Physician
219 Health Network INC
219 Health Network INC was paid $2.59M by Medicaid between May 2018 and Nov 2024, across 80 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 30% of everything it billed.
33Billing provider info219 HEALTH NETWORK INC
EAST CHICAGO, IN 46312
EAST CHICAGO, IN 46312
33aNPI1093213506assigned 01/30/2018
33bProvider typeInternal Medicine Physician
28Total paid$2.59M
24GClaims72,913
24DCodes billed80
24AFirst – last monthMay 2018 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in Indiana
Rank by total paid#22 of 316
Median peer was paid$17K
This provider vs. median153×
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 | |
|---|---|---|---|
| 2018 | 12,322 | $146K | |
| 2019 | 12,600 | $477K | |
| 2020 | 15,696 | $710K | |
| 2021 | 29,460 | $1.18M | |
| 2022 | 600 | $25K | |
| 2023 | 560 | $12K | |
| 2024incomplete | 1,675 | $48K |
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 | 30% | 17,533 | 13,905 | $791K |
| 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 | 30% | 11,617 | 9,012 | $769K |
| 59425 | 9.6% | 3,229 | 2,019 | $249K | |
| 59426 | 2.7% | 1,021 | 403 | $70K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.3% | 802 | 668 | $61K |
| 99383 | 2.3% | 627 | 553 | $59K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.2% | 2,677 | 880 | $56K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 2.0% | 2,155 | 1,772 | $53K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.4% | 470 | 430 | $37K |
| 99384 | 1.4% | 404 | 330 | $36K | |
| 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 | 1.3% | 247 | 202 | $35K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.3% | 3,082 | 2,469 | $34K |
68 more codes
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.3% | 1,542 | $33K |
| 99382 | 1.2% | 356 | $32K | |
| 90791 | Psychiatric diagnostic evaluation | 1.0% | 247 | $27K |
| 99215 | Doctor's office visit, returning patient (complex) | 1.0% | 238 | $27K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.0% | 747 | $26K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 307 | $23K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 159 | $21K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 215 | $12K |
| 81002 | <1% | 4,102 | $11K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 246 | $11K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 126 | $11K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 96 | $10K |
| 99223 | Prolong inpt eval add15 m | <1% | 138 | $9K |
| 99460 | <1% | 178 | $9K | |
| 99221 | <1% | 203 | $8K | |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | <1% | 12 | $8K |
| 99381 | <1% | 88 | $7K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 58 | $6K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 140 | $6K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,425 | $6K |
| 90474 | <1% | 372 | $5K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 154 | $5K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 250 | $4K |
| 83655 | <1% | 397 | $3K | |
| 96127 | <1% | 994 | $3K | |
| 90686 | <1% | 765 | $3K | |
| 81025 | <1% | 426 | $3K | |
| 90682 | <1% | 46 | $3K | |
| 59430 | <1% | 15 | $2K | |
| 82962 | <1% | 1,147 | $1K | |
| 90473 | <1% | 136 | $1K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 32 | $1K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 98 | $1K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 29 | $819.06 |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 132 | $807.60 |
| 87428 | <1% | 13 | $763.08 | |
| 85018 | <1% | 379 | $704.26 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 533 | $700.15 |
| G0071 | Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only | <1% | 145 | $588.71 |
| 90688 | <1% | 77 | $534.88 | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 29 | $353.42 |
| 90620 | <1% | 60 | $344.03 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 22 | $293.76 |
| 87210 | <1% | 52 | $264.16 | |
| 99218 | <1% | 26 | $249.80 | |
| 99442 | <1% | 101 | $214.81 | |
| 99406 | <1% | 34 | $126.93 | |
| 90734 | <1% | 173 | $102.50 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 16 | $89.76 |
| 90715 | <1% | 172 | $43.38 | |
| 90670 | <1% | 624 | $8.00 | |
| 90680 | 0% | 345 | $0.00 | |
| 90723 | 0% | 268 | $0.00 | |
| 90698 | 0% | 214 | $0.00 | |
| 90647 | 0% | 264 | $0.00 | |
| 90651 | 0% | 261 | $0.00 | |
| 90696 | 0% | 86 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 12 | $0.00 |
| 99441 | 0% | 28 | $0.00 | |
| 3074F | 0% | 16 | $0.00 | |
| 3079F | 0% | 14 | $0.00 | |
| T1015 | A visit at a community health center or clinic (one all-in rate) | 0% | 8,464 | $0.00 |
| 90710 | 0% | 290 | $0.00 | |
| 90672 | 0% | 156 | $0.00 | |
| 90633 | 0% | 380 | $0.00 | |
| J1944 | Injection, aripiprazole lauroxil, (aristada), 1 mg | 0% | 135 | $0.00 |
| J2426 | Injection, paliperidone palmitate extended release (invega sustenna), 1 mg | 0% | 31 | $0.00 |
| 3078F | 0% | 13 | $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 | $1.26M |
| 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.