Medicaid Provider Spending

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

NPI: 1902228844 · LIMA, OH 45801 · Federally Qualified Health Center (FQHC) · NPI assigned 01/13/2014

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

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

$14.56M
Total Medicaid Paid
685,237
Total Claims
388,263
Beneficiaries
100
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSUNDERHAUS, JANIS (CEO)
NPI Enumeration Date01/13/2014

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 $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 74,277 $1.55M
2019 89,325 $1.70M
2020 98,198 $2.39M
2021 103,331 $2.36M
2022 105,511 $2.36M
2023 134,589 $2.78M
2024 80,006 $1.42M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 115,185 76,859 $8.76M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 131,139 69,106 $2.57M
90832 Psychotherapy, 30 minutes with patient 62,751 31,143 $1.23M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 16,357 8,367 $458K
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 5,318 4,385 $195K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 19,847 13,661 $157K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 3,876 3,149 $122K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 8,276 4,339 $111K
90460 Immunization administration through 18 years of age via any route, first or only component 6,278 3,607 $103K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2,282 1,316 $70K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,324 1,278 $64K
83036 Hemoglobin; glycosylated (A1C) 11,822 8,871 $59K
92587 5,158 3,050 $56K
92015 Determination of refractive state 5,011 2,989 $56K
80305 11,569 5,029 $54K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 1,398 859 $53K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 6,217 4,431 $49K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,390 773 $42K
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 6,267 1,440 $42K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 8,450 4,250 $41K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1,040 613 $32K
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 874 716 $24K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 947 470 $23K
99188 1,424 1,186 $22K
81025 7,136 3,837 $22K
99406 6,640 3,538 $21K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 594 302 $14K
90686 3,065 1,711 $13K
86703 1,858 1,413 $11K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,188 703 $10K
81002 7,672 4,202 $8K
96160 11,594 6,470 $8K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 578 395 $7K
98940 1,373 386 $7K
82962 6,199 3,488 $7K
99215 Prolong outpt/office vis 146 84 $6K
D1206 Topical application of fluoride varnish 753 604 $5K
99407 874 483 $4K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 484 302 $4K
96127 1,305 1,015 $3K
92551 876 499 $3K
90834 Psychotherapy, 45 minutes with patient 101 48 $2K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 539 304 $2K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 139 89 $2K
J1050 Injection, medroxyprogesterone acetate, 1 mg 143 85 $2K
87807 184 155 $2K
96110 Developmental screening, with scoring and documentation, per standardized instrument 288 163 $1K
G0396 Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes 184 144 $1K
82274 309 199 $983.16
86803 164 103 $911.70
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 119 55 $482.45
90651 601 321 $374.13
99173 629 387 $260.03
90656 51 50 $223.50
83655 30 25 $182.28
3044F 5,679 3,288 $160.21
86580 26 13 $139.99
90461 1,741 1,018 $130.00
92228 19 12 $80.68
J0696 Injection, ceftriaxone sodium, per 250 mg 165 66 $80.67
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 75 26 $78.03
90707 438 303 $72.08
85018 52 32 $49.84
S0030 Injection, metronidazole, 500 mg 114 52 $40.08
J1885 Injection, ketorolac tromethamine, per 15 mg 64 39 $16.64
Q0144 Azithromycin dihydrate, oral, capsules/powder, 1 gram 135 62 $13.33
90648 544 313 $10.00
90670 824 453 $10.00
99408 1,345 642 $8.40
J1100 Injection, dexamethasone sodium phosphate, 1 mg 19 12 $4.21
3079F 14,465 7,913 $0.49
3074F 47,342 25,022 $0.42
91300 62 41 $0.31
3078F 42,770 22,514 $0.30
3075F 7,648 4,098 $0.28
91313 20 13 $0.10
3077F 4,166 2,254 $0.06
1034F 17,980 9,387 $0.00
3080F 2,687 1,464 $0.00
90620 44 25 $0.00
1036F 8,278 5,497 $0.00
90723 500 266 $0.00
90716 448 314 $0.00
3008F 6,689 3,967 $0.00
90619 102 69 $0.00
4000F 546 332 $0.00
90696 150 108 $0.00
90632 166 119 $0.00
90647 197 113 $0.00
90677 44 32 $0.00
2033F 22 13 $0.00
4004F 27,138 13,995 $0.00
90633 242 140 $0.00
3046F 129 85 $0.00
90734 220 149 $0.00
94150 57 32 $0.00
90715 149 102 $0.00
3045F 216 147 $0.00
5250F 410 197 $0.00
0792T 94 77 $0.00