Behavioral
Northshore Health Centers, INC.
Northshore Health Centers, INC. was paid $10.89M by Medicaid between Jan 2018 and Dec 2024, across 110 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 23% of everything it billed.
33Billing provider infoNORTHSHORE HEALTH CENTERS, INC.
MERRILLVILLE, IN 46410
MERRILLVILLE, IN 46410
33aNPI1477810315assigned 04/17/2012
33bProvider typeClinical Social Worker
28Total paid$10.89M
24GClaims301,361
24DCodes billed110
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinical Social Worker providers in Indiana
Rank by total paid#2 of 111
Median peer was paid$94K
This provider vs. median116×
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 | 29,521 | $798K | |
| 2019 | 29,154 | $1.31M | |
| 2020 | 25,389 | $1.31M | |
| 2021 | 60,162 | $2.15M | |
| 2022 | 64,559 | $2.06M | |
| 2023 | 52,454 | $1.90M | |
| 2024incomplete | 40,122 | $1.37M |
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 | 23% | 48,414 | 38,811 | $2.54M |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 17% | 80,100 | 58,507 | $1.83M |
| 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 | 10% | 15,374 | 12,824 | $1.14M |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 5.8% | 1,061 | 940 | $632K |
| 59425 | 5.5% | 8,719 | 6,120 | $599K | |
| 59426 | 4.1% | 5,975 | 3,017 | $447K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.1% | 14,497 | 11,817 | $446K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.9% | 5,286 | 4,766 | $421K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.7% | 5,407 | 4,575 | $407K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.5% | 3,702 | 3,251 | $271K |
| D9999 | Unspecified adjunctive procedure, by report | 1.8% | 8,158 | 5,705 | $196K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.4% | 2,038 | 1,794 | $152K |
98 more codes
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.3% | 1,990 | $144K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.3% | 9,058 | $140K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.3% | 14,039 | $137K |
| D0330 | Panoramic radiographic image | 1.2% | 3,089 | $131K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 1,826 | $108K |
| D1110 | Prophylaxis - adult | <1% | 2,813 | $103K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 1,703 | $82K |
| D0140 | Limited oral evaluation - problem focused | <1% | 2,453 | $80K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 2,675 | $78K |
| D0120 | Dental checkup, returning patient | <1% | 4,221 | $73K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 1,180 | $59K |
| D0274 | Bitewings - four radiographic images | <1% | 2,516 | $56K |
| 99381 | <1% | 842 | $55K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 2,756 | $46K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 652 | $42K |
| G0467 | Community health center visit, returning patient | <1% | 1,798 | $40K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 891 | $34K |
| D1120 | Dental cleaning, child | <1% | 1,367 | $33K |
| D1206 | Topical application of fluoride varnish | <1% | 2,926 | $33K |
| 81025 | <1% | 4,706 | $28K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 2,733 | $26K |
| 99383 | <1% | 308 | $24K | |
| 90837 | Psychotherapy session, about an hour | <1% | 419 | $23K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 627 | $22K |
| 59430 | <1% | 147 | $21K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 377 | $19K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 486 | $19K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 217 | $18K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 172 | $15K |
| 99354 | <1% | 260 | $11K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 881 | $11K |
| 76830 | Ultrasound, transvaginal | <1% | 125 | $11K |
| 90474 | <1% | 812 | $9K | |
| G9997 | Documentation of patient pregnancy anytime during the measurement period prior to and including the current encounter | <1% | 199 | $8K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 1,610 | $7K |
| 99382 | <1% | 86 | $6K | |
| 99384 | <1% | 86 | $6K | |
| 90686 | <1% | 1,939 | $6K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 961 | $5K |
| D0272 | Bitewings - two radiographic images | <1% | 293 | $5K |
| 99385 | <1% | 117 | $4K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 67 | $4K |
| 90715 | <1% | 580 | $3K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 260 | $3K |
| 87807 | <1% | 345 | $3K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 37 | $2K |
| 76801 | <1% | 27 | $2K | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 103 | $2K |
| 81003 | <1% | 2,384 | $2K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 40 | $2K |
| 0071A | <1% | 134 | $2K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 334 | $2K |
| 99406 | <1% | 447 | $1K | |
| 17250 | <1% | 32 | $1K | |
| 0072A | <1% | 90 | $1K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 107 | $1K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 15 | $1K |
| 86580 | <1% | 197 | $965.03 | |
| 90670 | <1% | 3,512 | $952.68 | |
| 90756 | <1% | 48 | $820.00 | |
| D4910 | <1% | 14 | $816.24 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 132 | $764.14 |
| 71046 | Radiologic examination, chest; 2 views | <1% | 25 | $589.53 |
| 90723 | <1% | 1,568 | $389.01 | |
| 0064A | <1% | 56 | $388.84 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 27 | $371.58 |
| 90681 | <1% | 1,716 | $368.99 | |
| 90473 | <1% | 112 | $304.00 | |
| 90734 | <1% | 623 | $291.00 | |
| 90656 | <1% | 248 | $271.91 | |
| 90651 | <1% | 677 | $214.32 | |
| D0270 | <1% | 16 | $212.42 | |
| 11721 | <1% | 13 | $151.89 | |
| 90710 | <1% | 483 | $150.00 | |
| 90619 | <1% | 271 | $144.00 | |
| 99417 | Prolong home eval add 15m | <1% | 29 | $97.08 |
| 87280 | <1% | 36 | $80.52 | |
| D9430 | <1% | 170 | $60.00 | |
| 82962 | <1% | 16 | $43.30 | |
| 90648 | <1% | 1,952 | $42.11 | |
| 90633 | <1% | 2,554 | $38.69 | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 218 | $4.58 |
| 90697 | 0% | 787 | $0.00 | |
| 90716 | 0% | 542 | $0.00 | |
| 90677 | 0% | 654 | $0.00 | |
| D1330 | 0% | 1,795 | $0.00 | |
| D4999 | 0% | 360 | $0.00 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | 0% | 66 | $0.00 |
| 90696 | 0% | 300 | $0.00 | |
| 90698 | 0% | 568 | $0.00 | |
| D0999 | Unspecified diagnostic procedure, by report | 0% | 326 | $0.00 |
| 91307 | 0% | 296 | $0.00 | |
| 90620 | 0% | 42 | $0.00 | |
| 91301 | 0% | 29 | $0.00 | |
| 91306 | 0% | 26 | $0.00 | |
| 90707 | 0% | 509 | $0.00 | |
| 90700 | 0% | 218 | $0.00 | |
| 90671 | 0% | 41 | $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.