Clinic
Health Partners of Western Ohio
Health Partners of Western Ohio was paid $7.95M by Medicaid between Jan 2018 and Dec 2024, across 107 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 69% of everything it billed.
33Billing provider infoHEALTH PARTNERS OF WESTERN OHIO
KENTON, OH 43326
KENTON, OH 43326
33aNPI1346588597assigned 01/23/2013
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$7.95M
24GClaims308,771
24DCodes billed107
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Ohio
Rank by total paid#34 of 348
Median peer was paid$1.33M
This provider vs. median6.0×
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 | |
|---|---|---|---|
| 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 | |
| 2024incomplete | 39,407 | $707K |
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 | 69% | 61,317 | 39,900 | $5.51M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 48,331 | 24,453 | $940K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 7.7% | 30,283 | 15,289 | $611K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.2% | 6,108 | 3,366 | $99K |
| G0467 | Community health center visit, returning patientFederally 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 | 1.1% | 2,249 | 1,888 | $84K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | <1% | 2,482 | 1,628 | $79K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 2,665 | 1,462 | $75K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 6,285 | 3,250 | $72K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 2,445 | 1,188 | $59K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 1,380 | 749 | $40K |
| 80305 | <1% | 7,798 | 3,268 | $36K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 948 | 530 | $30K |
95 more codes
| 92015 | Determination of refractive state | <1% | 2,420 | $26K |
| 92587 | <1% | 2,573 | $26K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 753 | $25K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 805 | $23K |
| D0140 | Limited oral evaluation - problem focused | <1% | 3,183 | $21K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 912 | $20K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 3,963 | $18K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 2,370 | $16K |
| D1206 | Topical application of fluoride varnish | <1% | 3,058 | $13K |
| D0330 | Panoramic radiographic image | <1% | 1,203 | $12K |
| 99188 | <1% | 815 | $12K | |
| D1120 | Dental cleaning, child | <1% | 2,039 | $10K |
| 99406 | <1% | 2,745 | $9K | |
| D1110 | Prophylaxis - adult | <1% | 982 | $8K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 209 | $7K |
| 90686 | <1% | 1,990 | $6K | |
| 82962 | <1% | 5,353 | $6K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,297 | $5K |
| D0120 | Dental checkup, returning patient | <1% | 1,219 | $5K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 676 | $5K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 273 | $4K |
| D1351 | Sealant - per tooth | <1% | 515 | $4K |
| 86703 | <1% | 627 | $3K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 366 | $3K |
| 96127 | <1% | 1,259 | $3K | |
| 0012A | <1% | 127 | $3K | |
| 0001A | <1% | 87 | $2K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,885 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 242 | $2K |
| 0011A | <1% | 136 | $2K | |
| D0274 | Bitewings - four radiographic images | <1% | 526 | $2K |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | <1% | 184 | $1K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 278 | $1K |
| D0272 | Bitewings - two radiographic images | <1% | 527 | $1K |
| 82274 | <1% | 277 | $1K | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 86 | $1K |
| 0031A | <1% | 63 | $1K | |
| 96160 | <1% | 2,210 | $1K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 327 | $1K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 96 | $1K |
| 0002A | <1% | 56 | $928.78 | |
| D1354 | <1% | 342 | $900.00 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 38 | $644.35 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 550 | $632.47 |
| 0134A | <1% | 20 | $414.26 | |
| 81025 | <1% | 59 | $211.28 | |
| 90670 | <1% | 1,593 | $206.35 | |
| 87807 | <1% | 19 | $167.06 | |
| D0270 | <1% | 168 | $133.00 | |
| 99173 | <1% | 159 | $121.80 | |
| 90723 | <1% | 864 | $112.34 | |
| 92551 | <1% | 50 | $110.04 | |
| 81002 | <1% | 197 | $107.17 | |
| 90461 | <1% | 2,508 | $103.50 | |
| 86803 | <1% | 27 | $92.89 | |
| 90648 | <1% | 1,384 | $58.11 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 48 | $43.41 |
| 82044 | <1% | 22 | $42.72 | |
| 90715 | <1% | 21 | $36.76 | |
| 3044F | <1% | 1,263 | $20.05 | |
| 85018 | <1% | 15 | $19.58 | |
| 90651 | <1% | 108 | $10.00 | |
| 91301 | <1% | 292 | $1.60 | |
| 91300 | <1% | 274 | $1.26 | |
| 91303 | <1% | 63 | $0.37 | |
| 3079F | <1% | 8,891 | $0.27 | |
| 3078F | <1% | 12,215 | $0.23 | |
| 3075F | <1% | 5,079 | $0.21 | |
| 3074F | <1% | 14,869 | $0.20 | |
| 3077F | <1% | 2,220 | $0.13 | |
| 91307 | <1% | 18 | $0.13 | |
| 91313 | <1% | 20 | $0.11 | |
| 3080F | <1% | 1,308 | $0.05 | |
| 4004F | 0% | 12,965 | $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 | 0% | 27 | $0.00 |
| 90633 | 0% | 482 | $0.00 | |
| 90707 | 0% | 284 | $0.00 | |
| 99408 | 0% | 372 | $0.00 | |
| 90734 | 0% | 68 | $0.00 | |
| 90681 | 0% | 119 | $0.00 | |
| 98940 | 0% | 41 | $0.00 | |
| 3045F | 0% | 76 | $0.00 | |
| 1036F | 0% | 3,899 | $0.00 | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 56 | $0.00 |
| D9995 | 0% | 45 | $0.00 | |
| 3008F | 0% | 2,903 | $0.00 | |
| 1034F | 0% | 10,970 | $0.00 | |
| 90632 | 0% | 95 | $0.00 | |
| 90716 | 0% | 291 | $0.00 | |
| 90656 | 0% | 43 | $0.00 | |
| 90677 | 0% | 115 | $0.00 | |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 15 | $0.00 |
| 90619 | 0% | 36 | $0.00 | |
| 90647 | 0% | 120 | $0.00 | |
| 90620 | 0% | 42 | $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 | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.