Behavioral
Northshore Health Centers, INC.
Northshore Health Centers, INC. was paid $16.41M by Medicaid between Jan 2018 and Dec 2024, across 135 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 34% of everything it billed.
33Billing provider infoNORTHSHORE HEALTH CENTERS, INC.
PORTAGE, IN 46368
PORTAGE, IN 46368
33aNPI1407061336assigned 05/14/2007
33bProvider typeAddiction (Substance Use Disorder) Counselor
28Total paid$16.41M
24GClaims551,089
24DCodes billed135
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Addiction (Substance Use Disorder) Counselor providers in Indiana
Rank by total paid#3 of 28
Median peer was paid$313K
This provider vs. median52×
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
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 | 29,445 | $849K | |
| 2019 | 31,622 | $1.38M | |
| 2020 | 43,000 | $1.72M | |
| 2021 | 98,730 | $2.91M | |
| 2022 | 125,071 | $3.33M | |
| 2023 | 117,366 | $3.14M | |
| 2024incomplete | 105,855 | $3.08M |
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 | 34% | 105,319 | 86,341 | $5.63M |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 12% | 163,192 | 117,602 | $1.90M |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 6.2% | 30,622 | 24,865 | $1.02M |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 3.5% | 7,112 | 5,963 | $575K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.1% | 6,958 | 5,968 | $505K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.0% | 6,515 | 5,743 | $490K |
| 59425 | 2.9% | 6,521 | 4,857 | $479K | |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 2.7% | 5,065 | 2,956 | $442K |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | 2.5% | 13,459 | 5,173 | $402K |
| 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 | 2.0% | 4,826 | 4,110 | $335K |
| 59426 | 1.9% | 3,084 | 1,529 | $314K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.8% | 4,139 | 3,611 | $302K |
123 more codes
| D9999 | Unspecified adjunctive procedure, by report | 1.6% | 14,325 | $270K |
| 90832 | Psychotherapy session, about 30 minutes | 1.6% | 6,532 | $267K |
| 90834 | Psychotherapy session, about 45 minutes | 1.4% | 4,321 | $224K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.2% | 11,252 | $198K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.2% | 2,313 | $190K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.0% | 17,534 | $168K |
| D0330 | Panoramic radiographic image | 1.0% | 3,767 | $166K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 2,011 | $151K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 1,497 | $146K |
| D1110 | Prophylaxis - adult | <1% | 3,260 | $146K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 2,060 | $138K |
| V2020 | Frames, purchases | <1% | 7,255 | $128K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 965 | $119K |
| D0140 | Limited oral evaluation - problem focused | <1% | 3,240 | $112K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 3,130 | $111K |
| G0467 | Community health center visit, returning patient | <1% | 4,603 | $100K |
| D0120 | Dental checkup, returning patient | <1% | 4,326 | $89K |
| 92015 | Determination of refractive state | <1% | 7,985 | $87K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 4,514 | $86K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 1,136 | $82K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 4,489 | $81K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 790 | $76K |
| D1120 | Dental cleaning, child | <1% | 2,142 | $65K |
| D1206 | Topical application of fluoride varnish | <1% | 4,801 | $62K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 2,239 | $60K |
| 98940 | <1% | 3,018 | $60K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 1,116 | $59K |
| D0274 | Bitewings - four radiographic images | <1% | 2,381 | $54K |
| 76830 | Ultrasound, transvaginal | <1% | 609 | $48K |
| 99381 | <1% | 751 | $47K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 1,054 | $42K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 2,245 | $36K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 2,529 | $29K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 303 | $28K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 2,033 | $28K |
| 90474 | <1% | 2,496 | $28K | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 277 | $21K |
| 81025 | <1% | 2,936 | $15K | |
| D1351 | Sealant - per tooth | <1% | 502 | $14K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 245 | $13K |
| 97012 | <1% | 1,084 | $12K | |
| 90686 | <1% | 3,599 | $10K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,781 | $9K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 1,064 | $9K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 78 | $8K |
| 98943 | <1% | 477 | $7K | |
| D4346 | <1% | 77 | $7K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 558 | $7K |
| 99354 | <1% | 144 | $6K | |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | <1% | 47 | $6K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 155 | $6K |
| 59430 | <1% | 46 | $6K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 494 | $5K |
| D0272 | Bitewings - two radiographic images | <1% | 353 | $5K |
| 90715 | <1% | 757 | $4K | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 63 | $4K |
| 90750 | <1% | 38 | $4K | |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | <1% | 146 | $4K |
| 59025 | Fetal non-stress test | <1% | 192 | $3K |
| 81003 | <1% | 2,552 | $3K | |
| 76801 | <1% | 36 | $3K | |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 223 | $3K |
| 99205 | Prolong outpt/office vis | <1% | 13 | $2K |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 60 | $2K |
| 90651 | <1% | 631 | $2K | |
| 0064A | <1% | 214 | $2K | |
| G9997 | Documentation of patient pregnancy anytime during the measurement period prior to and including the current encounter | <1% | 36 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 391 | $2K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 34 | $2K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 16 | $2K |
| 90670 | <1% | 4,784 | $2K | |
| 99385 | <1% | 13 | $1K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 42 | $1K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 91 | $997.91 |
| 99382 | <1% | 12 | $966.42 | |
| 72100 | <1% | 29 | $927.05 | |
| 90734 | <1% | 677 | $846.59 | |
| 90756 | <1% | 48 | $840.00 | |
| 99050 | <1% | 3,093 | $825.72 | |
| 90677 | <1% | 771 | $813.57 | |
| 0072A | <1% | 64 | $706.99 | |
| D1320 | <1% | 28 | $690.00 | |
| 0071A | <1% | 76 | $669.78 | |
| D4910 | <1% | 13 | $642.79 | |
| 90716 | <1% | 974 | $602.66 | |
| 90680 | <1% | 3,343 | $544.35 | |
| 90656 | <1% | 162 | $468.84 | |
| 92310 | <1% | 35 | $456.77 | |
| 90620 | <1% | 43 | $400.00 | |
| 90723 | <1% | 2,374 | $399.47 | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 14 | $355.00 |
| 90707 | <1% | 954 | $328.93 | |
| 72040 | <1% | 17 | $325.98 | |
| 86580 | <1% | 68 | $300.85 | |
| 90619 | <1% | 323 | $288.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 33 | $275.83 |
| V2750 | Anti-reflective coating, per lens | <1% | 117 | $243.00 |
| D9430 | <1% | 335 | $240.00 | |
| 90633 | <1% | 3,210 | $235.43 | |
| 87430 | <1% | 26 | $215.94 | |
| 11721 | <1% | 15 | $190.38 | |
| 87807 | <1% | 14 | $110.86 | |
| 90698 | <1% | 911 | $107.55 | |
| 99173 | <1% | 54 | $100.09 | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 19 | $85.00 |
| 90648 | <1% | 3,325 | $61.48 | |
| 82962 | <1% | 17 | $32.80 | |
| 94150 | <1% | 16 | $23.97 | |
| 90700 | <1% | 704 | $23.58 | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 197 | $0.52 |
| 90696 | 0% | 517 | $0.00 | |
| V2782 | Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens | 0% | 898 | $0.00 |
| D1330 | 0% | 4,750 | $0.00 | |
| D4999 | 0% | 676 | $0.00 | |
| 91301 | 0% | 143 | $0.00 | |
| 90697 | 0% | 277 | $0.00 | |
| 99417 | Prolong home eval add 15m | 0% | 15 | $0.00 |
| 90381 | 0% | 34 | $0.00 | |
| D0999 | Unspecified diagnostic procedure, by report | 0% | 313 | $0.00 |
| 91306 | 0% | 191 | $0.00 | |
| 91307 | 0% | 153 | $0.00 | |
| 90685 | 0% | 77 | $0.00 | |
| 90710 | 0% | 851 | $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 officialHALL, DAVID (CEO)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.