Medicaid Provider Spending

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

NPI: 1760640817 · NEW CARLISLE, OH 45344 · Federally Qualified Health Center (FQHC) · NPI assigned 05/27/2008

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

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

$4.08M
Total Medicaid Paid
173,405
Total Claims
94,951
Beneficiaries
71
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSUNDERHAUS, JANIS (CEO)
NPI Enumeration Date05/27/2008

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 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 37,766 $731K
2019 41,942 $718K
2020 18,917 $635K
2021 20,402 $580K
2022 20,012 $556K
2023 22,529 $598K
2024 11,837 $259K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 36,806 23,228 $2.85M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 29,849 15,065 $529K
90832 Psychotherapy, 30 minutes with patient 20,416 10,650 $399K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3,236 1,700 $43K
D1351 Sealant - per tooth 7,551 1,660 $40K
83036 Hemoglobin; glycosylated (A1C) 7,359 5,040 $30K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 548 419 $22K
D1120 Prophylaxis - child 4,274 2,626 $20K
D1206 Topical application of fluoride varnish 4,858 2,980 $18K
D1110 Prophylaxis - adult 1,371 791 $18K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 416 235 $14K
D0150 Comprehensive oral evaluation - new or established patient 1,654 1,014 $12K
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 543 430 $11K
D0120 Periodic oral evaluation - established patient 1,897 1,192 $9K
80305 1,352 615 $7K
99406 1,822 938 $6K
82962 5,555 2,948 $6K
90686 750 410 $5K
90460 Immunization administration through 18 years of age via any route, first or only component 358 203 $4K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 480 262 $4K
0012A 168 91 $3K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 113 69 $3K
0031A 138 78 $3K
92015 Determination of refractive state 262 167 $2K
86703 415 280 $2K
92587 249 155 $2K
0011A 171 93 $2K
D0140 Limited oral evaluation - problem focused 179 98 $2K
D0330 Panoramic radiographic image 42 30 $2K
82274 492 304 $2K
D0210 Intraoral - complete series of radiographic images 74 44 $1K
96127 515 370 $1K
99382 34 19 $1K
0064A 27 19 $683.64
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 86 54 $654.81
D0220 Intraoral - periapical first radiographic image 298 185 $631.26
96160 2,750 1,572 $614.17
D0274 Bitewings - four radiographic images 110 63 $480.00
98940 46 40 $463.68
92551 150 88 $386.34
D0272 Bitewings - two radiographic images 81 49 $200.00
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 12 12 $151.50
99441 25 12 $133.61
99173 90 54 $84.52
92228 13 12 $52.90
81002 106 60 $48.76
36415 Collection of venous blood by venipuncture 30 17 $33.86
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 19 13 $31.34
90651 24 13 $15.75
91301 372 192 $1.83
91303 138 78 $0.74
3074F 9,371 4,761 $0.42
3078F 8,412 4,332 $0.40
3079F 4,900 2,513 $0.39
3077F 976 443 $0.26
3075F 2,528 1,343 $0.20
91306 27 19 $0.16
3044F 2,395 1,163 $0.14
3080F 267 150 $0.09
1036F 1,380 964 $0.00
1034F 1,301 690 $0.00
D1330 31 27 $0.00
3008F 135 76 $0.00
90696 24 18 $0.00
90716 29 21 $0.00
82044 15 14 $0.00
4004F 2,839 1,435 $0.00
99408 309 169 $0.00
3045F 25 12 $0.00
90707 29 21 $0.00
90461 88 43 $0.00