Medicaid Provider Spending

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

NORTHSHORE HEALTH CENTERS, INC

NPI: 1023440526 · HAMMOND, IN 46320 · Clinical Social Worker · NPI assigned 08/07/2013

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

Authorized official HALL, DAVID controls 20+ related entities in our dataset. Read more

$10.93M
Total Medicaid Paid
340,460
Total Claims
256,285
Beneficiaries
127
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHALL, DAVID (CEO)
NPI Enumeration Date08/07/2013

Related Entities

Other providers sharing the same authorized official: HALL, DAVID

ProviderCityStateTotal Paid
INDEPENDENT EMERGENCY PHYSICIANS, P.C. SOUTHFIELD MI $39.08M
NORTHSHORE HEALTH CENTERS, INC. PORTAGE IN $16.41M
NORTHSHORE HEALTH CENTERS, INC. LAKE STATION IN $15.00M
NORTHSHORE HEALTH CENTERS, INC. MERRILLVILLE IN $10.89M
NORTHSHORE HEALTH CENTERS, INC. CHESTERTON IN $3.43M
IEPPC URGENT CARE PLLC NOVI MI $2.31M
INDEPENDENT HOSPITALIST PHYSICIANS, PLLC SOUTHFIELD MI $1.60M
NORTHSHORE HEALTH CENTERS, INC. LAKE STATION IN $1.48M
INDEPENDENT OBSERVATION PHYSICIANS PLLC SOUTHFIELD MI $1.14M
NORTHSHORE HEALTH CENTERS, INC. PORTAGE IN $895K
NORTHSHORE HEALTH CENTERS, INC. LA PORTE IN $712K
NORTHSHORE HEALTH CENTERS, INC. DEMOTTE IN $372K
NORTHSHORE HEALTH CENTERS, INC. LA PORTE IN $195K
NORTHSHORE HEALTH CENTERS, INC. SCHERERVILLE IN $167K
NORTHSHORE HEALTH CENTERS, INC. SAINT JOHN IN $134K
NORTHSHORE HEALTH CENTERS, INC. CROWN POINT IN $105K
NORTHSHORE HEALTH CENTERS, INC. LAKE STATION IN $38K
COMFORT TRANS LLC OPELOUSAS LA $20K
NORTHSHORE HEALTH CENTERS, INC. MERRILLVILLE IN $10K
NORTHSHORE HEALTH CENTERS, INC. HOBART IN $3K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 40,102 $1.28M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 53,957 42,982 $2.98M
T1015 Clinic visit/encounter, all-inclusive 89,810 61,822 $1.58M
59425 8,389 5,604 $616K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 18,622 14,178 $607K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,455 5,242 $497K
59426 5,312 2,541 $456K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 4,350 3,766 $339K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3,751 3,215 $278K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 4,102 3,418 $255K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 3,025 2,361 $244K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,789 2,367 $212K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 2,332 2,048 $191K
D0330 Panoramic radiographic image 4,321 3,472 $175K
90472 Immunization administration, each additional vaccine (list separately) 8,990 7,468 $168K
D1110 Prophylaxis - adult 3,785 3,092 $146K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 13,545 11,148 $138K
D0150 Comprehensive oral evaluation - new or established patient 4,039 3,292 $117K
D9999 Unspecified adjunctive procedure, by report 11,069 8,134 $115K
D0140 Limited oral evaluation - problem focused 3,352 2,703 $111K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 1,871 1,116 $110K
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 3,347 1,757 $103K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,310 1,137 $101K
D0120 Periodic oral evaluation - established patient 4,952 3,958 $90K
D2391 Resin-based composite - one surface, posterior, primary or permanent 2,011 1,140 $89K
D0274 Bitewings - four radiographic images 3,544 2,783 $83K
D0210 Intraoral - complete series of radiographic images 2,251 1,896 $70K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 697 646 $65K
D1120 Prophylaxis - child 2,535 2,040 $64K
V2020 Frames, purchases 3,368 2,715 $61K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 798 718 $53K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 997 804 $51K
D1206 Topical application of fluoride varnish 3,353 2,714 $48K
90791 Psychiatric diagnostic evaluation 523 413 $45K
92015 Determination of refractive state 3,755 2,952 $43K
99381 649 575 $40K
99385 468 381 $39K
90834 Psychotherapy, 45 minutes with patient 777 528 $36K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 1,644 1,315 $35K
D7140 Extraction, erupted tooth or exposed root 551 303 $32K
D0220 Intraoral - periapical first radiographic image 2,739 2,200 $29K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 40 38 $28K
98940 1,251 432 $25K
99383 321 245 $23K
90792 Psychiatric diagnostic evaluation with medical services 237 207 $23K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 269 203 $22K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 1,289 533 $21K
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 981 600 $20K
76801 250 221 $19K
D1208 Topical application of fluoride, excluding varnish 2,867 2,276 $18K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 335 300 $17K
V2784 Lens, polycarbonate or equal, any index, per lens 1,406 591 $16K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 267 217 $15K
D0272 Bitewings - two radiographic images 1,005 768 $14K
90832 Psychotherapy, 30 minutes with patient 558 432 $14K
99354 438 324 $13K
59430 143 125 $13K
77067 Screening mammography, bilateral, including computer-aided detection 273 249 $12K
81025 2,474 1,963 $12K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 208 161 $12K
99386 89 81 $10K
76830 Ultrasound, transvaginal 76 74 $7K
99384 89 62 $6K
G9997 Documentation of patient pregnancy anytime during the measurement period prior to and including the current encounter 129 84 $5K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 67 55 $5K
90474 337 304 $4K
86580 594 440 $4K
90686 2,241 1,864 $3K
D4341 26 12 $3K
99382 46 42 $3K
90837 Psychotherapy, 53 minutes with patient 29 17 $3K
72082 77 73 $3K
D4910 33 28 $2K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 133 95 $2K
V2200 Sphere, bifocal, plano to plus or minus 4.00d, per lens 81 39 $2K
0071A 106 51 $2K
11721 209 131 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 123 110 $1K
81003 2,785 1,982 $1K
0011A 98 42 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 235 207 $1K
90651 819 663 $969.85
90670 3,603 3,125 $947.41
0072A 90 44 $930.25
90756 111 90 $920.00
87430 68 62 $817.88
90715 497 366 $701.02
90621 36 21 $640.00
0064A 95 44 $620.47
77063 Screening digital breast tomosynthesis, bilateral 28 27 $514.20
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 43 40 $466.84
D0230 Intraoral - periapical each additional radiographic image 77 50 $452.00
90681 739 641 $363.18
D0145 Oral evaluation for a patient under three years of age 12 12 $355.00
D1320 20 14 $337.50
90633 2,732 2,358 $313.58
87807 35 34 $298.56
71046 Radiologic examination, chest; 2 views 12 12 $252.40
90716 616 512 $242.75
90734 711 538 $218.08
D9430 513 350 $216.00
V2750 Anti-reflective coating, per lens 294 89 $193.00
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 19 12 $184.00
90723 1,605 1,400 $156.45
90707 591 504 $153.06
90710 384 316 $150.01
90698 469 408 $93.48
83036 Hemoglobin; glycosylated (A1C) 106 101 $87.78
90696 376 305 $53.15
90473 29 25 $48.00
90700 316 280 $23.60
90648 2,411 2,094 $21.50
J1050 Injection, medroxyprogesterone acetate, 1 mg 128 109 $0.93
90744 62 56 $0.01
90685 19 19 $0.01
90680 279 251 $0.00
D4999 588 468 $0.00
V2782 Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens 408 200 $0.00
D1330 3,596 3,030 $0.00
90620 64 43 $0.00
D0999 Unspecified diagnostic procedure, by report 629 380 $0.00
90677 100 89 $0.00
90697 103 90 $0.00
91301 153 73 $0.00
91307 167 80 $0.00
90619 265 190 $0.00
99050 12 12 $0.00
91306 80 36 $0.00