Medicaid Provider Spending

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

HEALTH PARTNERS OF WESTERN OHIO

NPI: 1760952741 · TOLEDO, OH 43620 · Federally Qualified Health Center (FQHC) · NPI assigned 12/03/2018

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

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

$3.36M
Total Medicaid Paid
167,279
Total Claims
99,806
Beneficiaries
102
Codes Billed
2019-04
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSUNDERHAUS, JANIS (CEO)
NPI Enumeration Date12/03/2018

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 $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
2019 323 $17K
2020 277 $9K
2021 5,284 $136K
2022 42,788 $970K
2023 65,956 $1.36M
2024 52,651 $862K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 23,935 18,890 $2.05M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 19,064 9,802 $403K
90832 Psychotherapy, 30 minutes with patient 14,757 7,961 $334K
D7140 Extraction, erupted tooth or exposed root 1,637 703 $53K
90460 Immunization administration through 18 years of age via any route, first or only component 2,339 1,408 $42K
D1354 2,423 312 $38K
92587 2,872 1,742 $31K
92015 Determination of refractive state 2,774 1,673 $30K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 923 530 $27K
D0330 Panoramic radiographic image 1,736 1,275 $24K
99188 1,476 1,238 $23K
99385 660 354 $21K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,600 857 $20K
99406 4,058 2,285 $16K
83036 Hemoglobin; glycosylated (A1C) 2,913 2,539 $15K
80305 2,653 984 $14K
D0150 Comprehensive oral evaluation - new or established patient 1,808 1,320 $14K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 359 217 $13K
D1110 Prophylaxis - adult 823 527 $12K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 363 206 $12K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 314 192 $11K
86803 1,279 1,113 $11K
99386 220 131 $10K
D0140 Limited oral evaluation - problem focused 1,087 733 $9K
86703 1,469 1,280 $8K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 139 94 $7K
99383 220 119 $7K
D0120 Periodic oral evaluation - established patient 683 443 $6K
99407 494 279 $6K
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 287 208 $6K
99384 146 89 $5K
D1120 Prophylaxis - child 609 431 $5K
D1206 Topical application of fluoride varnish 848 593 $5K
J1050 Injection, medroxyprogesterone acetate, 1 mg 67 42 $5K
82962 4,078 2,285 $5K
D0210 Intraoral - complete series of radiographic images 778 579 $5K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 139 72 $4K
D1351 Sealant - per tooth 260 70 $4K
96127 1,559 1,048 $4K
96160 3,269 1,876 $3K
D0274 Bitewings - four radiographic images 453 334 $3K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 83 56 $3K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 105 50 $3K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 140 75 $3K
D0220 Intraoral - periapical first radiographic image 919 646 $2K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 276 146 $2K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 61 57 $2K
D2391 Resin-based composite - one surface, posterior, primary or permanent 142 95 $2K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 42 25 $1K
96110 Developmental screening, with scoring and documentation, per standardized instrument 254 161 $1K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 52 26 $1K
0071A 57 32 $1K
0054A 49 27 $1K
99382 33 24 $1K
0064A 30 25 $1K
0072A 45 28 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 99 81 $968.21
D0230 Intraoral - periapical each additional radiographic image 277 89 $920.84
0001A 30 17 $879.80
36415 Collection of venous blood by venipuncture 699 378 $768.81
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 106 72 $692.88
D0272 Bitewings - two radiographic images 358 284 $587.20
0002A 22 12 $507.88
81025 146 89 $499.02
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 51 41 $496.40
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 71 52 $450.00
90686 544 308 $430.07
90651 213 147 $286.78
99173 170 102 $199.56
83655 37 27 $181.60
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 30 26 $180.36
82274 23 15 $167.16
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 21 12 $155.40
3044F 2,315 1,436 $120.01
4004F 6,430 3,392 $115.40
90715 19 12 $73.52
92551 19 13 $72.96
D0270 77 62 $65.00
85018 99 52 $53.40
90656 13 12 $22.35
91300 138 70 $0.32
91307 127 73 $0.26
91305 70 38 $0.20
91306 30 25 $0.12
3074F 11,470 5,860 $0.09
3080F 1,044 551 $0.05
3079F 6,295 3,392 $0.05
3078F 8,817 4,571 $0.05
3075F 3,245 1,761 $0.04
3077F 1,502 819 $0.03
1036F 4,237 2,721 $0.00
1034F 5,589 2,917 $0.00
90619 61 40 $0.00
1035F 165 117 $0.00
3008F 2,486 1,629 $0.00
90716 35 26 $0.00
90734 67 42 $0.00
90461 34 26 $0.00
90633 46 25 $0.00
0792T 18 17 $0.00
5250F 49 32 $0.00
2028F 26 16 $0.00