Clinic
219 Health Network, INC.
219 Health Network, INC. was paid $1.26M by Medicaid between Jan 2021 and Dec 2024, across 22 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 53% of everything it billed.
33Billing provider info219 HEALTH NETWORK, INC.
EAST CHICAGO, IN 46312
EAST CHICAGO, IN 46312
33aNPI1003410085assigned 11/30/2020
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$1.26M
24GClaims49,130
24DCodes billed22
24AFirst – last monthJan 2021 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Indiana
Rank by total paid#56 of 156
Median peer was paid$568K
This provider vs. median2.2×
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 CORTES, WILLIAM 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 | |
|---|---|---|---|
| 2021 | 10,362 | $219K | |
| 2022 | 14,535 | $386K | |
| 2023 | 13,194 | $386K | |
| 2024incomplete | 11,039 | $267K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 53% | 17,505 | 13,859 | $672K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 25% | 16,866 | 14,620 | $319K |
| 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 | 4.3% | 3,613 | 2,810 | $55K |
| 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 | 3.8% | 1,245 | 928 | $47K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 3.3% | 503 | 432 | $41K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 3.1% | 2,740 | 1,867 | $39K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 2.6% | 831 | 658 | $32K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 2.0% | 544 | 407 | $26K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 244 | 106 | $12K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 92 | 84 | $10K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,538 | 1,119 | $3K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 17 | 13 | $1K |
10 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 27 | $613.53 |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 38 | $19.89 |
| J1944 | Injection, aripiprazole lauroxil, (aristada), 1 mg | 0% | 174 | $0.00 |
| J2426 | Injection, paliperidone palmitate extended release (invega sustenna), 1 mg | 0% | 707 | $0.00 |
| 3077F | 0% | 202 | $0.00 | |
| 3078F | 0% | 544 | $0.00 | |
| 3075F | 0% | 250 | $0.00 | |
| 3080F | 0% | 273 | $0.00 | |
| 3074F | 0% | 756 | $0.00 | |
| 3079F | 0% | 421 | $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 officialCORTES, WILLIAM (EXECUTIVE DIRECTOR)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.