Ohio's 20,967 Medicaid providers billed $36.98B between 2018 and 2024. The most-billed code is T1019, accounting for $2.58B in payments. Columbus is the largest Medicaid billing hub in the state. 35 providers in OH appear on the OIG exclusion list.
| Code | Description | Total Paid |
|---|---|---|
| T1019 | Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) | $2.58B |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | $1.71B |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | $1.65B |
COLUMBUS ($5.35B) CINCINNATI ($3.53B) CLEVELAND ($3.28B) DAYTON ($1.86B) TOLEDO ($1.62B) AKRON ($1.51B) DUBLIN ($923.95M) YOUNGSTOWN ($811.48M) PORTSMOUTH ($733.71M) CANTON ($577.65M) TWINSBURG ($434.01M) REYNOLDSBURG ($371.16M) ZANESVILLE ($368.33M) WOOSTER ($353.86M) WESTERVILLE ($344.27M) CHILLICOTHE ($293.22M) LIMA ($271.07M) BEACHWOOD ($259.59M) SPRINGFIELD ($254.45M) HAMILTON ($248.06M) WARREN ($245.97M) BEREA ($239.04M) SHAKER HEIGHTS ($227.24M) MASON ($226.77M) MANSFIELD ($226.40M) GALLIPOLIS ($211.42M) LORAIN ($210.39M) LANCASTER ($193.31M) KENT ($191.60M) KETTERING ($190.97M) WILLOUGHBY ($190.62M) MORAINE ($189.98M) WEST CHESTER ($189.22M) BLUE ASH ($176.87M) ASHTABULA ($175.37M) IRONTON ($173.21M) SANDUSKY ($168.89M) HUDSON ($168.81M) NEWARK ($167.79M) MARIETTA ($163.75M) EUCLID ($163.70M) PARMA ($163.07M) MARION ($160.31M) GAHANNA ($155.87M) ATHENS ($150.51M) CLEVELAND HEIGHTS ($144.79M) MIAMISBURG ($142.01M) NELSONVILLE ($139.74M) MIDDLETOWN ($136.64M) BEAVERCREEK ($136.19M)
Automated signals based on claims-per-beneficiary ratios, single-code concentration, and OIG exclusion status. These are statistical outliers — not evidence of fraud. Learn more
| # | Provider | Total Paid | Flags |
|---|---|---|---|
| 1 | CASLEO LLC | $117.54M | single-code billing |
| 2 | RIVERSIDE RECOVERY SERVICES LLC | $28.65M | OIG excluded |
| 3 | CLOSSMAN CATERING LLC | $25.73M | single-code billing |
| 4 | NORTHEAST PROFESSIONAL HOME, INC. | $25.10M | single-code billing |
| 5 | ABSOLUTE HOSPICE, INC. | $23.93M | single-code billing |
| 6 | HOSPICE OF SOUTHWEST OHIO, INC. | $21.30M | single-code billing |
| 7 | SIMPLY EZ HOME DELIVERED MEALS OF NORTHEAST OHIO LLC. | $21.09M | single-code billing |
| 8 | EYE FOR CHANGE YOUTH & FAMILY SERVICES, INC. | $20.43M | OIG excluded |
| 9 | FUTURE AGE INC. | $18.53M | single-code billing |
| 10 | TRI STAR SCIENTIFIC INC. | $17.55M | single-code billing |
| 11 | CARESOURCE MANAGEMENT GROUP | $16.45M | single-code billing |
| 12 | DEMETRIUS OF FORTY CHURCHES LLC | $14.61M | single-code billing |
| 13 | HEARTLAND HOSPICE SERVICES LLC | $13.02M | single-code billing |
| 14 | FRIENDLY CARE, INC | $12.56M | OIG excluded |
| 15 | ASSISTED CARE BY BLACK STONE OF DAYTON, LLC | $12.45M | single-code billing |
| 16 | W.R. CATERING, INC. | $12.03M | single-code billing |
| 17 | CHRISTMAS HOME HEALTH | $11.90M | single-code billing |
| 18 | SPRENGER HOSPICE, INC. | $11.87M | single-code billing |
| 19 | GRANNIES COOKED DELIVERED MEALS LLC | $11.68M | single-code billing |
| 20 | A-1 HEALTH CARE INC | $10.83M | single-code billing |
| 21 | A BEST HOME CARE,INC. | $10.45M | single-code billing |
| 22 | AMARAMEDICAL HEALTH CARE SERVICES INC. | $10.44M | single-code billing |
| 23 | SIMPLY EZ OF COLUMBUS LTD | $10.41M | single-code billing |
| 24 | BUCKEYE HEALTH AND RESEARCH LLC | $10.32M | OIG excluded |
| 25 | SENIOR SUITES AT WOODSIDE VILLAGE, LLC | $9.59M | single-code billing |
| # | Provider | City | Claims | Total Paid |
|---|---|---|---|---|
| 1 | THE CLEVELAND CLINIC FOUNDATION | CLEVELAND | 16,016,267 | $863.55M |
| 2 | NATIONWIDE CHILDREN'S HOSPITAL | COLUMBUS | 11,019,261 | $777.54M |
| 3 | LABORATORY CORPORATION OF AMERICA HOLDINGS | DUBLIN | 53,462,000 | $617.02M |
| 4 | THE METROHEALTH SYSTEM | CLEVELAND | 10,961,069 | $574.13M |
| 5 | CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON | AKRON | 6,634,271 | $556.65M |
| 6 | BRIGHTVIEW, LLC | CINCINNATI | 7,922,041 | $501.08M |
| 7 | RGH ENTERPRISES, LLC | TWINSBURG | 5,838,333 | $424.77M |
| 8 | CHILDREN'S HOSPITAL MEDICAL CENTER | CINCINNATI | 5,296,668 | $386.70M |
| 9 | DAYTON CHILDREN'S HOSPITAL | DAYTON | 3,020,929 | $290.63M |
| 10 | OHIOHEALTH CORPORATION | COLUMBUS | 4,231,106 | $214.99M |
| 11 | OHIO STATE UNIVERSITY HOSPITALS | COLUMBUS | 4,103,101 | $197.87M |
| 12 | OHIOGUIDESTONE | BEREA | 2,216,965 | $195.02M |
| 13 | PRENTKE ROMICH COMPANY | WOOSTER | 76,767 | $186.68M |
| 14 | UNIVERSITY OF CINCINNATI MEDICAL CENTER, LLC | CINCINNATI | 3,755,175 | $176.53M |
| 15 | SUMMA HEALTH SYSTEM | AKRON | 3,710,689 | $170.73M |
| 16 | LABONE OF OHIO INC | CINCINNATI | 11,892,402 | $167.17M |
| 17 | SCIOTO COUNTY COUNSELING CENTER, INC | PORTSMOUTH | 1,385,194 | $166.14M |
| 18 | MIAMI VALLEY HOSPITAL | DAYTON | 3,581,941 | $159.26M |
| 19 | UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER | CLEVELAND | 2,733,531 | $156.83M |
| 20 | THE TOLEDO HOSPITAL | TOLEDO | 3,399,237 | $151.22M |
| 21 | EDWARDS HEALTH CARE SERVICES, INC. | HUDSON | 1,008,148 | $149.69M |
| 22 | CLASSIC OPTICAL LABORATORIES, INC. | YOUNGSTOWN | 18,553,215 | $148.13M |
| 23 | SOUTHERN OHIO MEDICAL CENTER | PORTSMOUTH | 3,493,646 | $145.26M |
| 24 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE | COLUMBUS | 794,957 | $140.71M |
| 25 | TRIDIA HOSPICE CARE, LLC | WESTERVILLE | 798,965 | $138.84M |
| 26 | MERCY HEALTH - ST VINCENT MEDICAL CENTER LLC | TOLEDO | 2,987,484 | $132.93M |
| 27 | INTEGRATED SERVICES FOR BEHAVIORAL HEALTH | NELSONVILLE | 1,289,318 | $131.81M |
| 28 | VIAQUEST PSYCHIATRIC & BEHAVIORAL SOLUTIONS LLC | DUBLIN | 1,939,566 | $131.41M |
| 29 | SUNRISE TREATMENT CENTER, LLC | CINCINNATI | 1,739,885 | $130.12M |
| 30 | AMERICARE HEALTHCARE SERVICES, INC | BLACKLICK | 2,743,973 | $128.90M |
| 31 | THE METROHEALTH SYSTEM | CLEVELAND | 4,842,004 | $125.46M |
| 32 | HOLZER HOSPITAL FOUNDATION | GALLIPOLIS | 1,946,441 | $121.51M |
| 33 | CASLEO LLC | COLUMBUS | 2,933,603 | $117.54M |
| 34 | LIGHTHOUSE BEHAVIORAL HEALTH SOLUTIONS, LLC | COLUMBUS | 1,473,853 | $116.24M |
| 35 | DAYTON OSTEOPATHIC HOSPITAL | DAYTON | 2,461,104 | $111.27M |
| 36 | COLEMAN PROFESSIONAL SERVICES, INC. | KENT | 1,423,780 | $109.94M |
| 37 | UNIVERSITY HOSPITALS MEDICAL GROUP INC | CLEVELAND | 4,151,402 | $107.65M |
| 38 | MARIETTA MEMORIAL HOSPITAL | MARIETTA | 2,714,515 | $102.25M |
| 39 | GENESIS HEALTHCARE SYSTEM | ZANESVILLE | 2,832,746 | $101.92M |
| 40 | GREATER CINCINNATI BEHAVIORAL HEALTH SERVICES | WALNUT HILLS | 1,350,901 | $100.19M |
| 41 | AKRON GENERAL MEDICAL CENTER | AKRON | 2,090,000 | $98.99M |
| 42 | PHOENIX GROUP HOME LLC | PORTSMOUTH | 934,033 | $98.99M |
| 43 | ADENA HEALTH SYSTEM | CHILLICOTHE | 2,548,012 | $98.12M |
| 44 | PINNACLE TREATMENT CENTERS OH-I, LLC | COLUMBUS | 3,033,308 | $95.47M |
| 45 | CHILDREN'S HOSPITAL MEDICAL CENTER | CINCINNATI | 2,318,186 | $91.44M |
| 46 | MARYHAVEN INC. | COLUMBUS | 675,094 | $90.96M |
| 47 | ASSUREX HEALTH, INC. | MASON | 2,742,565 | $90.31M |
| 48 | OHIOHEALTH CORPORATION | COLUMBUS | 3,278,360 | $88.93M |
| 49 | CLEVELAND CLINIC MERCY HOSPITAL | CANTON | 2,114,344 | $86.97M |
| 50 | CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON | AKRON | 2,803,220 | $86.94M |
| 51 | HAVENS OF OHIO LLC | DAYTON | 385,734 | $85.92M |
| 52 | THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO | CINCINNATI | 1,959,903 | $85.63M |
| 53 | NPL HOMECARE, LLC | STRONGSVILLE | 221,074 | $79.10M |
| 54 | UNIVERSITY PRIMARY CARE PRACTICES INC | SHAKER HEIGHTS | 4,049,474 | $78.61M |
| 55 | HARBOR | TOLEDO | 989,887 | $77.42M |
| 56 | OHIOHEALTH CORPORATION | COLUMBUS | 1,404,736 | $76.95M |
| 57 | UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER | CLEVELAND | 870,883 | $76.72M |
| 58 | SERENITY HOME HEALTH AGENCY, LLC | REYNOLDSBURG | 1,597,285 | $74.16M |
| 59 | ACCESS OHIO, LLC | COLUMBUS | 1,092,945 | $72.55M |
| 60 | OHIOHEALTH CORPORATION | COLUMBUS | 1,454,432 | $72.29M |
| 61 | THE HOSPICE OF DAYTON, INC. | DAYTON | 511,055 | $70.93M |
| 62 | HOSPICE OF THE WESTERN RESERVE, INC. | CLEVELAND | 422,371 | $70.24M |
| 63 | MERIDIAN HEALTHCARE | YOUNGSTOWN | 1,598,168 | $67.47M |
| 64 | MAHAJAN THERAPEUTICS, LLC | DAYTON | 860,197 | $67.09M |
| 65 | MOUNT CARMEL HEALTH SYSTEM | COLUMBUS | 1,711,759 | $66.65M |
| 66 | NEW DAY RECOVERY LLC | NILES | 243,310 | $65.89M |
| 67 | HORIZON HEALTH SERVICES, LLC | CLEVELAND HEIGHTS | 1,430,077 | $65.12M |
| 68 | UNIVERSITY OF CINCINNATI PHYSICIANS COMPANY, LLC | CINCINNATI | 2,267,994 | $65.09M |
| 69 | MERCY HEALTH YOUNGSTOWN LLC | YOUNGSTOWN | 1,956,028 | $63.87M |
| 70 | EASTWAY CORPORATION | DAYTON | 909,999 | $63.66M |
| 71 | MAXIM HEALTHCARE SERVICES, INC. | BLUE ASH | 216,484 | $63.65M |
| 72 | FAIRVIEW HOSPITAL | CLEVELAND | 1,486,783 | $62.42M |
| 73 | CLINIC SECURITY AND LOGISTICS, INC. | DAYTON | 658,883 | $62.22M |
| 74 | VILLAGE NETWORK | WOOSTER | 654,937 | $62.21M |
| 75 | QUEEN CITY HOSPICE, LLC | MASON | 446,943 | $61.30M |
| 76 | ZEPF CENTER | TOLEDO | 753,466 | $60.83M |
| 77 | INTRA-NATIONAL HOME CARE, LLC | COLUMBUS | 307,199 | $60.29M |
| 78 | ADVANCED MEDICAL EQUIPMENT, LLC | MIAMISBURG | 732,790 | $58.36M |
| 79 | AULTMAN HOSPITAL | CANTON | 1,660,668 | $58.13M |
| 80 | THE CHILDREN'S HOME OF CINCINNATI OHIO, INC | CINCINNATI | 686,070 | $57.63M |
| 81 | BETHESDA HOSPITAL INC | CINCINNATI | 1,638,177 | $57.06M |
| 82 | CHILDREN'S HOSPITAL MEDICAL CENTER | CINCINNATI | 45,864 | $56.97M |
| 83 | ZEPF CENTER | TOLEDO | 684,299 | $56.90M |
| 84 | ASHTABULA COUNTY MEDICAL CENTER | ASHTABULA | 1,133,820 | $56.87M |
| 85 | LAKE HOSPITAL SYSTEM INC | WILLOUGHBY | 1,256,024 | $56.46M |
| 86 | HOLZER CLINIC, LLC | GALLIPOLIS | 3,412,910 | $55.86M |
| 87 | LICKING MEMORIAL HOSPITAL | NEWARK | 1,251,783 | $55.82M |
| 88 | M & Y CARE, LLC | LYNDHURST | 1,119,732 | $55.71M |
| 89 | NATIONAL YOUTH ADVOCATE PROGRAM, INC | COLUMBUS | 918,761 | $55.47M |
| 90 | SOUTH COMMUNITY INC | MORAINE | 847,939 | $54.53M |
| 91 | PROFESSIONAL DENTAL ALLIANCE, LLC | MIDDLEBURG HEIGHTS | 1,288,254 | $54.17M |
| 92 | HOSPICE OF CINCINNATI INCORPORATED | CINCINNATI | 367,077 | $54.08M |
| 93 | SEELEY MEDICAL OXYGEN CO OF ANDOVER | ANDOVER | 1,126,202 | $53.69M |
| 94 | UNISON BEHAVIORAL HEALTH GROUP, INC. | TOLEDO | 458,972 | $52.98M |
| 95 | UNITED PARTNERS GROUP, LLC | CINCINNATI | 1,161,035 | $51.47M |
| 96 | CHILDREN'S HOSPITAL MEDICAL CENTER | CINCINNATI | 546,195 | $51.16M |
| 97 | MEDICAL UNIVERSITY OF OHIO AT TOLEDO | TOLEDO | 1,399,339 | $50.84M |
| 98 | COLUMBUS RADIOLOGY CORP | COLUMBUS | 2,716,502 | $49.90M |
| 99 | MURTIS TAYLOR HUMAN SERVICES SYSTEM | CLEVELAND | 597,085 | $49.81M |
| 100 | RFS CHARITABLE FOUNDATION | TOLEDO | 608,437 | $49.79M |