Clinic
Health Partners of Western Ohio
Health Partners of Western Ohio was paid $409K by Medicaid between Jan 2018 and Dec 2024, across 37 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 65% of everything it billed.
33Billing provider infoHEALTH PARTNERS OF WESTERN OHIO
DEFIANCE, OH 43512
DEFIANCE, OH 43512
33aNPI1780929729assigned 12/03/2012
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$409K
24GClaims17,498
24DCodes billed37
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Ohio
Rank by total paid#245 of 348
Median peer was paid$1.33M
This provider vs. median0.3×
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 | 3,352 | $77K | |
| 2019 | 1,500 | $39K | |
| 2020 | 701 | $24K | |
| 2021 | 912 | $30K | |
| 2022 | 833 | $34K | |
| 2023 | 1,106 | $32K | |
| 2024incomplete | 9,094 | $172K |
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 | 65% | 2,967 | 2,408 | $267K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 18% | 3,895 | 2,044 | $73K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 9.0% | 1,223 | 697 | $37K |
| 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 | 5.0% | 509 | 330 | $20K |
| 99406 | <1% | 490 | 245 | $2K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 503 | 389 | $2K |
| 99188 | <1% | 47 | 44 | $1K | |
| 92587 | <1% | 71 | 43 | $865.03 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 43 | 27 | $765.00 |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 30 | 15 | $750.88 |
| 90686 | <1% | 95 | 54 | $747.83 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 189 | 124 | $668.72 |
25 more codes
| 82962 | <1% | 643 | $665.15 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 56 | $461.36 |
| G0467 | Community health center visit, returning patient | <1% | 19 | $411.74 |
| 92015 | Determination of refractive state | <1% | 47 | $388.17 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 26 | $374.22 |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | <1% | 43 | $302.54 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 18 | $210.97 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 18 | $210.80 |
| 80305 | <1% | 32 | $171.70 | |
| 96127 | <1% | 20 | $67.49 | |
| 81002 | <1% | 39 | $41.50 | |
| 86703 | <1% | 13 | $30.84 | |
| 3044F | <1% | 259 | $20.00 | |
| 99173 | <1% | 12 | $12.00 | |
| 3074F | <1% | 1,348 | $0.01 | |
| 3078F | <1% | 947 | $0.01 | |
| 1036F | 0% | 1,455 | $0.00 | |
| 3079F | 0% | 363 | $0.00 | |
| 3008F | 0% | 593 | $0.00 | |
| 1034F | 0% | 724 | $0.00 | |
| 3075F | 0% | 70 | $0.00 | |
| 0792T | 0% | 16 | $0.00 | |
| 4004F | 0% | 587 | $0.00 | |
| 99408 | 0% | 19 | $0.00 | |
| 96160 | 0% | 69 | $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 | $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 | 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.