Medicaid Provider Spending

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

NPI: 1740694462 · LIMA, OH 45801 · Federally Qualified Health Center (FQHC) · NPI assigned 06/20/2014

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

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

$11.36M
Total Medicaid Paid
385,287
Total Claims
200,620
Beneficiaries
64
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSUNDERHAUS, JANIS (CEO)
NPI Enumeration Date06/20/2014

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 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 $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 5,903 $176K
2019 12,490 $411K
2020 18,986 $673K
2021 39,527 $1.27M
2022 99,821 $2.89M
2023 129,968 $3.47M
2024 78,592 $2.48M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 72,082 50,163 $7.69M
D1351 Sealant - per tooth 68,793 16,343 $885K
D1354 44,196 10,956 $569K
90832 Psychotherapy, 30 minutes with patient 26,753 10,101 $542K
D1120 Prophylaxis - child 38,592 26,721 $389K
D1206 Topical application of fluoride varnish 46,686 32,241 $352K
D0120 Periodic oral evaluation - established patient 35,372 23,219 $268K
D0150 Comprehensive oral evaluation - new or established patient 10,396 6,924 $217K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8,789 4,217 $167K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2,532 1,399 $76K
92587 2,638 1,498 $26K
D1110 Prophylaxis - adult 1,278 942 $24K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,975 955 $21K
90460 Immunization administration through 18 years of age via any route, first or only component 1,837 1,041 $19K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 582 470 $16K
92015 Determination of refractive state 1,433 871 $14K
99188 998 789 $14K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 359 276 $8K
90834 Psychotherapy, 45 minutes with patient 336 130 $8K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 808 593 $6K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 290 158 $5K
86703 683 508 $4K
81025 1,558 768 $4K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 139 80 $4K
0071A 113 81 $4K
J1050 Injection, medroxyprogesterone acetate, 1 mg 169 81 $3K
0001A 146 83 $3K
99382 47 45 $3K
83036 Hemoglobin; glycosylated (A1C) 542 442 $3K
92551 1,013 568 $3K
99384 80 41 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 637 306 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 328 253 $2K
0002A 97 44 $2K
99173 1,733 944 $2K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 156 90 $1K
0072A 47 30 $1K
81002 829 459 $804.45
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 18 18 $788.32
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 137 69 $709.06
96127 292 144 $633.11
90734 750 409 $397.64
D0140 Limited oral evaluation - problem focused 67 57 $361.28
90651 309 165 $306.78
90619 207 132 $150.53
80305 23 13 $102.65
82962 71 30 $83.64
90715 210 124 $73.56
90461 656 325 $70.50
85018 36 36 $62.30
90686 147 79 $39.16
90620 399 220 $10.00
91300 336 172 $1.15
91307 174 118 $0.82
3044F 605 335 $0.00
3074F 315 162 $0.00
1036F 2,983 1,804 $0.00
3008F 1,996 1,091 $0.00
90716 20 13 $0.00
D9995 64 55 $0.00
3078F 260 128 $0.00
5250F 34 13 $0.00
96160 23 13 $0.00
4004F 113 65 $0.00