Medicaid Provider Spending

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

NPI: 1518333749 · TIFFIN, OH 44883 · Federally Qualified Health Center (FQHC) · NPI assigned 08/11/2015

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

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

$4.61M
Total Medicaid Paid
193,781
Total Claims
104,329
Beneficiaries
70
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSUNDERHAUS, JANIS (CEO)
NPI Enumeration Date08/11/2015

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 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 12,506 $337K
2019 19,496 $514K
2020 28,461 $831K
2021 31,863 $823K
2022 31,601 $700K
2023 40,791 $892K
2024 29,063 $512K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 37,152 23,500 $3.16M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 32,195 15,458 $634K
90832 Psychotherapy, 30 minutes with patient 22,301 10,594 $468K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 5,654 2,639 $70K
80305 9,330 3,813 $48K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,109 670 $39K
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 1,062 847 $38K
83036 Hemoglobin; glycosylated (A1C) 5,144 3,745 $25K
D7140 Extraction, erupted tooth or exposed root 912 464 $25K
D0330 Panoramic radiographic image 1,061 833 $14K
D0140 Limited oral evaluation - problem focused 1,257 932 $10K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 217 123 $7K
90686 714 410 $6K
D0150 Comprehensive oral evaluation - new or established patient 1,061 848 $6K
82962 3,950 2,177 $5K
D1110 Prophylaxis - adult 667 540 $4K
86703 817 578 $4K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 932 468 $4K
0012A 202 110 $4K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 235 128 $4K
99406 795 434 $3K
99385 87 53 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 397 248 $3K
0011A 186 114 $3K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 73 51 $3K
D1354 170 51 $3K
D2391 Resin-based composite - one surface, posterior, primary or permanent 167 103 $2K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 250 145 $2K
D0220 Intraoral - periapical first radiographic image 1,042 799 $2K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 115 72 $2K
86803 182 145 $1K
D0210 Intraoral - complete series of radiographic images 181 120 $1K
96160 2,251 1,329 $1K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 159 80 $955.05
0031A 47 28 $920.32
96127 382 293 $898.60
90460 Immunization administration through 18 years of age via any route, first or only component 68 41 $766.50
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 23 16 $588.21
D0274 Bitewings - four radiographic images 373 333 $546.00
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 19 12 $529.95
0134A 18 12 $414.26
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 13 13 $373.44
D1120 Prophylaxis - child 86 72 $357.00
D1206 Topical application of fluoride varnish 113 94 $330.75
36415 Collection of venous blood by venipuncture 434 297 $321.26
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 17 13 $294.03
D0230 Intraoral - periapical each additional radiographic image 525 122 $273.00
92587 18 14 $266.76
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 19 12 $210.97
D0120 Periodic oral evaluation - established patient 130 119 $197.23
3044F 2,025 1,159 $100.12
81002 71 37 $86.05
D0272 Bitewings - two radiographic images 76 59 $63.00
D0270 38 26 $57.75
99173 17 13 $26.40
91301 387 207 $2.05
91303 47 28 $0.25
3079F 7,276 3,840 $0.14
3074F 15,271 7,489 $0.10
91313 18 12 $0.08
3075F 3,224 1,709 $0.05
3077F 753 390 $0.04
3078F 11,785 5,808 $0.04
3080F 711 362 $0.03
1034F 6,585 3,208 $0.00
3008F 251 184 $0.00
1036F 2,727 1,667 $0.00
4004F 8,000 3,910 $0.00
99408 162 97 $0.00
3046F 45 12 $0.00