Clinic
Healthsource of Ohio, INC.
Healthsource of Ohio, INC. was paid $1.93M by Medicaid between Jan 2018 and Nov 2024, across 33 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 79% of everything it billed.
33Billing provider infoHEALTHSOURCE OF OHIO, INC.
CINCINNATI, OH 45230
CINCINNATI, OH 45230
33aNPI1942646799assigned 05/21/2013
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$1.93M
24GClaims74,131
24DCodes billed33
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Ohio
Rank by total paid#151 of 348
Median peer was paid$1.33M
This provider vs. median1.5×
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 | 7,050 | $297K | |
| 2019 | 6,091 | $256K | |
| 2020 | 9,492 | $310K | |
| 2021 | 9,896 | $292K | |
| 2022 | 9,973 | $297K | |
| 2023 | 19,958 | $311K | |
| 2024incomplete | 11,671 | $167K |
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 | 79% | 17,816 | 12,466 | $1.52M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 17% | 15,209 | 8,163 | $328K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 2.1% | 1,407 | 846 | $41K |
| 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 | <1% | 565 | 350 | $18K |
| 81002 | <1% | 6,923 | 3,439 | $8K | |
| 81025 | <1% | 2,469 | 1,455 | $8K | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 48 | 25 | $2K |
| H1000 | Prenatal care, at-risk assessment | <1% | 88 | 59 | $1K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 79 | 55 | $1K |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 28 | 12 | $1K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 34 | 27 | $1K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 30 | 16 | $1K |
21 more codes
| 99459 | <1% | 62 | $909.66 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 36 | $524.30 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 95 | $315.05 |
| 96127 | <1% | 133 | $269.62 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 14 | $223.52 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 105 | $138.31 |
| 1159F | 0% | 3,181 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 3,520 | $0.00 |
| 3078F | 0% | 1,851 | $0.00 | |
| 1160F | 0% | 3,181 | $0.00 | |
| 3015F | 0% | 900 | $0.00 | |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 2,231 | $0.00 |
| 4004F | 0% | 2,363 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 13 | $0.00 |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 0% | 14 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 3,481 | $0.00 |
| 1036F | 0% | 2,781 | $0.00 | |
| 1126F | 0% | 1,576 | $0.00 | |
| H0049 | Alcohol and/or drug screening | 0% | 793 | $0.00 |
| 3074F | 0% | 2,800 | $0.00 | |
| 3079F | 0% | 305 | $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. | New Richmond, OH | $3.30M |
| 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 | $1.79M |
| 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.