Medicaid Provider Spending

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

NPI: 1790020733 · BRYAN, OH 43506 · Federally Qualified Health Center (FQHC) · NPI assigned 12/03/2012

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

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

$7.70M
Total Medicaid Paid
332,968
Total Claims
180,897
Beneficiaries
93
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSUNDERHAUS, JANIS (CEO)
NPI Enumeration Date12/03/2012

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 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 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
2018 48,292 $1.12M
2019 75,434 $1.49M
2020 39,756 $1.00M
2021 44,135 $1.07M
2022 40,196 $1.01M
2023 52,398 $1.27M
2024 32,757 $732K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 64,855 43,129 $5.45M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 31,638 15,826 $595K
90832 Psychotherapy, 30 minutes with patient 26,468 13,785 $520K
D1351 Sealant - per tooth 15,131 3,241 $104K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,865 1,891 $103K
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 1,799 1,047 $93K
D1354 14,510 3,205 $86K
D1206 Topical application of fluoride varnish 14,883 9,819 $72K
D1120 Prophylaxis - child 9,368 6,232 $65K
D7140 Extraction, erupted tooth or exposed root 2,838 1,235 $63K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 5,207 2,283 $57K
D0330 Panoramic radiographic image 3,802 2,526 $55K
D1110 Prophylaxis - adult 5,762 3,956 $52K
D0150 Comprehensive oral evaluation - new or established patient 4,932 3,210 $46K
98940 6,950 2,165 $38K
D0120 Periodic oral evaluation - established patient 7,402 5,177 $37K
83036 Hemoglobin; glycosylated (A1C) 4,967 3,597 $23K
D0140 Limited oral evaluation - problem focused 3,490 2,138 $22K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 1,451 847 $20K
90460 Immunization administration through 18 years of age via any route, first or only component 1,287 732 $15K
D0274 Bitewings - four radiographic images 3,434 2,420 $14K
80305 2,715 1,162 $12K
92587 1,146 678 $11K
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 1,226 426 $10K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 274 162 $9K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 316 165 $9K
D2391 Resin-based composite - one surface, posterior, primary or permanent 804 451 $8K
99406 3,432 1,802 $8K
D0272 Bitewings - two radiographic images 2,295 1,541 $7K
D0210 Intraoral - complete series of radiographic images 930 304 $7K
90686 986 553 $6K
D0220 Intraoral - periapical first radiographic image 4,294 2,818 $6K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 175 150 $5K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 492 322 $5K
86703 729 558 $4K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 504 293 $4K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 86 52 $3K
D0230 Intraoral - periapical each additional radiographic image 5,129 1,226 $3K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 400 230 $3K
0012A 175 106 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 712 363 $3K
96127 1,261 861 $3K
82962 2,656 1,308 $3K
90834 Psychotherapy, 45 minutes with patient 102 50 $3K
0011A 197 113 $2K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 76 57 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 223 194 $2K
96160 3,415 1,959 $2K
0031A 99 60 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 401 304 $2K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 69 43 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 55 28 $2K
99201 116 63 $1K
D2150 Silver amalgam - two surfaces, primary or permanent 26 25 $1K
97124 653 183 $1K
99188 74 72 $1K
92015 Determination of refractive state 338 269 $1K
81002 1,120 623 $944.03
36415 Collection of venous blood by venipuncture 886 466 $941.82
D0270 581 387 $864.25
G0470 Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit 41 37 $811.26
92551 258 146 $773.41
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 13 13 $745.82
99385 28 15 $736.80
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 115 61 $715.61
0001A 20 14 $472.32
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 93 65 $409.50
99173 342 222 $368.50
86803 26 26 $256.80
D1320 51 40 $189.00
3044F 2,850 1,628 $100.05
90656 15 15 $67.24
91301 430 236 $2.09
91303 99 60 $0.52
91300 49 31 $0.21
3074F 16,355 8,262 $0.18
3078F 14,596 7,398 $0.14
3079F 5,924 3,196 $0.11
3075F 3,513 1,811 $0.07
1034F 2,737 1,501 $0.00
1036F 2,323 1,481 $0.00
D9995 163 117 $0.00
3008F 1,022 712 $0.00
3080F 99 50 $0.00
D1310 310 195 $0.00
92002 108 108 $0.00
D0603 25 20 $0.00
4004F 8,329 4,061 $0.00
3077F 235 120 $0.00
90461 233 140 $0.00
99408 164 93 $0.00
5250F 126 66 $0.00
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 69 69 $0.00