Medicaid Provider Spending

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

NPI: 1770053647 · TOLEDO, OH 43605 · Federally Qualified Health Center (FQHC) · NPI assigned 12/04/2018

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

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

$3.58M
Total Medicaid Paid
187,236
Total Claims
91,526
Beneficiaries
75
Codes Billed
2019-08
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSUNDERHAUS, JANIS (CEO)
NPI Enumeration Date12/04/2018

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 $3.36M
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
2019 11,202 $220K
2020 29,762 $644K
2021 39,473 $809K
2022 39,298 $751K
2023 41,002 $726K
2024 26,499 $428K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 26,497 15,382 $2.27M
90832 Psychotherapy, 30 minutes with patient 20,631 9,286 $460K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 21,628 9,310 $430K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,411 2,773 $188K
80305 10,221 3,797 $50K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,620 846 $25K
99384 559 312 $20K
99406 4,151 1,937 $16K
83036 Hemoglobin; glycosylated (A1C) 2,845 2,038 $13K
90460 Immunization administration through 18 years of age via any route, first or only component 821 466 $12K
92587 1,005 584 $10K
0012A 288 252 $9K
0011A 354 270 $7K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 216 110 $6K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 411 197 $6K
82962 5,277 2,685 $6K
86703 872 686 $5K
0031A 156 129 $4K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 864 451 $4K
92015 Determination of refractive state 281 176 $3K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 94 55 $3K
J1050 Injection, medroxyprogesterone acetate, 1 mg 146 82 $3K
86803 300 235 $2K
96127 787 567 $2K
96160 2,924 1,580 $2K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 238 128 $2K
0071A 53 44 $2K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 40 25 $1K
90686 315 174 $1K
99385 57 25 $1K
99383 32 18 $1K
81025 304 173 $1K
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 78 50 $1K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 32 30 $1K
99173 887 513 $1K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 125 74 $1K
99382 26 15 $963.90
0001A 37 22 $945.20
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 114 59 $773.14
0072A 26 18 $738.46
99201 30 17 $611.69
90734 347 182 $605.15
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 30 12 $604.49
0051A 30 17 $489.58
0002A 21 12 $476.82
36415 Collection of venous blood by venipuncture 449 265 $456.75
92551 132 66 $426.50
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 20 20 $235.60
90651 101 71 $218.41
3044F 2,626 1,351 $205.04
81002 233 115 $166.90
99407 40 16 $154.85
D1206 Topical application of fluoride varnish 44 23 $151.50
82274 21 13 $72.00
90715 75 54 $34.28
90633 27 16 $21.33
90461 343 199 $20.00
99408 577 274 $16.80
91301 641 497 $5.00
91303 151 128 $1.21
91300 262 141 $0.72
91307 79 62 $0.25
3079F 4,564 2,338 $0.09
3075F 2,524 1,318 $0.06
3077F 925 488 $0.06
3078F 16,094 7,186 $0.05
3074F 17,325 7,693 $0.03
1036F 2,340 1,534 $0.00
3008F 155 120 $0.00
1034F 11,638 5,115 $0.00
3080F 337 163 $0.00
90620 22 13 $0.00
91305 27 16 $0.00
4004F 14,231 6,392 $0.00
3046F 52 25 $0.00