Medicaid Provider Spending

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

NPI: 1346588597 · KENTON, OH 43326 · Federally Qualified Health Center (FQHC) · NPI assigned 01/23/2013

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

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

$7.95M
Total Medicaid Paid
308,771
Total Claims
173,357
Beneficiaries
107
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSUNDERHAUS, JANIS (CEO)
NPI Enumeration Date01/23/2013

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 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 $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
2018 43,205 $1.12M
2019 43,450 $1.13M
2020 33,830 $1.27M
2021 38,569 $1.12M
2022 51,903 $1.23M
2023 58,407 $1.37M
2024 39,407 $707K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 61,317 39,900 $5.51M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 48,331 24,453 $940K
90832 Psychotherapy, 30 minutes with patient 30,283 15,289 $611K
90460 Immunization administration through 18 years of age via any route, first or only component 6,108 3,366 $99K
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 2,249 1,888 $84K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,482 1,628 $79K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2,665 1,462 $75K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 6,285 3,250 $72K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,445 1,188 $59K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,380 749 $40K
80305 7,798 3,268 $36K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 948 530 $30K
92015 Determination of refractive state 2,420 1,338 $26K
92587 2,573 1,439 $26K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 753 405 $25K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 805 445 $23K
D0140 Limited oral evaluation - problem focused 3,183 2,023 $21K
D7140 Extraction, erupted tooth or exposed root 912 377 $20K
83036 Hemoglobin; glycosylated (A1C) 3,963 2,985 $18K
D0150 Comprehensive oral evaluation - new or established patient 2,370 1,590 $16K
D1206 Topical application of fluoride varnish 3,058 1,981 $13K
D0330 Panoramic radiographic image 1,203 820 $12K
99188 815 689 $12K
D1120 Prophylaxis - child 2,039 1,307 $10K
99406 2,745 1,445 $9K
D1110 Prophylaxis - adult 982 663 $8K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 209 173 $7K
90686 1,990 1,099 $6K
82962 5,353 2,935 $6K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,297 618 $5K
D0120 Periodic oral evaluation - established patient 1,219 803 $5K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 676 392 $5K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 273 134 $4K
D1351 Sealant - per tooth 515 100 $4K
86703 627 439 $3K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 366 281 $3K
96127 1,259 921 $3K
0012A 127 78 $3K
0001A 87 49 $2K
D0220 Intraoral - periapical first radiographic image 1,885 1,236 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 242 172 $2K
0011A 136 82 $2K
D0274 Bitewings - four radiographic images 526 368 $2K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 184 106 $1K
96110 Developmental screening, with scoring and documentation, per standardized instrument 278 166 $1K
D0272 Bitewings - two radiographic images 527 346 $1K
82274 277 149 $1K
J1050 Injection, medroxyprogesterone acetate, 1 mg 86 50 $1K
0031A 63 39 $1K
96160 2,210 1,312 $1K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 327 168 $1K
D0210 Intraoral - complete series of radiographic images 96 56 $1K
0002A 56 31 $928.78
D1354 342 49 $900.00
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 38 32 $644.35
D0230 Intraoral - periapical each additional radiographic image 550 168 $632.47
0134A 20 12 $414.26
81025 59 37 $211.28
90670 1,593 835 $206.35
87807 19 18 $167.06
D0270 168 126 $133.00
99173 159 97 $121.80
90723 864 447 $112.34
92551 50 28 $110.04
81002 197 119 $107.17
90461 2,508 1,357 $103.50
86803 27 14 $92.89
90648 1,384 749 $58.11
36415 Collection of venous blood by venipuncture 48 40 $43.41
82044 22 14 $42.72
90715 21 12 $36.76
3044F 1,263 731 $20.05
85018 15 13 $19.58
90651 108 60 $10.00
91301 292 171 $1.60
91300 274 153 $1.26
91303 63 39 $0.37
3079F 8,891 4,745 $0.27
3078F 12,215 6,366 $0.23
3075F 5,079 2,764 $0.21
3074F 14,869 7,740 $0.20
3077F 2,220 1,157 $0.13
91307 18 14 $0.13
91313 20 12 $0.11
3080F 1,308 716 $0.05
4004F 12,965 6,540 $0.00
G0470 Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a mental health visit 27 27 $0.00
90633 482 264 $0.00
90707 284 150 $0.00
99408 372 194 $0.00
90734 68 41 $0.00
90681 119 65 $0.00
98940 41 35 $0.00
3045F 76 59 $0.00
1036F 3,899 2,650 $0.00
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 56 31 $0.00
D9995 45 37 $0.00
3008F 2,903 1,715 $0.00
1034F 10,970 5,498 $0.00
90632 95 55 $0.00
90716 291 152 $0.00
90656 43 43 $0.00
90677 115 65 $0.00
D1208 Topical application of fluoride, excluding varnish 15 15 $0.00
90619 36 30 $0.00
90647 120 57 $0.00
90620 42 18 $0.00