Clinic
Health Partners of Western Ohio
Health Partners of Western Ohio was paid $21.64M by Medicaid between Jan 2018 and Dec 2024, across 141 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 51% of everything it billed.
33Billing provider infoHEALTH PARTNERS OF WESTERN OHIO
LIMA, OH 45804
LIMA, OH 45804
33aNPI1811932288assigned 06/18/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$21.64M
24GClaims1,034,549
24DCodes billed141
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Ohio
Rank by total paid#7 of 348
Median peer was paid$1.33M
This provider vs. median16×
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 | 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 | |
| 2024incomplete | 120,364 | $2.93M |
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 | 51% | 135,749 | 89,467 | $10.93M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.4% | 85,554 | 43,602 | $1.61M |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 5.7% | 65,298 | 33,698 | $1.23M |
| D1354 | 4.8% | 72,479 | 13,679 | $1.04M | |
| D1351 | Sealant - per tooth | 4.2% | 54,701 | 12,291 | $912K |
| D1206 | Topical application of fluoride varnish | 2.8% | 56,435 | 38,583 | $616K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.7% | 37,704 | 26,294 | $575K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 2.1% | 33,941 | 23,036 | $447K |
| 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 | 2.0% | 13,396 | 8,253 | $438K |
| D1110 | Prophylaxis - adult | 1.9% | 17,967 | 11,612 | $403K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.8% | 17,819 | 12,362 | $390K |
| D7140 | Extraction, erupted tooth or exposed root | 1.6% | 8,001 | 3,197 | $343K |
129 more codes
| D0330 | Panoramic radiographic image | 1.2% | 11,536 | $259K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.1% | 16,797 | $234K |
| G0467 | Community health center visit, returning patient | 1.0% | 6,476 | $220K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 6,826 | $197K |
| D0140 | Limited oral evaluation - problem focused | <1% | 12,137 | $164K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 5,020 | $141K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 5,186 | $121K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 5,642 | $116K |
| D0274 | Bitewings - four radiographic images | <1% | 10,956 | $114K |
| 92015 | Determination of refractive state | <1% | 9,809 | $105K |
| 92587 | <1% | 9,950 | $99K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 3,430 | $99K |
| 99382 | <1% | 2,222 | $75K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 14,207 | $67K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 1,693 | $66K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 1,982 | $59K |
| 80305 | <1% | 10,503 | $48K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 3,954 | $46K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 24,478 | $45K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 15,143 | $40K |
| 99406 | <1% | 11,331 | $36K | |
| D0272 | Bitewings - two radiographic images | <1% | 5,475 | $35K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 1,145 | $31K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 706 | $29K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 1,500 | $28K |
| 90686 | <1% | 7,127 | $21K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 3,749 | $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% | 1,037 | $18K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,359 | $17K |
| 82962 | <1% | 13,450 | $15K | |
| 0012A | <1% | 326 | $11K | |
| 99188 | <1% | 582 | $11K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 347 | $10K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 2,275 | $9K |
| 96127 | <1% | 3,160 | $8K | |
| 92551 | <1% | 2,540 | $7K | |
| 0011A | <1% | 387 | $7K | |
| D2160 | <1% | 383 | $6K | |
| 99407 | <1% | 907 | $5K | |
| 86703 | <1% | 1,029 | $5K | |
| 0031A | <1% | 159 | $4K | |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | <1% | 464 | $4K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 626 | $4K |
| 82274 | <1% | 907 | $3K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 669 | $3K |
| D0270 | <1% | 1,274 | $3K | |
| 81002 | <1% | 3,753 | $3K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 41 | $3K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 131 | $3K |
| 96160 | <1% | 4,276 | $2K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 69 | $2K |
| 99385 | <1% | 42 | $1K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 80 | $1K |
| 99381 | <1% | 49 | $1K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 58 | $1K |
| 0001A | <1% | 25 | $891.94 | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 28 | $876.87 |
| 82044 | <1% | 522 | $793.96 | |
| 99173 | <1% | 930 | $751.64 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 117 | $706.22 |
| 81025 | <1% | 368 | $634.97 | |
| 83655 | <1% | 80 | $608.36 | |
| 36416 | <1% | 594 | $596.39 | |
| 90656 | <1% | 147 | $581.35 | |
| 98940 | <1% | 36 | $553.08 | |
| 0064A | <1% | 19 | $533.14 | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 141 | $526.50 |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 32 | $484.16 |
| D2140 | <1% | 68 | $440.00 | |
| 0002A | <1% | 19 | $421.96 | |
| 90461 | <1% | 6,852 | $352.50 | |
| 0071A | <1% | 21 | $341.18 | |
| 3044F | <1% | 6,296 | $280.25 | |
| 90620 | <1% | 138 | $179.76 | |
| 90670 | <1% | 3,735 | $173.15 | |
| 69210 | <1% | 19 | $159.30 | |
| 90473 | <1% | 301 | $130.61 | |
| 90707 | <1% | 1,631 | $129.74 | |
| 86803 | <1% | 13 | $128.40 | |
| 90715 | <1% | 278 | $123.71 | |
| 85018 | <1% | 136 | $122.82 | |
| 90716 | <1% | 1,683 | $120.87 | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 39 | $120.00 |
| 87807 | <1% | 12 | $117.91 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 60 | $64.43 |
| 90734 | <1% | 732 | $20.00 | |
| 90651 | <1% | 1,314 | $10.00 | |
| 91301 | <1% | 711 | $5.57 | |
| 94760 | <1% | 862 | $1.40 | |
| 91303 | <1% | 149 | $1.16 | |
| 3074F | <1% | 33,985 | $0.69 | |
| 3078F | <1% | 26,057 | $0.66 | |
| 91300 | <1% | 114 | $0.64 | |
| 3079F | <1% | 18,146 | $0.44 | |
| 3075F | <1% | 8,956 | $0.37 | |
| 91306 | <1% | 19 | $0.10 | |
| 91307 | <1% | 25 | $0.06 | |
| 3077F | <1% | 2,794 | $0.01 | |
| 90723 | 0% | 2,691 | $0.00 | |
| 3008F | 0% | 5,029 | $0.00 | |
| 1036F | 0% | 9,001 | $0.00 | |
| 1034F | 0% | 14,506 | $0.00 | |
| D1310 | 0% | 1,349 | $0.00 | |
| 3080F | 0% | 2,490 | $0.00 | |
| 90677 | 0% | 186 | $0.00 | |
| 90632 | 0% | 319 | $0.00 | |
| D9995 | 0% | 138 | $0.00 | |
| 90647 | 0% | 437 | $0.00 | |
| J7611 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg | 0% | 13 | $0.00 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | 0% | 13 | $0.00 |
| 90696 | 0% | 548 | $0.00 | |
| D0603 | 0% | 71 | $0.00 | |
| 90619 | 0% | 50 | $0.00 | |
| D2331 | 0% | 24 | $0.00 | |
| D0601 | 0% | 61 | $0.00 | |
| D0602 | 0% | 36 | $0.00 | |
| 90685 | 0% | 472 | $0.00 | |
| 5250F | 0% | 495 | $0.00 | |
| 99408 | 0% | 1,702 | $0.00 | |
| 4004F | 0% | 21,059 | $0.00 | |
| 3045F | 0% | 498 | $0.00 | |
| 90648 | 0% | 3,285 | $0.00 | |
| 90633 | 0% | 1,325 | $0.00 | |
| 90681 | 0% | 662 | $0.00 | |
| 3046F | 0% | 255 | $0.00 | |
| 2028F | 0% | 49 | $0.00 | |
| 90700 | 0% | 64 | $0.00 | |
| 0792T | 0% | 91 | $0.00 | |
| 3051F | 0% | 22 | $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 | $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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.