Clinic
Health Partners of Western Ohio
Health Partners of Western Ohio was paid $7.70M by Medicaid between Jan 2018 and Dec 2024, across 93 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 71% of everything it billed.
33Billing provider infoHEALTH PARTNERS OF WESTERN OHIO
BRYAN, OH 43506
BRYAN, OH 43506
33aNPI1790020733assigned 12/03/2012
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$7.70M
24GClaims332,968
24DCodes billed93
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Ohio
Rank by total paid#37 of 348
Median peer was paid$1.33M
This provider vs. median5.8×
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 | 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 | |
| 2024incomplete | 32,757 | $732K |
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 | 71% | 64,855 | 43,129 | $5.45M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.7% | 31,638 | 15,826 | $595K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 6.8% | 26,468 | 13,785 | $520K |
| D1351 | Sealant - per tooth | 1.3% | 15,131 | 3,241 | $104K |
| 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 | 1.3% | 2,865 | 1,891 | $103K |
| G0467 | Community health center visit, returning patientFederally 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 | 1.2% | 1,799 | 1,047 | $93K |
| D1354 | 1.1% | 14,510 | 3,205 | $86K | |
| D1206 | Topical application of fluoride varnish | <1% | 14,883 | 9,819 | $72K |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 9,368 | 6,232 | $65K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 2,838 | 1,235 | $63K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 5,207 | 2,283 | $57K |
| D0330 | Panoramic radiographic image | <1% | 3,802 | 2,526 | $55K |
81 more codes
| D1110 | Prophylaxis - adult | <1% | 5,762 | $52K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 4,932 | $46K |
| 98940 | <1% | 6,950 | $38K | |
| D0120 | Dental checkup, returning patient | <1% | 7,402 | $37K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 4,967 | $23K |
| D0140 | Limited oral evaluation - problem focused | <1% | 3,490 | $22K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 1,451 | $20K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 1,287 | $15K |
| D0274 | Bitewings - four radiographic images | <1% | 3,434 | $14K |
| 80305 | <1% | 2,715 | $12K | |
| 92587 | <1% | 1,146 | $11K | |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 1,226 | $10K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 274 | $9K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 316 | $9K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 804 | $8K |
| 99406 | <1% | 3,432 | $8K | |
| D0272 | Bitewings - two radiographic images | <1% | 2,295 | $7K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 930 | $7K |
| 90686 | <1% | 986 | $6K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 4,294 | $6K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 175 | $5K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 492 | $5K |
| 86703 | <1% | 729 | $4K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 504 | $4K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 86 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 5,129 | $3K |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | <1% | 400 | $3K |
| 0012A | <1% | 175 | $3K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 712 | $3K |
| 96127 | <1% | 1,261 | $3K | |
| 82962 | <1% | 2,656 | $3K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 102 | $3K |
| 0011A | <1% | 197 | $2K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 76 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 223 | $2K |
| 96160 | <1% | 3,415 | $2K | |
| 0031A | <1% | 99 | $2K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 401 | $2K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 69 | $2K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 55 | $2K |
| 99201 | <1% | 116 | $1K | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 26 | $1K |
| 97124 | <1% | 653 | $1K | |
| 99188 | <1% | 74 | $1K | |
| 92015 | Determination of refractive state | <1% | 338 | $1K |
| 81002 | <1% | 1,120 | $944.03 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 886 | $941.82 |
| D0270 | <1% | 581 | $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 | <1% | 41 | $811.26 |
| 92551 | <1% | 258 | $773.41 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 13 | $745.82 |
| 99385 | <1% | 28 | $736.80 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 115 | $715.61 |
| 0001A | <1% | 20 | $472.32 | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 93 | $409.50 |
| 99173 | <1% | 342 | $368.50 | |
| 86803 | <1% | 26 | $256.80 | |
| D1320 | <1% | 51 | $189.00 | |
| 3044F | <1% | 2,850 | $100.05 | |
| 90656 | <1% | 15 | $67.24 | |
| 91301 | <1% | 430 | $2.09 | |
| 91303 | <1% | 99 | $0.52 | |
| 91300 | <1% | 49 | $0.21 | |
| 3074F | <1% | 16,355 | $0.18 | |
| 3078F | <1% | 14,596 | $0.14 | |
| 3079F | <1% | 5,924 | $0.11 | |
| 3075F | <1% | 3,513 | $0.07 | |
| 1034F | 0% | 2,737 | $0.00 | |
| 1036F | 0% | 2,323 | $0.00 | |
| D9995 | 0% | 163 | $0.00 | |
| 3008F | 0% | 1,022 | $0.00 | |
| 3080F | 0% | 99 | $0.00 | |
| D1310 | 0% | 310 | $0.00 | |
| 92002 | 0% | 108 | $0.00 | |
| D0603 | 0% | 25 | $0.00 | |
| 4004F | 0% | 8,329 | $0.00 | |
| 3077F | 0% | 235 | $0.00 | |
| 90461 | 0% | 233 | $0.00 | |
| 99408 | 0% | 164 | $0.00 | |
| 5250F | 0% | 126 | $0.00 | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 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 | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.