Clinic
219 Health Network INC
219 Health Network INC was paid $2.70M by Medicaid between Apr 2019 and Dec 2024, across 49 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 29% of everything it billed.
33Billing provider info219 HEALTH NETWORK INC
EAST CHICAGO, IN 46312
EAST CHICAGO, IN 46312
33aNPI1265994636assigned 04/03/2019
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$2.70M
24GClaims101,023
24DCodes billed49
24AFirst – last monthApr 2019 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Indiana
Rank by total paid#34 of 156
Median peer was paid$568K
This provider vs. median4.8×
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 | |
|---|---|---|---|
| 2019 | 3,175 | $89K | |
| 2020 | 6,695 | $114K | |
| 2021 | 12,834 | $300K | |
| 2022 | 29,058 | $793K | |
| 2023 | 26,629 | $792K | |
| 2024incomplete | 22,632 | $613K |
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 | 29% | 21,230 | 16,716 | $787K |
| 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 | 28% | 14,314 | 11,311 | $752K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 18% | 35,427 | 29,089 | $489K |
| 59425 | 6.5% | 2,577 | 1,795 | $176K | |
| 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 | 5.1% | 9,052 | 7,439 | $138K |
| 59426 | 4.3% | 1,388 | 689 | $117K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.7% | 1,787 | 1,420 | $47K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.3% | 589 | 521 | $35K |
| 59430 | <1% | 178 | 156 | $26K | |
| 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% | 348 | 303 | $26K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | <1% | 32 | 26 | $20K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 117 | 95 | $13K |
37 more codes
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,502 | $9K |
| 81002 | <1% | 3,198 | $9K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 87 | $8K |
| 81025 | <1% | 1,035 | $7K | |
| 95251 | <1% | 310 | $6K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 122 | $5K |
| 90686 | <1% | 303 | $4K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 106 | $3K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 39 | $3K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 539 | $3K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 27 | $3K |
| G0466 | Community health center visit, new patient | <1% | 58 | $2K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 332 | $2K |
| 99220 | <1% | 18 | $2K | |
| 82962 | <1% | 719 | $2K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 423 | $1K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 316 | $1K |
| 95249 | <1% | 35 | $1K | |
| 90682 | <1% | 41 | $1K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 12 | $984.84 |
| 90662 | <1% | 71 | $886.65 | |
| 90656 | <1% | 49 | $717.48 | |
| 99459 | <1% | 32 | $587.72 | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 29 | $225.60 |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 168 | $132.00 |
| 96127 | <1% | 15 | $25.44 | |
| 90688 | <1% | 28 | $19.17 | |
| 3077F | 0% | 107 | $0.00 | |
| 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 | 0% | 188 | $0.00 |
| 3078F | 0% | 1,149 | $0.00 | |
| 99442 | 0% | 75 | $0.00 | |
| 3074F | 0% | 1,417 | $0.00 | |
| 99441 | 0% | 373 | $0.00 | |
| 3079F | 0% | 727 | $0.00 | |
| 3075F | 0% | 158 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 157 | $0.00 |
| 3080F | 0% | 19 | $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 | $2.59M |
| 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.