Clinic
Health Partners of Western Ohio
Health Partners of Western Ohio was paid $4.08M by Medicaid between Jan 2018 and Dec 2024, across 71 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 70% of everything it billed.
33Billing provider infoHEALTH PARTNERS OF WESTERN OHIO
NEW CARLISLE, OH 45344
NEW CARLISLE, OH 45344
33aNPI1760640817assigned 05/27/2008
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$4.08M
24GClaims173,405
24DCodes billed71
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Ohio
Rank by total paid#82 of 348
Median peer was paid$1.33M
This provider vs. median3.1×
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 | 37,766 | $731K | |
| 2019 | 41,942 | $718K | |
| 2020 | 18,917 | $635K | |
| 2021 | 20,402 | $580K | |
| 2022 | 20,012 | $556K | |
| 2023 | 22,529 | $598K | |
| 2024incomplete | 11,837 | $259K |
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 | 70% | 36,806 | 23,228 | $2.85M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 29,849 | 15,065 | $529K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 9.8% | 20,416 | 10,650 | $399K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.0% | 3,236 | 1,700 | $43K |
| D1351 | Sealant - per tooth | <1% | 7,551 | 1,660 | $40K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 7,359 | 5,040 | $30K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | <1% | 548 | 419 | $22K |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 4,274 | 2,626 | $20K |
| D1206 | Topical application of fluoride varnish | <1% | 4,858 | 2,980 | $18K |
| D1110 | Prophylaxis - adult | <1% | 1,371 | 791 | $18K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 416 | 235 | $14K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 1,654 | 1,014 | $12K |
59 more codes
| G0467 | Community health center visit, returning patient | <1% | 543 | $11K |
| D0120 | Dental checkup, returning patient | <1% | 1,897 | $9K |
| 80305 | <1% | 1,352 | $7K | |
| 99406 | <1% | 1,822 | $6K | |
| 82962 | <1% | 5,555 | $6K | |
| 90686 | <1% | 750 | $5K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 358 | $4K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 480 | $4K |
| 0012A | <1% | 168 | $3K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 113 | $3K |
| 0031A | <1% | 138 | $3K | |
| 92015 | Determination of refractive state | <1% | 262 | $2K |
| 86703 | <1% | 415 | $2K | |
| 92587 | <1% | 249 | $2K | |
| 0011A | <1% | 171 | $2K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 179 | $2K |
| D0330 | Panoramic radiographic image | <1% | 42 | $2K |
| 82274 | <1% | 492 | $2K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 74 | $1K |
| 96127 | <1% | 515 | $1K | |
| 99382 | <1% | 34 | $1K | |
| 0064A | <1% | 27 | $683.64 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 86 | $654.81 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 298 | $631.26 |
| 96160 | <1% | 2,750 | $614.17 | |
| D0274 | Bitewings - four radiographic images | <1% | 110 | $480.00 |
| 98940 | <1% | 46 | $463.68 | |
| 92551 | <1% | 150 | $386.34 | |
| D0272 | Bitewings - two radiographic images | <1% | 81 | $200.00 |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 12 | $151.50 |
| 99441 | <1% | 25 | $133.61 | |
| 99173 | <1% | 90 | $84.52 | |
| 92228 | <1% | 13 | $52.90 | |
| 81002 | <1% | 106 | $48.76 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 30 | $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 | <1% | 19 | $31.34 |
| 90651 | <1% | 24 | $15.75 | |
| 91301 | <1% | 372 | $1.83 | |
| 91303 | <1% | 138 | $0.74 | |
| 3074F | <1% | 9,371 | $0.42 | |
| 3078F | <1% | 8,412 | $0.40 | |
| 3079F | <1% | 4,900 | $0.39 | |
| 3077F | <1% | 976 | $0.26 | |
| 3075F | <1% | 2,528 | $0.20 | |
| 91306 | <1% | 27 | $0.16 | |
| 3044F | <1% | 2,395 | $0.14 | |
| 3080F | <1% | 267 | $0.09 | |
| 1036F | 0% | 1,380 | $0.00 | |
| 1034F | 0% | 1,301 | $0.00 | |
| D1330 | 0% | 31 | $0.00 | |
| 3008F | 0% | 135 | $0.00 | |
| 90696 | 0% | 24 | $0.00 | |
| 90716 | 0% | 29 | $0.00 | |
| 82044 | 0% | 15 | $0.00 | |
| 4004F | 0% | 2,839 | $0.00 | |
| 99408 | 0% | 309 | $0.00 | |
| 3045F | 0% | 25 | $0.00 | |
| 90707 | 0% | 29 | $0.00 | |
| 90461 | 0% | 88 | $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)
| 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 | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.