community health center visit, returning patientFederally 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% | 1,250 | 1,127 | $12K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | <1% | 85 | 82 | $8K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 225 | 146 | $7K |
58 more codes
| 90686 | <1% | 800 | $6K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 551 | $6K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 800 | $5K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 190 | $5K |
| 90785 | <1% | 503 | $3K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 104 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 186 | $2K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 62 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 260 | $2K |
| 0011A | <1% | 46 | $2K | |
| 92551 | <1% | 404 | $1K | |
| 0012A | <1% | 36 | $1K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 25 | $1K |
| 96127 | <1% | 597 | $1K | |
| 90688 | <1% | 97 | $977.56 | |
| 99173 | <1% | 644 | $854.68 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 24 | $467.74 |
| 98927 | <1% | 20 | $263.70 | |
| 90715 | <1% | 20 | $161.85 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 19,054 | $35.80 |
| 81002 | <1% | 106 | $24.01 | |
| 81003 | <1% | 27 | $20.60 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 19,321 | $0.00 |
| 1160F | 0% | 12,381 | $0.00 | |
| 1159F | 0% | 12,378 | $0.00 | |
| 3078F | 0% | 7,744 | $0.00 | |
| 4004F | 0% | 16,968 | $0.00 | |
| G8506 | Patient receiving angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy | 0% | 3,727 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 6,925 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 306 | $0.00 |
| 3015F | 0% | 1,010 | $0.00 | |
| 3077F | 0% | 282 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 1,146 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 15 | $0.00 |
| Q2038 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) | 0% | 12 | $0.00 |
| 3050F | 0% | 76 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 63 | $0.00 |
| 3045F | 0% | 13 | $0.00 | |
| 3075F | 0% | 1,107 | $0.00 | |
| 3074F | 0% | 10,259 | $0.00 | |
| 3048F | 0% | 2,671 | $0.00 | |
| 3008F | 0% | 6,522 | $0.00 | |
| 3017F | 0% | 1,487 | $0.00 | |
| 1036F | 0% | 12,797 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 1,300 | $0.00 |
| H0049 | Alcohol and/or drug screening | 0% | 4,088 | $0.00 |
| 4010F | 0% | 1,714 | $0.00 | |
| 3079F | 0% | 3,745 | $0.00 | |
| 3049F | 0% | 216 | $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) | 0% | 1,113 | $0.00 |
| 3061F | 0% | 144 | $0.00 | |
| 3080F | 0% | 288 | $0.00 | |
| 3014F | 0% | 447 | $0.00 | |
| 1126F | 0% | 1,428 | $0.00 | |
| 1125F | 0% | 274 | $0.00 | |
| 2023F | 0% | 26 | $0.00 | |
| 3044F | 0% | 45 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 13 | $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. | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.