Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

NORTHSHORE HEALTH CENTERS, INC.

NPI: 1407061336 · PORTAGE, IN 46368 · Addiction (Substance Use Disorder) Counselor · NPI assigned 05/14/2007

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official HALL, DAVID controls 20+ related entities in our dataset. Read more

$16.41M
Total Medicaid Paid
551,089
Total Claims
419,571
Beneficiaries
135
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHALL, DAVID (CEO)
NPI Enumeration Date05/14/2007

Related Entities

Other providers sharing the same authorized official: HALL, DAVID

ProviderCityStateTotal Paid
INDEPENDENT EMERGENCY PHYSICIANS, P.C. SOUTHFIELD MI $39.08M
NORTHSHORE HEALTH CENTERS, INC. LAKE STATION IN $15.00M
NORTHSHORE HEALTH CENTERS, INC HAMMOND IN $10.93M
NORTHSHORE HEALTH CENTERS, INC. MERRILLVILLE IN $10.89M
NORTHSHORE HEALTH CENTERS, INC. CHESTERTON IN $3.43M
IEPPC URGENT CARE PLLC NOVI MI $2.31M
INDEPENDENT HOSPITALIST PHYSICIANS, PLLC SOUTHFIELD MI $1.60M
NORTHSHORE HEALTH CENTERS, INC. LAKE STATION IN $1.48M
INDEPENDENT OBSERVATION PHYSICIANS PLLC SOUTHFIELD MI $1.14M
NORTHSHORE HEALTH CENTERS, INC. PORTAGE IN $895K
NORTHSHORE HEALTH CENTERS, INC. LA PORTE IN $712K
NORTHSHORE HEALTH CENTERS, INC. DEMOTTE IN $372K
NORTHSHORE HEALTH CENTERS, INC. LA PORTE IN $195K
NORTHSHORE HEALTH CENTERS, INC. SCHERERVILLE IN $167K
NORTHSHORE HEALTH CENTERS, INC. SAINT JOHN IN $134K
NORTHSHORE HEALTH CENTERS, INC. CROWN POINT IN $105K
NORTHSHORE HEALTH CENTERS, INC. LAKE STATION IN $38K
COMFORT TRANS LLC OPELOUSAS LA $20K
NORTHSHORE HEALTH CENTERS, INC. MERRILLVILLE IN $10K
NORTHSHORE HEALTH CENTERS, INC. HOBART IN $3K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 105,855 $3.08M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 105,319 86,341 $5.63M
T1015 Clinic visit/encounter, all-inclusive 163,192 117,602 $1.90M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 30,622 24,865 $1.02M
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 7,112 5,963 $575K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 6,958 5,968 $505K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 6,515 5,743 $490K
59425 6,521 4,857 $479K
90837 Psychotherapy, 53 minutes with patient 5,065 2,956 $442K
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 13,459 5,173 $402K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,826 4,110 $335K
59426 3,084 1,529 $314K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 4,139 3,611 $302K
D9999 Unspecified adjunctive procedure, by report 14,325 10,613 $270K
90832 Psychotherapy, 30 minutes with patient 6,532 4,016 $267K
90834 Psychotherapy, 45 minutes with patient 4,321 3,052 $224K
90472 Immunization administration, each additional vaccine (list separately) 11,252 9,580 $198K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 2,313 2,010 $190K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 17,534 14,847 $168K
D0330 Panoramic radiographic image 3,767 2,959 $166K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2,011 1,778 $151K
90791 Psychiatric diagnostic evaluation 1,497 1,253 $146K
D1110 Prophylaxis - adult 3,260 2,658 $146K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2,060 1,757 $138K
V2020 Frames, purchases 7,255 5,952 $128K
90792 Psychiatric diagnostic evaluation with medical services 965 832 $119K
D0140 Limited oral evaluation - problem focused 3,240 2,490 $112K
D0150 Comprehensive oral evaluation - new or established patient 3,130 2,579 $111K
G0467 Federally 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 4,603 2,930 $100K
D0120 Periodic oral evaluation - established patient 4,326 3,453 $89K
92015 Determination of refractive state 7,985 6,691 $87K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 4,514 3,485 $86K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 1,136 688 $82K
90853 Group psychotherapy (other than of a multiple-family group) 4,489 1,225 $81K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 790 713 $76K
D1120 Prophylaxis - child 2,142 1,760 $65K
D1206 Topical application of fluoride varnish 4,801 4,028 $62K
D0210 Intraoral - complete series of radiographic images 2,239 1,747 $60K
98940 3,018 1,542 $60K
D2391 Resin-based composite - one surface, posterior, primary or permanent 1,116 638 $59K
D0274 Bitewings - four radiographic images 2,381 1,797 $54K
76830 Ultrasound, transvaginal 609 535 $48K
99381 751 678 $47K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1,054 911 $42K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 2,245 1,080 $36K
D0220 Intraoral - periapical first radiographic image 2,529 1,935 $29K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 303 262 $28K
V2784 Lens, polycarbonate or equal, any index, per lens 2,033 1,050 $28K
90474 2,496 2,177 $28K
77067 Screening mammography, bilateral, including computer-aided detection 277 236 $21K
81025 2,936 2,416 $15K
D1351 Sealant - per tooth 502 116 $14K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 245 210 $13K
97012 1,084 395 $12K
90686 3,599 3,037 $10K
83036 Hemoglobin; glycosylated (A1C) 1,781 1,616 $9K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 1,064 446 $9K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 78 56 $8K
98943 477 156 $7K
D4346 77 69 $7K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 558 448 $7K
99354 144 105 $6K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 47 43 $6K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 155 142 $6K
59430 46 38 $6K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 494 442 $5K
D0272 Bitewings - two radiographic images 353 235 $5K
90715 757 631 $4K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 63 60 $4K
90750 38 31 $4K
V2200 Sphere, bifocal, plano to plus or minus 4.00d, per lens 146 83 $4K
59025 Fetal non-stress test 192 98 $3K
81003 2,552 2,067 $3K
76801 36 36 $3K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 223 60 $3K
99205 Prolong outpt/office vis 13 13 $2K
77063 Screening digital breast tomosynthesis, bilateral 60 48 $2K
90651 631 541 $2K
0064A 214 100 $2K
G9997 Documentation of patient pregnancy anytime during the measurement period prior to and including the current encounter 36 29 $2K
D1208 Topical application of fluoride, excluding varnish 391 243 $2K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 34 28 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 16 15 $2K
90670 4,784 4,197 $2K
99385 13 12 $1K
71046 Radiologic examination, chest; 2 views 42 39 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 91 78 $997.91
99382 12 12 $966.42
72100 29 28 $927.05
90734 677 552 $846.59
90756 48 38 $840.00
99050 3,093 2,635 $825.72
90677 771 703 $813.57
0072A 64 30 $706.99
D1320 28 26 $690.00
0071A 76 47 $669.78
D4910 13 12 $642.79
90716 974 831 $602.66
90680 3,343 2,976 $544.35
90656 162 160 $468.84
92310 35 28 $456.77
90620 43 41 $400.00
90723 2,374 2,079 $399.47
D0145 Oral evaluation for a patient under three years of age 14 13 $355.00
90707 954 816 $328.93
72040 17 15 $325.98
86580 68 52 $300.85
90619 323 290 $288.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 33 31 $275.83
V2750 Anti-reflective coating, per lens 117 55 $243.00
D9430 335 280 $240.00
90633 3,210 2,817 $235.43
87430 26 26 $215.94
11721 15 12 $190.38
87807 14 13 $110.86
90698 911 820 $107.55
99173 54 54 $100.09
D0230 Intraoral - periapical each additional radiographic image 19 12 $85.00
90648 3,325 2,907 $61.48
82962 17 13 $32.80
94150 16 13 $23.97
90700 704 606 $23.58
J1050 Injection, medroxyprogesterone acetate, 1 mg 197 180 $0.52
90696 517 449 $0.00
V2782 Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens 898 371 $0.00
D1330 4,750 4,262 $0.00
D4999 676 632 $0.00
91301 143 66 $0.00
90697 277 254 $0.00
99417 Prolong home eval add 15m 15 14 $0.00
90381 34 34 $0.00
D0999 Unspecified diagnostic procedure, by report 313 228 $0.00
91306 191 91 $0.00
91307 153 84 $0.00
90685 77 71 $0.00
90710 851 758 $0.00