Clinic
Health Partners of Western Ohio
Health Partners of Western Ohio was paid $906K by Medicaid between Feb 2019 and Dec 2024, across 45 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 59% of everything it billed.
33Billing provider infoHEALTH PARTNERS OF WESTERN OHIO
TOLEDO, OH 43620
TOLEDO, OH 43620
33aNPI1932679933assigned 12/03/2018
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$906K
24GClaims32,860
24DCodes billed45
24AFirst – last monthFeb 2019 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Ohio
Rank by total paid#201 of 348
Median peer was paid$1.33M
This provider vs. median0.7×
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 | |
|---|---|---|---|
| 2019 | 3,213 | $96K | |
| 2020 | 2,772 | $87K | |
| 2021 | 5,418 | $176K | |
| 2022 | 6,051 | $175K | |
| 2023 | 7,311 | $203K | |
| 2024incomplete | 8,095 | $170K |
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 | 59% | 6,785 | 4,741 | $534K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 15% | 5,993 | 2,554 | $137K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.8% | 2,727 | 1,366 | $61K |
| 99384 | 4.1% | 948 | 553 | $37K | |
| 92587 | 2.6% | 2,149 | 1,285 | $24K | |
| 92015 | Determination of refractive state | 2.5% | 1,897 | 1,150 | $22K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.4% | 636 | 367 | $22K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.0% | 1,006 | 626 | $18K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.5% | 1,137 | 545 | $13K |
| 99188 | <1% | 495 | 438 | $8K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 354 | 189 | $6K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 112 | 98 | $4K |
33 more codes
| 86703 | <1% | 513 | $3K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 219 | $3K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 349 | $2K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 70 | $2K |
| 81025 | <1% | 507 | $2K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 123 | $1K |
| 0071A | <1% | 39 | $1K | |
| 0072A | <1% | 43 | $1K | |
| 92551 | <1% | 255 | $817.12 | |
| 82962 | <1% | 602 | $799.98 | |
| 99173 | <1% | 548 | $550.80 | |
| 86780 | <1% | 45 | $417.06 | |
| 98940 | <1% | 27 | $396.66 | |
| 81002 | <1% | 199 | $313.85 | |
| 90619 | <1% | 209 | $301.06 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 34 | $247.23 |
| 90651 | <1% | 160 | $241.85 | |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | <1% | 16 | $224.48 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 48 | $175.57 |
| 96127 | <1% | 79 | $148.46 | |
| D1206 | Topical application of fluoride varnish | <1% | 25 | $138.00 |
| 90734 | <1% | 340 | $115.88 | |
| 90686 | <1% | 70 | $19.03 | |
| 90461 | <1% | 311 | $15.00 | |
| 91307 | <1% | 93 | $0.23 | |
| 91300 | <1% | 50 | $0.09 | |
| 90715 | 0% | 42 | $0.00 | |
| 3078F | 0% | 171 | $0.00 | |
| 3074F | 0% | 205 | $0.00 | |
| 3044F | 0% | 374 | $0.00 | |
| 1036F | 0% | 1,971 | $0.00 | |
| 90620 | 0% | 89 | $0.00 | |
| 3008F | 0% | 795 | $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 | 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 | 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.