Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

219 Health Network, INC.

219 Health Network, INC. was paid $327K by Medicaid between Aug 2021 and Nov 2024, across 13 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 61% of everything it billed.

33Billing provider info219 HEALTH NETWORK, INC.
MUNSTER, IN 46321
33aNPI1013581123assigned 05/14/2021
28Total paid$327K
24GClaims10,715
24DCodes billed13
24AFirst – last monthAug 2021 – Nov 2024
Compared with peers

Next to other Internal Medicine Physician providers in Indiana

Rank by total paid#63 of 316
Median peer was paid$17K
This provider vs. median19×

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

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
2021764$13K
20222,064$68K
20234,175$137K
2024incomplete3,712$109K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 61% 3,410 2,734 $201K
T1015 A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive 12% 4,561 4,065 $40K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 12% 511 414 $39K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6.9% 437 342 $23K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3.3% 162 138 $11K
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 2.5% 738 604 $8K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis <1% 36 29 $3K
G0466 Community health center visit, new patientFederally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new 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% 120 73 $2K
90686 <1% 25 17 $58.74
3078F 0% 252 244 $0.00
3079F 0% 25 24 $0.00
3074F 0% 335 322 $0.00
1 more codes
G0008 Administration of influenza virus vaccine 0% 103 $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)
Same official

Other billing entities under CORTES, WILLIAM

Full network →
ProviderLocationPaid
219 Health Network INCEast Chicago, IN$2.70M
219 Health Network INCEast Chicago, IN$2.59M
219 Health Network, INC.East Chicago, IN$1.26M
219 Health Network INCEast Chicago, IN$932K
219 Health Network INCHighland, IN$794K
219 Health Network, INC.East Chicago, IN$708K
219 Health Network INCEast 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$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 INCEast Chicago, IN$20K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.