Medicaid Provider Spending

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

NPI: 1952754392 · KENTON, OH 43326 · Federally Qualified Health Center (FQHC) · NPI assigned 07/21/2016

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

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

$1.16M
Total Medicaid Paid
27,107
Total Claims
12,992
Beneficiaries
30
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSUNDERHAUS, JANIS (CEO)
NPI Enumeration Date07/21/2016

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 $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 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 1,491 $65K
2019 2,337 $100K
2020 3,811 $160K
2021 3,617 $166K
2022 4,388 $201K
2023 6,334 $292K
2024 5,129 $173K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 7,908 4,902 $839K
90832 Psychotherapy, 30 minutes with patient 10,121 3,355 $215K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,820 1,855 $77K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 579 292 $7K
90460 Immunization administration through 18 years of age via any route, first or only component 477 257 $6K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 101 66 $3K
90834 Psychotherapy, 45 minutes with patient 62 25 $2K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 61 51 $2K
92587 171 94 $1K
92015 Determination of refractive state 105 67 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 65 39 $662.16
92551 81 50 $261.74
99188 27 19 $255.75
90734 182 98 $247.51
96127 87 53 $157.37
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 25 14 $144.00
83036 Hemoglobin; glycosylated (A1C) 18 14 $123.76
81002 47 27 $62.90
90686 30 16 $58.74
82962 21 12 $27.18
99173 29 19 $27.09
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 41 21 $14.50
90651 94 59 $10.00
90715 134 82 $0.00
90461 174 100 $0.00
1036F 1,383 771 $0.00
3008F 1,106 541 $0.00
1034F 48 25 $0.00
90619 85 55 $0.00
90620 25 13 $0.00