Behavioral
Northshore Health Centers, INC
Northshore Health Centers, INC was paid $10.93M by Medicaid between Jan 2018 and Dec 2024, across 127 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 27% of everything it billed.
33Billing provider infoNORTHSHORE HEALTH CENTERS, INC
HAMMOND, IN 46320
HAMMOND, IN 46320
33aNPI1023440526assigned 08/07/2013
33bProvider typeClinical Social Worker
28Total paid$10.93M
24GClaims340,460
24DCodes billed127
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinical Social Worker providers in Indiana
Rank by total paid#1 of 111
Median peer was paid$94K
This provider vs. median117×
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 HALL, DAVID 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 | |
|---|---|---|---|
| 2018 | 30,135 | $817K | |
| 2019 | 28,483 | $1.51M | |
| 2020 | 25,598 | $1.22M | |
| 2021 | 71,632 | $2.16M | |
| 2022 | 78,304 | $2.05M | |
| 2023 | 66,206 | $1.88M | |
| 2024incomplete | 40,102 | $1.28M |
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 | 27% | 53,957 | 42,982 | $2.98M |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 14% | 89,810 | 61,822 | $1.58M |
| 59425 | 5.6% | 8,389 | 5,604 | $616K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 5.6% | 18,622 | 14,178 | $607K |
| 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 | 4.5% | 6,455 | 5,242 | $497K |
| 59426 | 4.2% | 5,312 | 2,541 | $456K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.1% | 4,350 | 3,766 | $339K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.5% | 3,751 | 3,215 | $278K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.3% | 4,102 | 3,418 | $255K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 2.2% | 3,025 | 2,361 | $244K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.9% | 2,789 | 2,367 | $212K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.7% | 2,332 | 2,048 | $191K |
115 more codes
| D0330 | Panoramic radiographic image | 1.6% | 4,321 | $175K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.5% | 8,990 | $168K |
| D1110 | Prophylaxis - adult | 1.3% | 3,785 | $146K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.3% | 13,545 | $138K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.1% | 4,039 | $117K |
| D9999 | Unspecified adjunctive procedure, by report | 1.1% | 11,069 | $115K |
| D0140 | Limited oral evaluation - problem focused | 1.0% | 3,352 | $111K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.0% | 1,871 | $110K |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 3,347 | $103K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,310 | $101K |
| D0120 | Dental checkup, returning patient | <1% | 4,952 | $90K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 2,011 | $89K |
| D0274 | Bitewings - four radiographic images | <1% | 3,544 | $83K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 2,251 | $70K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 697 | $65K |
| D1120 | Dental cleaning, child | <1% | 2,535 | $64K |
| V2020 | Frames, purchases | <1% | 3,368 | $61K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 798 | $53K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 997 | $51K |
| D1206 | Topical application of fluoride varnish | <1% | 3,353 | $48K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 523 | $45K |
| 92015 | Determination of refractive state | <1% | 3,755 | $43K |
| 99381 | <1% | 649 | $40K | |
| 99385 | <1% | 468 | $39K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 777 | $36K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 1,644 | $35K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 551 | $32K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 2,739 | $29K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | <1% | 40 | $28K |
| 98940 | <1% | 1,251 | $25K | |
| 99383 | <1% | 321 | $23K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 237 | $23K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 269 | $22K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 1,289 | $21K |
| G0467 | Community health center visit, returning patient | <1% | 981 | $20K |
| 76801 | <1% | 250 | $19K | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 2,867 | $18K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 335 | $17K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 1,406 | $16K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 267 | $15K |
| D0272 | Bitewings - two radiographic images | <1% | 1,005 | $14K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 558 | $14K |
| 99354 | <1% | 438 | $13K | |
| 59430 | <1% | 143 | $13K | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 273 | $12K |
| 81025 | <1% | 2,474 | $12K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 208 | $12K |
| 99386 | <1% | 89 | $10K | |
| 76830 | Ultrasound, transvaginal | <1% | 76 | $7K |
| 99384 | <1% | 89 | $6K | |
| G9997 | Documentation of patient pregnancy anytime during the measurement period prior to and including the current encounter | <1% | 129 | $5K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 67 | $5K |
| 90474 | <1% | 337 | $4K | |
| 86580 | <1% | 594 | $4K | |
| 90686 | <1% | 2,241 | $3K | |
| D4341 | <1% | 26 | $3K | |
| 99382 | <1% | 46 | $3K | |
| 90837 | Psychotherapy session, about an hour | <1% | 29 | $3K |
| 72082 | <1% | 77 | $3K | |
| D4910 | <1% | 33 | $2K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 133 | $2K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | <1% | 81 | $2K |
| 0071A | <1% | 106 | $2K | |
| 11721 | <1% | 209 | $2K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 123 | $1K |
| 81003 | <1% | 2,785 | $1K | |
| 0011A | <1% | 98 | $1K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 235 | $1K |
| 90651 | <1% | 819 | $969.85 | |
| 90670 | <1% | 3,603 | $947.41 | |
| 0072A | <1% | 90 | $930.25 | |
| 90756 | <1% | 111 | $920.00 | |
| 87430 | <1% | 68 | $817.88 | |
| 90715 | <1% | 497 | $701.02 | |
| 90621 | <1% | 36 | $640.00 | |
| 0064A | <1% | 95 | $620.47 | |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 28 | $514.20 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 43 | $466.84 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 77 | $452.00 |
| 90681 | <1% | 739 | $363.18 | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 12 | $355.00 |
| D1320 | <1% | 20 | $337.50 | |
| 90633 | <1% | 2,732 | $313.58 | |
| 87807 | <1% | 35 | $298.56 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 12 | $252.40 |
| 90716 | <1% | 616 | $242.75 | |
| 90734 | <1% | 711 | $218.08 | |
| D9430 | <1% | 513 | $216.00 | |
| V2750 | Anti-reflective coating, per lens | <1% | 294 | $193.00 |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 19 | $184.00 |
| 90723 | <1% | 1,605 | $156.45 | |
| 90707 | <1% | 591 | $153.06 | |
| 90710 | <1% | 384 | $150.01 | |
| 90698 | <1% | 469 | $93.48 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 106 | $87.78 |
| 90696 | <1% | 376 | $53.15 | |
| 90473 | <1% | 29 | $48.00 | |
| 90700 | <1% | 316 | $23.60 | |
| 90648 | <1% | 2,411 | $21.50 | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 128 | $0.93 |
| 90744 | <1% | 62 | $0.01 | |
| 90685 | <1% | 19 | $0.01 | |
| 90680 | 0% | 279 | $0.00 | |
| D4999 | 0% | 588 | $0.00 | |
| V2782 | Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens | 0% | 408 | $0.00 |
| D1330 | 0% | 3,596 | $0.00 | |
| 90620 | 0% | 64 | $0.00 | |
| D0999 | Unspecified diagnostic procedure, by report | 0% | 629 | $0.00 |
| 90677 | 0% | 100 | $0.00 | |
| 90697 | 0% | 103 | $0.00 | |
| 91301 | 0% | 153 | $0.00 | |
| 91307 | 0% | 167 | $0.00 | |
| 90619 | 0% | 265 | $0.00 | |
| 99050 | 0% | 12 | $0.00 | |
| 91306 | 0% | 80 | $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 officialHALL, DAVID (CEO)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.