Clinic
219 Health Network INC
219 Health Network INC was paid $794K by Medicaid between Nov 2020 and Nov 2024, across 31 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 30% of everything it billed.
33Billing provider info219 HEALTH NETWORK INC
HIGHLAND, IN 46322
HIGHLAND, IN 46322
33aNPI1558918334assigned 08/26/2019
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$794K
24GClaims27,025
24DCodes billed31
24AFirst – last monthNov 2020 – Nov 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Indiana
Rank by total paid#68 of 156
Median peer was paid$568K
This provider vs. median1.4×
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 | |
|---|---|---|---|
| 2020 | 73 | $4K | |
| 2021 | 3,119 | $92K | |
| 2022 | 10,312 | $311K | |
| 2023 | 9,091 | $257K | |
| 2024incomplete | 4,430 | $131K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 30% | 4,341 | 3,386 | $240K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 1,646 | 1,397 | $100K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 12% | 1,068 | 888 | $97K |
| 59425 | 12% | 1,303 | 934 | $97K | |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 11% | 11,357 | 9,244 | $86K |
| 59426 | 7.3% | 707 | 324 | $58K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 4.8% | 434 | 395 | $38K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 2.6% | 193 | 171 | $21K |
| G0467 | Community health center visit, returning patientFederally 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 | 2.5% | 1,393 | 1,087 | $20K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.1% | 85 | 81 | $9K |
| 81025 | <1% | 680 | 577 | $5K | |
| 81002 | <1% | 963 | 544 | $3K |
19 more codes
| 90686 | <1% | 252 | $3K | |
| 59430 | <1% | 16 | $3K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 690 | $2K |
| 90662 | <1% | 190 | $2K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 151 | $1K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 22 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 30 | $1K |
| G9997 | Documentation of patient pregnancy anytime during the measurement period prior to and including the current encounter | <1% | 21 | $1K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 158 | $850.36 |
| 90656 | <1% | 70 | $794.40 | |
| 90682 | <1% | 13 | $756.98 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 281 | $750.39 |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 234 | $522.48 |
| 96127 | <1% | 50 | $76.42 | |
| 3078F | 0% | 129 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 260 | $0.00 |
| 3079F | 0% | 85 | $0.00 | |
| 3074F | 0% | 175 | $0.00 | |
| 3075F | 0% | 28 | $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. | 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. | Munster, IN | $26K |
| 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.