Behavioral
Northshore Health Centers, INC.
Northshore Health Centers, INC. was paid $3.43M by Medicaid between Jan 2018 and Dec 2024, across 78 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 38% of everything it billed.
33Billing provider infoNORTHSHORE HEALTH CENTERS, INC.
CHESTERTON, IN 46304
CHESTERTON, IN 46304
33aNPI1568856045assigned 03/24/2015
33bProvider typeClinical Psychologist
28Total paid$3.43M
24GClaims104,096
24DCodes billed78
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinical Psychologist providers in Indiana
Rank by total paid#6 of 72
Median peer was paid$65K
This provider vs. median53×
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 | 9,529 | $251K | |
| 2019 | 10,233 | $465K | |
| 2020 | 9,946 | $451K | |
| 2021 | 17,885 | $592K | |
| 2022 | 14,279 | $389K | |
| 2023 | 24,891 | $762K | |
| 2024incomplete | 17,333 | $522K |
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 | 38% | 25,992 | 20,413 | $1.32M |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 17% | 33,279 | 23,765 | $594K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.8% | 2,616 | 2,301 | $200K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.7% | 2,683 | 2,182 | $194K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.6% | 4,666 | 3,821 | $158K |
| 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 | 3.9% | 2,347 | 1,930 | $135K |
| 59425 | 3.7% | 1,639 | 1,135 | $126K | |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 3.6% | 1,277 | 773 | $124K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.3% | 1,136 | 979 | $80K |
| 59426 | 2.3% | 871 | 393 | $79K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 2.1% | 4,086 | 3,496 | $73K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 2.1% | 807 | 735 | $71K |
66 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.5% | 5,561 | $52K |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | 1.3% | 1,439 | $45K |
| 90834 | Psychotherapy session, about 45 minutes | 1.2% | 592 | $40K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 441 | $29K |
| 92015 | Determination of refractive state | <1% | 980 | $11K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 83 | $9K |
| D9999 | Unspecified adjunctive procedure, by report | <1% | 531 | $9K |
| V2020 | Frames, purchases | <1% | 469 | $8K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 310 | $5K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 50 | $5K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 225 | $5K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 377 | $4K |
| 90474 | <1% | 266 | $4K | |
| 99381 | <1% | 66 | $4K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 41 | $4K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 56 | $3K |
| 59430 | <1% | 16 | $3K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 51 | $3K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 32 | $3K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 23 | $3K |
| 90715 | <1% | 130 | $2K | |
| D1206 | Topical application of fluoride varnish | <1% | 127 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 53 | $2K |
| 90750 | <1% | 13 | $2K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 199 | $2K |
| 81025 | <1% | 514 | $2K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 38 | $2K |
| D1110 | Prophylaxis - adult | <1% | 27 | $2K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 134 | $2K |
| 87807 | <1% | 206 | $2K | |
| 90686 | <1% | 1,414 | $2K | |
| D0274 | Bitewings - four radiographic images | <1% | 42 | $1K |
| 76830 | Ultrasound, transvaginal | <1% | 13 | $1K |
| G0467 | Community health center visit, returning patient | <1% | 30 | $914.48 |
| 90670 | <1% | 1,729 | $897.71 | |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 51 | $740.00 |
| D0120 | Dental checkup, returning patient | <1% | 26 | $735.00 |
| 0064A | <1% | 64 | $706.05 | |
| 90473 | <1% | 102 | $688.00 | |
| D0330 | Panoramic radiographic image | <1% | 18 | $464.56 |
| 0072A | <1% | 49 | $334.89 | |
| 81003 | <1% | 478 | $299.17 | |
| 90756 | <1% | 21 | $240.00 | |
| 90716 | <1% | 156 | $117.80 | |
| 87280 | <1% | 14 | $110.93 | |
| 90698 | <1% | 54 | $93.28 | |
| 90680 | <1% | 1,023 | $88.84 | |
| 90723 | <1% | 745 | $76.84 | |
| 90707 | <1% | 182 | $72.10 | |
| 90633 | <1% | 1,041 | $64.54 | |
| V2782 | Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens | <1% | 92 | $40.00 |
| V2750 | Anti-reflective coating, per lens | <1% | 33 | $37.50 |
| 90700 | 0% | 100 | $0.00 | |
| 90648 | 0% | 1,250 | $0.00 | |
| 90710 | 0% | 81 | $0.00 | |
| 90685 | 0% | 34 | $0.00 | |
| 90734 | 0% | 90 | $0.00 | |
| 90696 | 0% | 63 | $0.00 | |
| 90651 | 0% | 155 | $0.00 | |
| 90677 | 0% | 94 | $0.00 | |
| 91307 | 0% | 60 | $0.00 | |
| D1330 | 0% | 236 | $0.00 | |
| 90744 | 0% | 17 | $0.00 | |
| 91306 | 0% | 59 | $0.00 | |
| 90619 | 0% | 14 | $0.00 | |
| 90656 | 0% | 17 | $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.