Clinic
Health Partners of Western Ohio
Health Partners of Western Ohio was paid $14.56M by Medicaid between Jan 2018 and Dec 2024, across 100 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 60% of everything it billed.
33Billing provider infoHEALTH PARTNERS OF WESTERN OHIO
LIMA, OH 45801
LIMA, OH 45801
33aNPI1902228844assigned 01/13/2014
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$14.56M
24GClaims685,237
24DCodes billed100
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Ohio
Rank by total paid#12 of 348
Median peer was paid$1.33M
This provider vs. median11×
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 | 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 | |
| 2024incomplete | 80,006 | $1.42M |
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 | 60% | 115,185 | 76,859 | $8.76M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 18% | 131,139 | 69,106 | $2.57M |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 8.5% | 62,751 | 31,143 | $1.23M |
| 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 | 3.1% | 16,357 | 8,367 | $458K |
| 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 | 1.3% | 5,318 | 4,385 | $195K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.1% | 19,847 | 13,661 | $157K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 3,876 | 3,149 | $122K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 8,276 | 4,339 | $111K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 6,278 | 3,607 | $103K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 2,282 | 1,316 | $70K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 2,324 | 1,278 | $64K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 11,822 | 8,871 | $59K |
88 more codes
| 92587 | <1% | 5,158 | $56K | |
| 92015 | Determination of refractive state | <1% | 5,011 | $56K |
| 80305 | <1% | 11,569 | $54K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 1,398 | $53K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 6,217 | $49K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,390 | $42K |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 6,267 | $42K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 8,450 | $41K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 1,040 | $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 | <1% | 874 | $24K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 947 | $23K |
| 99188 | <1% | 1,424 | $22K | |
| 81025 | <1% | 7,136 | $22K | |
| 99406 | <1% | 6,640 | $21K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 594 | $14K |
| 90686 | <1% | 3,065 | $13K | |
| 86703 | <1% | 1,858 | $11K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,188 | $10K |
| 81002 | <1% | 7,672 | $8K | |
| 96160 | <1% | 11,594 | $8K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 578 | $7K |
| 98940 | <1% | 1,373 | $7K | |
| 82962 | <1% | 6,199 | $7K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 146 | $6K |
| D1206 | Topical application of fluoride varnish | <1% | 753 | $5K |
| 99407 | <1% | 874 | $4K | |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | <1% | 484 | $4K |
| 96127 | <1% | 1,305 | $3K | |
| 92551 | <1% | 876 | $3K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 101 | $2K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 539 | $2K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 139 | $2K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 143 | $2K |
| 87807 | <1% | 184 | $2K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 288 | $1K |
| G0396 | Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes | <1% | 184 | $1K |
| 82274 | <1% | 309 | $983.16 | |
| 86803 | <1% | 164 | $911.70 | |
| J2930 | Injection, methylprednisolone sodium succinate, up to 125 mg | <1% | 119 | $482.45 |
| 90651 | <1% | 601 | $374.13 | |
| 99173 | <1% | 629 | $260.03 | |
| 90656 | <1% | 51 | $223.50 | |
| 83655 | <1% | 30 | $182.28 | |
| 3044F | <1% | 5,679 | $160.21 | |
| 86580 | <1% | 26 | $139.99 | |
| 90461 | <1% | 1,741 | $130.00 | |
| 92228 | <1% | 19 | $80.68 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 165 | $80.67 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 75 | $78.03 |
| 90707 | <1% | 438 | $72.08 | |
| 85018 | <1% | 52 | $49.84 | |
| S0030 | Injection, metronidazole, 500 mg | <1% | 114 | $40.08 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 64 | $16.64 |
| Q0144 | Azithromycin dihydrate, oral, capsules/powder, 1 gram | <1% | 135 | $13.33 |
| 90648 | <1% | 544 | $10.00 | |
| 90670 | <1% | 824 | $10.00 | |
| 99408 | <1% | 1,345 | $8.40 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 19 | $4.21 |
| 3079F | <1% | 14,465 | $0.49 | |
| 3074F | <1% | 47,342 | $0.42 | |
| 91300 | <1% | 62 | $0.31 | |
| 3078F | <1% | 42,770 | $0.30 | |
| 3075F | <1% | 7,648 | $0.28 | |
| 91313 | <1% | 20 | $0.10 | |
| 3077F | <1% | 4,166 | $0.06 | |
| 1034F | 0% | 17,980 | $0.00 | |
| 3080F | 0% | 2,687 | $0.00 | |
| 90620 | 0% | 44 | $0.00 | |
| 1036F | 0% | 8,278 | $0.00 | |
| 90723 | 0% | 500 | $0.00 | |
| 90716 | 0% | 448 | $0.00 | |
| 3008F | 0% | 6,689 | $0.00 | |
| 90619 | 0% | 102 | $0.00 | |
| 4000F | 0% | 546 | $0.00 | |
| 90696 | 0% | 150 | $0.00 | |
| 90632 | 0% | 166 | $0.00 | |
| 90647 | 0% | 197 | $0.00 | |
| 90677 | 0% | 44 | $0.00 | |
| 2033F | 0% | 22 | $0.00 | |
| 4004F | 0% | 27,138 | $0.00 | |
| 90633 | 0% | 242 | $0.00 | |
| 3046F | 0% | 129 | $0.00 | |
| 90734 | 0% | 220 | $0.00 | |
| 94150 | 0% | 57 | $0.00 | |
| 90715 | 0% | 149 | $0.00 | |
| 3045F | 0% | 216 | $0.00 | |
| 5250F | 0% | 410 | $0.00 | |
| 0792T | 0% | 94 | $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 | $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.