Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

219 HEALTH NETWORK, INC.

NPI: 1003410085 · EAST CHICAGO, IN 46312 · Federally Qualified Health Center (FQHC) · NPI assigned 11/30/2020

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

Authorized official CORTES, WILLIAM controls 20+ related entities in our dataset. Read more

$1.26M
Total Medicaid Paid
49,130
Total Claims
40,039
Beneficiaries
22
Codes Billed
2021-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCORTES, WILLIAM (EXECUTIVE DIRECTOR)
NPI Enumeration Date11/30/2020

Related Entities

Other providers sharing the same authorized official: CORTES, WILLIAM

ProviderCityStateTotal Paid
219 HEALTH NETWORK INC EAST CHICAGO IN $2.70M
219 HEALTH NETWORK INC EAST CHICAGO IN $2.59M
219 HEALTH NETWORK INC EAST CHICAGO IN $932K
219 HEALTH NETWORK INC HIGHLAND IN $794K
219 HEALTH NETWORK, INC. EAST CHICAGO IN $708K
219 HEALTH NETWORK INC EAST CHICAGO IN $646K
219 HEALTH NETWORK, INC. CROWN POINT IN $505K
219 HEALTH NETWORK, INC. EAST CHICAGO IN $462K
219 HEALTH NETWORK, INC. MUNSTER IN $327K
219 HEALTH NETWORK, INC. MUNSTER IN $258K
219 HEALTH NETWORK, INC. MUNSTER IN $144K
219 HEALTH NETWORK, INC. CEDAR LAKE IN $129K
219 HEALTH NETWORK, INC. HIGHLAND IN $126K
219 HEALTH NETWORK, INC. HOBART IN $97K
219 HEALTH NETWORK, INC. HOBART IN $92K
219 HEALTH NETWORK, INC. MUNSTER IN $64K
219 HEALTH NETWORK, INC. VALPARAISO IN $52K
219 HEALTH NETWORK, INC. MUNSTER IN $33K
219 HEALTH NETWORK, INC. MUNSTER IN $26K
219 HEALTH NETWORK INC EAST CHICAGO IN $20K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 10,362 $219K
2022 14,535 $386K
2023 13,194 $386K
2024 11,039 $267K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 17,505 13,859 $672K
T1015 Clinic visit/encounter, all-inclusive 16,866 14,620 $319K
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 3,613 2,810 $55K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,245 928 $47K
90791 Psychiatric diagnostic evaluation 503 432 $41K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 2,740 1,867 $39K
90832 Psychotherapy, 30 minutes with patient 831 658 $32K
90834 Psychotherapy, 45 minutes with patient 544 407 $26K
99232 Subsequent hospital care, per day, moderate complexity 244 106 $12K
90792 Psychiatric diagnostic evaluation with medical services 92 84 $10K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,538 1,119 $3K
90837 Psychotherapy, 53 minutes with patient 17 13 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 27 25 $613.53
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 38 27 $19.89
J1944 Injection, aripiprazole lauroxil, (aristada), 1 mg 174 139 $0.00
J2426 Injection, paliperidone palmitate extended release (invega sustenna), 1 mg 707 613 $0.00
3077F 202 197 $0.00
3078F 544 519 $0.00
3075F 250 235 $0.00
3080F 273 260 $0.00
3074F 756 719 $0.00
3079F 421 402 $0.00