Clinic
Health Partners of Western Ohio
Health Partners of Western Ohio was paid $738K by Medicaid between Mar 2022 and Dec 2024, across 47 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 56% of everything it billed.
33Billing provider infoHEALTH PARTNERS OF WESTERN OHIO
TOLEDO, OH 43605
TOLEDO, OH 43605
33aNPI1306509757assigned 10/21/2021
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$738K
24GClaims28,508
24DCodes billed47
24AFirst – last monthMar 2022 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Ohio
Rank by total paid#217 of 348
Median peer was paid$1.33M
This provider vs. median0.6×
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 | |
|---|---|---|---|
| 2022 | 5,328 | $126K | |
| 2023 | 12,242 | $354K | |
| 2024incomplete | 10,938 | $258K |
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 | 56% | 5,346 | 3,822 | $411K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 13% | 4,264 | 1,703 | $99K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.5% | 3,503 | 1,497 | $62K |
| D1354 | 2.7% | 781 | 147 | $20K | |
| D0330 | Panoramic radiographic image | 2.7% | 573 | 381 | $20K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 2.6% | 367 | 142 | $19K |
| 92587 | 2.0% | 1,543 | 837 | $15K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.0% | 447 | 257 | $15K |
| 92015 | Determination of refractive state | 1.6% | 1,270 | 702 | $12K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.2% | 492 | 331 | $9K |
| 99188 | 1.1% | 514 | 421 | $8K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.1% | 563 | 301 | $8K |
35 more codes
| D0140 | Limited oral evaluation - problem focused | <1% | 293 | $6K |
| 99384 | <1% | 144 | $5K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 244 | $4K |
| 81025 | <1% | 1,050 | $3K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 85 | $3K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 411 | $2K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 381 | $2K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 23 | $2K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 31 | $2K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 411 | $2K |
| 86703 | <1% | 324 | $2K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 145 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 97 | $1K |
| 82962 | <1% | 709 | $819.54 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 24 | $675.48 |
| D1206 | Topical application of fluoride varnish | <1% | 123 | $600.00 |
| D0120 | Dental checkup, returning patient | <1% | 16 | $536.96 |
| 96127 | <1% | 170 | $452.31 | |
| D0274 | Bitewings - four radiographic images | <1% | 97 | $354.40 |
| D0272 | Bitewings - two radiographic images | <1% | 111 | $286.15 |
| D1120 | Dental cleaning, child | <1% | 37 | $280.00 |
| 99173 | <1% | 175 | $191.52 | |
| 90619 | <1% | 275 | $160.53 | |
| D0270 | <1% | 31 | $104.50 | |
| 90686 | <1% | 51 | $66.22 | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 35 | $49.72 |
| 90715 | <1% | 116 | $10.00 | |
| 3044F | 0% | 593 | $0.00 | |
| 1036F | 0% | 1,770 | $0.00 | |
| 90651 | 0% | 167 | $0.00 | |
| 3008F | 0% | 365 | $0.00 | |
| 3074F | 0% | 85 | $0.00 | |
| 4004F | 0% | 211 | $0.00 | |
| 3078F | 0% | 13 | $0.00 | |
| 90734 | 0% | 32 | $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 | Toledo, OH | $1.80M |
| 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 | $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.