Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Northshore Health Centers, INC.

Northshore Health Centers, INC. was paid $372K by Medicaid between Nov 2021 and Nov 2024, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 49% of everything it billed.

33Billing provider infoNORTHSHORE HEALTH CENTERS, INC.
DEMOTTE, IN 46310
33aNPI1295498947assigned 10/20/2021
33bProvider typePediatrics Physician
28Total paid$372K
24GClaims15,257
24DCodes billed12
24AFirst – last monthNov 2021 – Nov 2024
Compared with peers

Next to other Pediatrics Physician providers in Indiana

Rank by total paid#61 of 119
Median peer was paid$395K
This provider vs. median0.9×

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

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
2021464$10K
20224,957$105K
20234,873$128K
2024incomplete4,963$130K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 49% 2,901 2,461 $183K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 30% 3,200 2,499 $111K
T1015 A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive 15% 8,131 6,403 $56K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 3.4% 301 264 $13K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 386 347 $3K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 15 15 $1K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 14 13 $1K
90472 Immunization administration, each additional vaccine (list separately) <1% 141 118 $1K
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% 14 12 $929.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 99 87 $922.22
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 30 30 $339.44
87807 <1% 25 24 $171.08

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)
Same official

Other billing entities under HALL, DAVID

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.