Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

HEALTH PARTNERS OF WESTERN OHIO

NPI: 1598118937 · KENTON, OH 43326 · Federally Qualified Health Center (FQHC) · NPI assigned 07/21/2016

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

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

$887K
Total Medicaid Paid
24,481
Total Claims
12,281
Beneficiaries
25
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSUNDERHAUS, JANIS (CEO)
NPI Enumeration Date07/21/2016

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 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 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 3,621 $129K
2019 4,803 $152K
2020 2,345 $82K
2021 3,760 $123K
2022 3,241 $123K
2023 4,110 $185K
2024 2,601 $92K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 7,190 4,519 $615K
90832 Psychotherapy, 30 minutes with patient 7,308 2,687 $141K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,805 2,235 $85K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 524 312 $14K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 659 312 $8K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 180 102 $5K
90460 Immunization administration through 18 years of age via any route, first or only component 420 226 $5K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 597 343 $4K
92015 Determination of refractive state 334 183 $3K
92587 249 129 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 272 138 $1K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 26 15 $819.39
0072A 23 20 $777.72
0071A 35 18 $727.04
92551 206 120 $610.49
99188 24 15 $123.93
81002 76 44 $99.31
90686 97 56 $57.64
99173 25 14 $7.20
91307 63 43 $0.24
90461 228 123 $0.00
90734 30 16 $0.00
90715 26 14 $0.00
1036F 429 260 $0.00
3008F 655 337 $0.00