Physician
Northshore Health Centers, INC.
Northshore Health Centers, INC. was paid $895K by Medicaid between Jan 2018 and Aug 2023, across 36 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 17% of everything it billed.
33Billing provider infoNORTHSHORE HEALTH CENTERS, INC.
PORTAGE, IN 46368
PORTAGE, IN 46368
33aNPI1467490300assigned 06/03/2006
33bProvider typeFamily Medicine Physician
28Total paid$895K
24GClaims35,626
24DCodes billed36
24AFirst – last monthJan 2018 – Aug 2023
Compared with peers
Next to other Family Medicine Physician providers in Indiana
Rank by total paid#73 of 408
Median peer was paid$81K
This provider vs. median11×
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 | 14,669 | $142K | |
| 2019 | 14,406 | $562K | |
| 2020 | 6,057 | $182K | |
| 2021 | 222 | $7K | |
| 2022 | 257 | $3K | |
| 2023 | 15 | $278.68 |
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 | 17% | 4,957 | 4,286 | $150K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 9.0% | 551 | 462 | $81K |
| D0210 | Intraoral - complete series of radiographic images | 8.2% | 1,671 | 1,407 | $73K |
| D0140 | Limited oral evaluation - problem focused | 6.2% | 2,015 | 1,596 | $55K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.8% | 2,188 | 1,767 | $52K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 5.5% | 1,865 | 1,522 | $49K |
| D0330 | Panoramic radiographic image | 5.2% | 2,160 | 1,701 | $47K |
| D1110 | Prophylaxis - adult | 5.1% | 1,550 | 1,270 | $46K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.1% | 2,580 | 2,111 | $37K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 4.0% | 1,260 | 1,091 | $36K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.9% | 994 | 614 | $35K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.6% | 824 | 596 | $32K |
24 more codes
| D1120 | Dental cleaning, child | 3.2% | 1,413 | $28K |
| G0467 | Community health center visit, returning patient | 3.1% | 1,054 | $27K |
| D0274 | Bitewings - four radiographic images | 2.9% | 1,896 | $26K |
| D1206 | Topical application of fluoride varnish | 2.2% | 1,464 | $20K |
| D0220 | Intraoral - periapical first radiographic image | 1.9% | 2,032 | $17K |
| 90834 | Psychotherapy session, about 45 minutes | 1.5% | 307 | $14K |
| D7140 | Extraction, erupted tooth or exposed root | 1.2% | 289 | $11K |
| 99214 | Doctor's office visit, returning patient (more involved) | 1.2% | 580 | $10K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 1,338 | $9K |
| D0272 | Bitewings - two radiographic images | <1% | 779 | $7K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 88 | $6K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 101 | $5K |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 156 | $5K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 47 | $3K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 273 | $2K |
| D1351 | Sealant - per tooth | <1% | 254 | $2K |
| 90686 | <1% | 280 | $2K | |
| 98943 | <1% | 74 | $1K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 15 | $1K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 62 | $1K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 369 | $922.59 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 14 | $647.65 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 74 | $358.00 |
| 90734 | 0% | 52 | $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.