Clinic
Health Partners of Western Ohio
Health Partners of Western Ohio was paid $478K by Medicaid between Aug 2018 and Oct 2021, across 48 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 68% of everything it billed.
33Billing provider infoHEALTH PARTNERS OF WESTERN OHIO
TOLEDO, OH 43605
TOLEDO, OH 43605
33aNPI1669961371assigned 05/08/2018
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$478K
24GClaims25,363
24DCodes billed48
24AFirst – last monthAug 2018 – Oct 2021
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Ohio
Rank by total paid#236 of 348
Median peer was paid$1.33M
This provider vs. median0.4×
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 | 5,946 | $102K | |
| 2019 | 13,644 | $219K | |
| 2020 | 1,834 | $53K | |
| 2021 | 3,939 | $104K |
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 | 68% | 5,048 | 2,739 | $326K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 8.5% | 2,570 | 933 | $41K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.3% | 2,716 | 974 | $40K |
| D0330 | Panoramic radiographic image | 2.5% | 770 | 515 | $12K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.3% | 979 | 606 | $11K |
| D7140 | Extraction, erupted tooth or exposed root | 2.2% | 339 | 137 | $11K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 1.5% | 433 | 227 | $7K |
| D0210 | Intraoral - complete series of radiographic images | 1.3% | 533 | 403 | $6K |
| D1110 | Prophylaxis - adult | <1% | 290 | 184 | $5K |
| D0140 | Limited oral evaluation - problem focused | <1% | 383 | 217 | $4K |
| D1206 | Topical application of fluoride varnish | <1% | 434 | 296 | $3K |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 225 | 166 | $2K |
36 more codes
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 617 | $2K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 174 | $2K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 63 | $1K |
| 80305 | <1% | 343 | $1K | |
| 99384 | <1% | 27 | $972.56 | |
| 82962 | <1% | 959 | $825.34 | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 28 | $716.94 |
| 90686 | <1% | 93 | $452.44 | |
| 82274 | <1% | 72 | $279.00 | |
| D0272 | Bitewings - two radiographic images | <1% | 65 | $270.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 27 | $255.29 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 113 | $225.00 |
| D0274 | Bitewings - four radiographic images | <1% | 55 | $200.00 |
| 99406 | <1% | 234 | $183.49 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 19 | $155.77 |
| 86803 | <1% | 15 | $96.28 | |
| D1351 | Sealant - per tooth | <1% | 2,036 | $88.00 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 25 | $72.85 |
| 81025 | <1% | 26 | $65.66 | |
| D0270 | <1% | 26 | $55.00 | |
| 81002 | <1% | 50 | $34.36 | |
| 90715 | <1% | 23 | $10.00 | |
| 99408 | <1% | 96 | $8.40 | |
| 90461 | <1% | 76 | $5.00 | |
| 96160 | <1% | 124 | $0.30 | |
| 3077F | 0% | 334 | $0.00 | |
| 90633 | 0% | 21 | $0.00 | |
| 3078F | 0% | 912 | $0.00 | |
| 3045F | 0% | 43 | $0.00 | |
| 3075F | 0% | 530 | $0.00 | |
| 3074F | 0% | 1,211 | $0.00 | |
| 3080F | 0% | 329 | $0.00 | |
| 3079F | 0% | 827 | $0.00 | |
| 3044F | 0% | 1,000 | $0.00 | |
| G0396 | Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes | 0% | 20 | $0.00 |
| 90651 | 0% | 30 | $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)
Parent organizationHEALTH PARTNERS OF WESTERN OHIO
| 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 | $738K |
| Health Partners of Western Ohio | Toledo, OH | $530K |
| 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.