Clinic
219 Health Network INC
219 Health Network INC was paid $932K by Medicaid between Jun 2020 and Dec 2024, across 47 billing codes. Its largest line is 99392, Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) — 15% of everything it billed.
33Billing provider info219 HEALTH NETWORK INC
EAST CHICAGO, IN 46312
EAST CHICAGO, IN 46312
33aNPI1225661234assigned 02/18/2020
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$932K
24GClaims36,567
24DCodes billed47
24AFirst – last monthJun 2020 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Indiana
Rank by total paid#64 of 156
Median peer was paid$568K
This provider vs. median1.6×
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 | |
|---|---|---|---|
| 2020 | 787 | $21K | |
| 2021 | 7,813 | $170K | |
| 2022 | 12,748 | $319K | |
| 2023 | 10,184 | $279K | |
| 2024incomplete | 5,035 | $144K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 15% | 1,680 | 1,562 | $139K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 2,342 | 2,012 | $128K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 13% | 1,541 | 1,388 | $120K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 13% | 1,650 | 1,407 | $118K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 10% | 9,755 | 8,520 | $95K |
| 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 | 9.3% | 1,292 | 1,115 | $87K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 7.7% | 952 | 832 | $72K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 5.7% | 2,396 | 2,151 | $53K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 5.2% | 3,734 | 3,309 | $48K |
| 99460 | 1.5% | 247 | 215 | $14K | |
| 99383 | 1.1% | 201 | 149 | $10K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 208 | 186 | $9K |
35 more codes
| 90474 | <1% | 656 | $9K | |
| G0467 | Community health center visit, returning patient | <1% | 447 | $5K |
| 99384 | <1% | 94 | $5K | |
| 99382 | <1% | 70 | $4K | |
| 83655 | <1% | 411 | $4K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 416 | $2K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 15 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 56 | $2K |
| 99381 | <1% | 36 | $2K | |
| 54150 | <1% | 14 | $1K | |
| 85018 | <1% | 413 | $793.66 | |
| 90473 | <1% | 47 | $675.00 | |
| 90710 | <1% | 491 | $259.37 | |
| 90620 | <1% | 154 | $244.32 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 13 | $221.31 |
| 90686 | <1% | 759 | $132.93 | |
| 90734 | <1% | 413 | $102.50 | |
| 96127 | <1% | 28 | $23.28 | |
| 90680 | <1% | 611 | $4.97 | |
| 90670 | <1% | 1,134 | $2.70 | |
| 90633 | 0% | 632 | $0.00 | |
| 3078F | 0% | 325 | $0.00 | |
| 3077F | 0% | 58 | $0.00 | |
| 90715 | 0% | 350 | $0.00 | |
| 90672 | 0% | 53 | $0.00 | |
| 90647 | 0% | 475 | $0.00 | |
| 3079F | 0% | 281 | $0.00 | |
| 3074F | 0% | 459 | $0.00 | |
| 90723 | 0% | 490 | $0.00 | |
| 3075F | 0% | 103 | $0.00 | |
| 90651 | 0% | 445 | $0.00 | |
| 90696 | 0% | 144 | $0.00 | |
| 90698 | 0% | 412 | $0.00 | |
| 3080F | 0% | 13 | $0.00 | |
| 90674 | 0% | 51 | $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 | $1.26M |
| 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.