Clinic
Health Partners of Western Ohio
Health Partners of Western Ohio was paid $1.80M by Medicaid between Mar 2019 and Dec 2024, across 56 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 58% of everything it billed.
33Billing provider infoHEALTH PARTNERS OF WESTERN OHIO
TOLEDO, OH 43615
TOLEDO, OH 43615
33aNPI1144790122assigned 12/03/2018
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$1.80M
24GClaims69,781
24DCodes billed56
24AFirst – last monthMar 2019 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Ohio
Rank by total paid#154 of 348
Median peer was paid$1.33M
This provider vs. median1.4×
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 SUNDERHAUS, JANIS 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 | |
|---|---|---|---|
| 2019 | 4,642 | $122K | |
| 2020 | 2,371 | $94K | |
| 2021 | 4,874 | $185K | |
| 2022 | 17,399 | $398K | |
| 2023 | 24,308 | $628K | |
| 2024incomplete | 16,187 | $374K |
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 | 58% | 13,673 | 10,401 | $1.04M |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 10% | 8,496 | 3,288 | $184K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 5.9% | 4,165 | 3,096 | $107K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.2% | 4,388 | 2,154 | $93K |
| 92015 | Determination of refractive state | 3.3% | 8,809 | 6,074 | $60K |
| 99384 | 2.0% | 965 | 565 | $36K | |
| V2020 | Frames, purchases | 1.9% | 2,562 | 2,428 | $35K |
| 92002 | 1.6% | 2,945 | 1,749 | $30K | |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 1.6% | 1,443 | 1,315 | $29K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.2% | 650 | 376 | $22K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.1% | 1,402 | 838 | $20K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 1.1% | 1,130 | 1,109 | $20K |
44 more codes
| 92587 | 1.0% | 1,822 | $18K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 846 | $18K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 851 | $12K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 2,568 | $12K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 440 | $11K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 901 | $10K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 405 | $7K |
| 99188 | <1% | 610 | $6K | |
| 86703 | <1% | 636 | $5K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 349 | $3K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 80 | $3K |
| 99173 | <1% | 1,992 | $2K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 371 | $2K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 39 | $2K |
| 0001A | <1% | 86 | $2K | |
| 0071A | <1% | 71 | $2K | |
| 92551 | <1% | 441 | $1K | |
| 0072A | <1% | 57 | $1K | |
| 90651 | <1% | 292 | $870.34 | |
| 99385 | <1% | 22 | $810.48 | |
| 82962 | <1% | 605 | $741.27 | |
| 99383 | <1% | 30 | $682.09 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 48 | $558.62 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 81 | $531.88 |
| D1206 | Topical application of fluoride varnish | <1% | 213 | $497.25 |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | <1% | 53 | $483.00 |
| 0002A | <1% | 28 | $455.76 | |
| 81025 | <1% | 113 | $335.92 | |
| 90620 | <1% | 167 | $181.20 | |
| 90619 | <1% | 435 | $160.53 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 13 | $136.51 |
| 90734 | <1% | 156 | $135.88 | |
| 90715 | <1% | 164 | $46.76 | |
| 90686 | <1% | 78 | $21.52 | |
| 91300 | <1% | 302 | $0.54 | |
| 91307 | <1% | 157 | $0.32 | |
| 3008F | 0% | 1,555 | $0.00 | |
| 3044F | 0% | 417 | $0.00 | |
| 1036F | 0% | 1,159 | $0.00 | |
| 3074F | 0% | 158 | $0.00 | |
| 4004F | 0% | 21 | $0.00 | |
| 90461 | 0% | 180 | $0.00 | |
| 96160 | 0% | 35 | $0.00 | |
| 3078F | 0% | 106 | $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 officialSUNDERHAUS, JANIS (CEO)
| Provider | Location | Paid |
|---|---|---|
| Health Partners of Western Ohio | Lima, OH | $21.64M |
| Health Partners of Western Ohio | Lima, OH | $14.56M |
| Health Partners of Western Ohio | Lima, OH | $11.36M |
| Health Partners of Western Ohio | Kenton, OH | $7.95M |
| Health Partners of Western Ohio | Bryan, OH | $7.70M |
| Health Partners of Western Ohio | Tiffin, OH | $4.61M |
| Health Partners of Western Ohio | New Carlisle, OH | $4.08M |
| Health Partners of Western Ohio | Toledo, OH | $3.58M |
| Health Partners of Western Ohio | Toledo, OH | $3.36M |
| Health Partners of Western Ohio | Kenton, OH | $1.16M |
| Health Partners of Western Ohio | Toledo, OH | $906K |
| Health Partners of Western Ohio | Kenton, OH | $887K |
| Health Partners of Western Ohio | Toledo, OH | $738K |
| Health Partners of Western Ohio | Toledo, OH | $530K |
| Health Partners of Western Ohio | Toledo, OH | $478K |
| Health Partners of Western Ohio | Toledo, OH | $457K |
| Health Partners of Western Ohio | Defiance, OH | $409K |
| Health Partners of Western Ohio | Toledo, OH | $320K |
| Health Partners of Western Ohio | Lima, OH | $191K |
| Health Partners of Western Ohio | Toledo, OH | $36K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.