Medicaid Provider Spending

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

NPI: 1811932288 · LIMA, OH 45804 · Federally Qualified Health Center (FQHC) · NPI assigned 06/18/2006

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

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

$21.64M
Total Medicaid Paid
1,034,549
Total Claims
556,600
Beneficiaries
141
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSUNDERHAUS, JANIS (CEO)
NPI Enumeration Date06/18/2006

Related Entities

Other providers sharing the same authorized official: SUNDERHAUS, JANIS

ProviderCityStateTotal Paid
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 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 162,876 $3.04M
2019 176,979 $3.15M
2020 119,313 $2.76M
2021 131,120 $3.02M
2022 136,974 $2.98M
2023 186,923 $3.75M
2024 120,364 $2.93M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 135,749 89,467 $10.93M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 85,554 43,602 $1.61M
90832 Psychotherapy, 30 minutes with patient 65,298 33,698 $1.23M
D1354 72,479 13,679 $1.04M
D1351 Sealant - per tooth 54,701 12,291 $912K
D1206 Topical application of fluoride varnish 56,435 38,583 $616K
D1120 Prophylaxis - child 37,704 26,294 $575K
D0120 Periodic oral evaluation - established patient 33,941 23,036 $447K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 13,396 8,253 $438K
D1110 Prophylaxis - adult 17,967 11,612 $403K
D0150 Comprehensive oral evaluation - new or established patient 17,819 12,362 $390K
D7140 Extraction, erupted tooth or exposed root 8,001 3,197 $343K
D0330 Panoramic radiographic image 11,536 7,982 $259K
90460 Immunization administration through 18 years of age via any route, first or only component 16,797 9,646 $234K
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 6,476 5,017 $220K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 6,826 3,847 $197K
D0140 Limited oral evaluation - problem focused 12,137 7,231 $164K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 5,020 2,762 $141K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 5,186 2,655 $121K
D0210 Intraoral - complete series of radiographic images 5,642 3,107 $116K
D0274 Bitewings - four radiographic images 10,956 7,225 $114K
92015 Determination of refractive state 9,809 5,710 $105K
92587 9,950 5,859 $99K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 3,430 1,890 $99K
99382 2,222 1,273 $75K
83036 Hemoglobin; glycosylated (A1C) 14,207 10,293 $67K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 1,693 933 $66K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 1,982 1,168 $59K
80305 10,503 5,059 $48K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3,954 2,252 $46K
D0230 Intraoral - periapical each additional radiographic image 24,478 4,075 $45K
D0220 Intraoral - periapical first radiographic image 15,143 9,276 $40K
99406 11,331 5,937 $36K
D0272 Bitewings - two radiographic images 5,475 3,467 $35K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1,145 657 $31K
D2391 Resin-based composite - one surface, posterior, primary or permanent 706 396 $29K
D2150 Silver amalgam - two surfaces, primary or permanent 1,500 729 $28K
90686 7,127 4,000 $21K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 3,749 2,345 $21K
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 1,037 856 $18K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,359 1,358 $17K
82962 13,450 7,291 $15K
0012A 326 291 $11K
99188 582 537 $11K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 347 179 $10K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,275 1,235 $9K
96127 3,160 1,945 $8K
92551 2,540 1,404 $7K
0011A 387 298 $7K
D2160 383 225 $6K
99407 907 497 $5K
86703 1,029 688 $5K
0031A 159 132 $4K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 464 277 $4K
96110 Developmental screening, with scoring and documentation, per standardized instrument 626 359 $4K
82274 907 567 $3K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 669 465 $3K
D0270 1,274 750 $3K
81002 3,753 2,252 $3K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 41 28 $3K
J1050 Injection, medroxyprogesterone acetate, 1 mg 131 79 $3K
96160 4,276 2,528 $2K
99215 Prolong outpt/office vis 69 29 $2K
99385 42 37 $1K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 80 51 $1K
99381 49 16 $1K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 58 35 $1K
0001A 25 18 $891.94
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 28 13 $876.87
82044 522 344 $793.96
99173 930 530 $751.64
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 117 62 $706.22
81025 368 224 $634.97
83655 80 72 $608.36
36416 594 351 $596.39
90656 147 143 $581.35
98940 36 29 $553.08
0064A 19 12 $533.14
D1208 Topical application of fluoride, excluding varnish 141 50 $526.50
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 32 28 $484.16
D2140 68 42 $440.00
0002A 19 15 $421.96
90461 6,852 3,894 $352.50
0071A 21 12 $341.18
3044F 6,296 3,780 $280.25
90620 138 78 $179.76
90670 3,735 2,132 $173.15
69210 19 13 $159.30
90473 301 181 $130.61
90707 1,631 998 $129.74
86803 13 13 $128.40
90715 278 164 $123.71
85018 136 75 $122.82
90716 1,683 1,028 $120.87
J1040 Injection, methylprednisolone acetate, 80 mg 39 27 $120.00
87807 12 12 $117.91
36415 Collection of venous blood by venipuncture 60 34 $64.43
90734 732 412 $20.00
90651 1,314 755 $10.00
91301 711 571 $5.57
94760 862 456 $1.40
91303 149 129 $1.16
3074F 33,985 17,716 $0.69
3078F 26,057 13,787 $0.66
91300 114 74 $0.64
3079F 18,146 9,694 $0.44
3075F 8,956 4,900 $0.37
91306 19 12 $0.10
91307 25 12 $0.06
3077F 2,794 1,478 $0.01
90723 2,691 1,506 $0.00
3008F 5,029 3,091 $0.00
1036F 9,001 5,746 $0.00
1034F 14,506 7,531 $0.00
D1310 1,349 840 $0.00
3080F 2,490 1,276 $0.00
90677 186 127 $0.00
90632 319 197 $0.00
D9995 138 121 $0.00
90647 437 248 $0.00
J7611 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg 13 12 $0.00
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 13 12 $0.00
90696 548 313 $0.00
D0603 71 57 $0.00
90619 50 33 $0.00
D2331 24 13 $0.00
D0601 61 50 $0.00
D0602 36 31 $0.00
90685 472 301 $0.00
5250F 495 278 $0.00
99408 1,702 864 $0.00
4004F 21,059 10,676 $0.00
3045F 498 330 $0.00
90648 3,285 1,882 $0.00
90633 1,325 757 $0.00
90681 662 365 $0.00
3046F 255 141 $0.00
2028F 49 26 $0.00
90700 64 37 $0.00
0792T 91 83 $0.00
3051F 22 12 $0.00