Clinic
Health Partners of Western Ohio
Health Partners of Western Ohio was paid $3.58M by Medicaid between Aug 2019 and Dec 2024, across 75 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 63% of everything it billed.
33Billing provider infoHEALTH PARTNERS OF WESTERN OHIO
TOLEDO, OH 43605
TOLEDO, OH 43605
33aNPI1770053647assigned 12/04/2018
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$3.58M
24GClaims187,236
24DCodes billed75
24AFirst – last monthAug 2019 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Ohio
Rank by total paid#93 of 348
Median peer was paid$1.33M
This provider vs. median2.7×
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 | 11,202 | $220K | |
| 2020 | 29,762 | $644K | |
| 2021 | 39,473 | $809K | |
| 2022 | 39,298 | $751K | |
| 2023 | 41,002 | $726K | |
| 2024incomplete | 26,499 | $428K |
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 | 63% | 26,497 | 15,382 | $2.27M |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 13% | 20,631 | 9,286 | $460K |
| 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% | 21,628 | 9,310 | $430K |
| 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 | 5.3% | 5,411 | 2,773 | $188K |
| 80305 | 1.4% | 10,221 | 3,797 | $50K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,620 | 846 | $25K |
| 99384 | <1% | 559 | 312 | $20K | |
| 99406 | <1% | 4,151 | 1,937 | $16K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 2,845 | 2,038 | $13K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 821 | 466 | $12K |
| 92587 | <1% | 1,005 | 584 | $10K | |
| 0012A | <1% | 288 | 252 | $9K |
63 more codes
| 0011A | <1% | 354 | $7K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 216 | $6K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 411 | $6K |
| 82962 | <1% | 5,277 | $6K | |
| 86703 | <1% | 872 | $5K | |
| 0031A | <1% | 156 | $4K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 864 | $4K |
| 92015 | Determination of refractive state | <1% | 281 | $3K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 94 | $3K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 146 | $3K |
| 86803 | <1% | 300 | $2K | |
| 96127 | <1% | 787 | $2K | |
| 96160 | <1% | 2,924 | $2K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 238 | $2K |
| 0071A | <1% | 53 | $2K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 40 | $1K |
| 90686 | <1% | 315 | $1K | |
| 99385 | <1% | 57 | $1K | |
| 99383 | <1% | 32 | $1K | |
| 81025 | <1% | 304 | $1K | |
| G0467 | Community health center visit, returning patient | <1% | 78 | $1K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 32 | $1K |
| 99173 | <1% | 887 | $1K | |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | <1% | 125 | $1K |
| 99382 | <1% | 26 | $963.90 | |
| 0001A | <1% | 37 | $945.20 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 114 | $773.14 |
| 0072A | <1% | 26 | $738.46 | |
| 99201 | <1% | 30 | $611.69 | |
| 90734 | <1% | 347 | $605.15 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 30 | $604.49 |
| 0051A | <1% | 30 | $489.58 | |
| 0002A | <1% | 21 | $476.82 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 449 | $456.75 |
| 92551 | <1% | 132 | $426.50 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 20 | $235.60 |
| 90651 | <1% | 101 | $218.41 | |
| 3044F | <1% | 2,626 | $205.04 | |
| 81002 | <1% | 233 | $166.90 | |
| 99407 | <1% | 40 | $154.85 | |
| D1206 | Topical application of fluoride varnish | <1% | 44 | $151.50 |
| 82274 | <1% | 21 | $72.00 | |
| 90715 | <1% | 75 | $34.28 | |
| 90633 | <1% | 27 | $21.33 | |
| 90461 | <1% | 343 | $20.00 | |
| 99408 | <1% | 577 | $16.80 | |
| 91301 | <1% | 641 | $5.00 | |
| 91303 | <1% | 151 | $1.21 | |
| 91300 | <1% | 262 | $0.72 | |
| 91307 | <1% | 79 | $0.25 | |
| 3079F | <1% | 4,564 | $0.09 | |
| 3075F | <1% | 2,524 | $0.06 | |
| 3077F | <1% | 925 | $0.06 | |
| 3078F | <1% | 16,094 | $0.05 | |
| 3074F | <1% | 17,325 | $0.03 | |
| 1036F | 0% | 2,340 | $0.00 | |
| 3008F | 0% | 155 | $0.00 | |
| 1034F | 0% | 11,638 | $0.00 | |
| 3080F | 0% | 337 | $0.00 | |
| 90620 | 0% | 22 | $0.00 | |
| 91305 | 0% | 27 | $0.00 | |
| 4004F | 0% | 14,231 | $0.00 | |
| 3046F | 0% | 52 | $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 | $3.36M |
| 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.