Clinic
Health Partners of Western Ohio
Health Partners of Western Ohio was paid $3.36M by Medicaid between Apr 2019 and Dec 2024, across 102 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 61% of everything it billed.
33Billing provider infoHEALTH PARTNERS OF WESTERN OHIO
TOLEDO, OH 43620
TOLEDO, OH 43620
33aNPI1760952741assigned 12/03/2018
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$3.36M
24GClaims167,279
24DCodes billed102
24AFirst – last monthApr 2019 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Ohio
Rank by total paid#99 of 348
Median peer was paid$1.33M
This provider vs. median2.5×
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 | |
|---|---|---|---|
| 2019 | 323 | $17K | |
| 2020 | 277 | $9K | |
| 2021 | 5,284 | $136K | |
| 2022 | 42,788 | $970K | |
| 2023 | 65,956 | $1.36M | |
| 2024incomplete | 52,651 | $862K |
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 | 61% | 23,935 | 18,890 | $2.05M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 19,064 | 9,802 | $403K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 9.9% | 14,757 | 7,961 | $334K |
| D7140 | Extraction, erupted tooth or exposed root | 1.6% | 1,637 | 703 | $53K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.2% | 2,339 | 1,408 | $42K |
| D1354 | 1.1% | 2,423 | 312 | $38K | |
| 92587 | <1% | 2,872 | 1,742 | $31K | |
| 92015 | Determination of refractive state | <1% | 2,774 | 1,673 | $30K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 923 | 530 | $27K |
| D0330 | Panoramic radiographic image | <1% | 1,736 | 1,275 | $24K |
| 99188 | <1% | 1,476 | 1,238 | $23K | |
| 99385 | <1% | 660 | 354 | $21K |
90 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,600 | $20K |
| 99406 | <1% | 4,058 | $16K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 2,913 | $15K |
| 80305 | <1% | 2,653 | $14K | |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 1,808 | $14K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 359 | $13K |
| D1110 | Prophylaxis - adult | <1% | 823 | $12K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 363 | $12K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 314 | $11K |
| 86803 | <1% | 1,279 | $11K | |
| 99386 | <1% | 220 | $10K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 1,087 | $9K |
| 86703 | <1% | 1,469 | $8K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 139 | $7K |
| 99383 | <1% | 220 | $7K | |
| D0120 | Dental checkup, returning patient | <1% | 683 | $6K |
| 99407 | <1% | 494 | $6K | |
| G0467 | Community health center visit, returning patient | <1% | 287 | $6K |
| 99384 | <1% | 146 | $5K | |
| D1120 | Dental cleaning, child | <1% | 609 | $5K |
| D1206 | Topical application of fluoride varnish | <1% | 848 | $5K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 67 | $5K |
| 82962 | <1% | 4,078 | $5K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 778 | $5K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 139 | $4K |
| D1351 | Sealant - per tooth | <1% | 260 | $4K |
| 96127 | <1% | 1,559 | $4K | |
| 96160 | <1% | 3,269 | $3K | |
| D0274 | Bitewings - four radiographic images | <1% | 453 | $3K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 83 | $3K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 105 | $3K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 140 | $3K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 919 | $2K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 276 | $2K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 61 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 142 | $2K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 42 | $1K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 254 | $1K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 52 | $1K |
| 0071A | <1% | 57 | $1K | |
| 0054A | <1% | 49 | $1K | |
| 99382 | <1% | 33 | $1K | |
| 0064A | <1% | 30 | $1K | |
| 0072A | <1% | 45 | $1K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 99 | $968.21 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 277 | $920.84 |
| 0001A | <1% | 30 | $879.80 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 699 | $768.81 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 106 | $692.88 |
| D0272 | Bitewings - two radiographic images | <1% | 358 | $587.20 |
| 0002A | <1% | 22 | $507.88 | |
| 81025 | <1% | 146 | $499.02 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 51 | $496.40 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 71 | $450.00 |
| 90686 | <1% | 544 | $430.07 | |
| 90651 | <1% | 213 | $286.78 | |
| 99173 | <1% | 170 | $199.56 | |
| 83655 | <1% | 37 | $181.60 | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 30 | $180.36 |
| 82274 | <1% | 23 | $167.16 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 21 | $155.40 |
| 3044F | <1% | 2,315 | $120.01 | |
| 4004F | <1% | 6,430 | $115.40 | |
| 90715 | <1% | 19 | $73.52 | |
| 92551 | <1% | 19 | $72.96 | |
| D0270 | <1% | 77 | $65.00 | |
| 85018 | <1% | 99 | $53.40 | |
| 90656 | <1% | 13 | $22.35 | |
| 91300 | <1% | 138 | $0.32 | |
| 91307 | <1% | 127 | $0.26 | |
| 91305 | <1% | 70 | $0.20 | |
| 91306 | <1% | 30 | $0.12 | |
| 3074F | <1% | 11,470 | $0.09 | |
| 3080F | <1% | 1,044 | $0.05 | |
| 3079F | <1% | 6,295 | $0.05 | |
| 3078F | <1% | 8,817 | $0.05 | |
| 3075F | <1% | 3,245 | $0.04 | |
| 3077F | <1% | 1,502 | $0.03 | |
| 1036F | 0% | 4,237 | $0.00 | |
| 1034F | 0% | 5,589 | $0.00 | |
| 90619 | 0% | 61 | $0.00 | |
| 1035F | 0% | 165 | $0.00 | |
| 3008F | 0% | 2,486 | $0.00 | |
| 90716 | 0% | 35 | $0.00 | |
| 90734 | 0% | 67 | $0.00 | |
| 90461 | 0% | 34 | $0.00 | |
| 90633 | 0% | 46 | $0.00 | |
| 0792T | 0% | 18 | $0.00 | |
| 5250F | 0% | 49 | $0.00 | |
| 2028F | 0% | 26 | $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 | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.