Physician
219 Health Network, INC.
219 Health Network, INC. was paid $26K by Medicaid between Apr 2024 and Dec 2024, across 11 billing codes. Its largest line is 59425, — 49% of everything it billed.
33Billing provider info219 HEALTH NETWORK, INC.
MUNSTER, IN 46321
MUNSTER, IN 46321
33aNPI1407539471assigned 08/08/2023
33bProvider typeObstetrics & Gynecology Physician
28Total paid$26K
24GClaims2,546
24DCodes billed11
24AFirst – last monthApr 2024 – Dec 2024
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in Indiana
Rank by total paid#53 of 89
Median peer was paid$64K
This provider vs. median0.4×
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 | |
|---|---|---|---|
| 2024incomplete | 2,546 | $26K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 59425 | 49% | 166 | 141 | $13K | |
| 59426 | 30% | 93 | 45 | $8K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.4% | 20 | 19 | $1K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 5.0% | 12 | 12 | $1K |
| 81002 | 4.0% | 388 | 248 | $1K | |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 3.7% | 835 | 631 | $978.56 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.2% | 15 | 13 | $569.94 |
| 81025 | <1% | 12 | 12 | $56.25 | |
| 3078F | 0% | 416 | 312 | $0.00 | |
| 3074F | 0% | 565 | 427 | $0.00 | |
| 3079F | 0% | 24 | 21 | $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 | 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 | East Chicago, IN | $20K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.