Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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HEALTH PARTNERS OF WESTERN OHIO

NPI: 1144790122 · TOLEDO, OH 43615 · Federally Qualified Health Center (FQHC) · NPI assigned 12/03/2018

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

Authorized official SUNDERHAUS, JANIS controls 20+ related entities in our dataset. Read more

$1.80M
Total Medicaid Paid
69,781
Total Claims
46,457
Beneficiaries
56
Codes Billed
2019-03
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSUNDERHAUS, JANIS (CEO)
NPI Enumeration Date12/03/2018

Related Entities

Other providers sharing the same authorized official: SUNDERHAUS, JANIS

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 4,642 $122K
2020 2,371 $94K
2021 4,874 $185K
2022 17,399 $398K
2023 24,308 $628K
2024 16,187 $374K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 13,673 10,401 $1.04M
90832 Psychotherapy, 30 minutes with patient 8,496 3,288 $184K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 4,165 3,096 $107K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,388 2,154 $93K
92015 Determination of refractive state 8,809 6,074 $60K
99384 965 565 $36K
V2020 Frames, purchases 2,562 2,428 $35K
92002 2,945 1,749 $30K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 1,443 1,315 $29K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 650 376 $22K
90460 Immunization administration through 18 years of age via any route, first or only component 1,402 838 $20K
92340 Fitting of spectacles, except for aphakia; monofocal 1,130 1,109 $20K
92587 1,822 1,064 $18K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 846 620 $18K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 851 462 $12K
V2784 Lens, polycarbonate or equal, any index, per lens 2,568 2,410 $12K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 440 240 $11K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 901 886 $10K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 405 215 $7K
99188 610 543 $6K
86703 636 555 $5K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 349 256 $3K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 80 77 $3K
99173 1,992 1,207 $2K
83036 Hemoglobin; glycosylated (A1C) 371 328 $2K
J1050 Injection, medroxyprogesterone acetate, 1 mg 39 12 $2K
0001A 86 50 $2K
0071A 71 46 $2K
92551 441 258 $1K
0072A 57 26 $1K
90651 292 163 $870.34
99385 22 12 $810.48
82962 605 335 $741.27
99383 30 12 $682.09
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 48 48 $558.62
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 81 36 $531.88
D1206 Topical application of fluoride varnish 213 96 $497.25
V2104 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens 53 50 $483.00
0002A 28 12 $455.76
81025 113 60 $335.92
90620 167 93 $181.20
90619 435 254 $160.53
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 13 13 $136.51
90734 156 83 $135.88
90715 164 112 $46.76
90686 78 46 $21.52
91300 302 155 $0.54
91307 157 87 $0.32
3008F 1,555 885 $0.00
3044F 417 235 $0.00
1036F 1,159 780 $0.00
3074F 158 75 $0.00
4004F 21 12 $0.00
90461 180 87 $0.00
96160 35 18 $0.00
3078F 106 50 $0.00