Clinic
219 Health Network INC
219 Health Network INC was paid $646K by Medicaid between Jul 2019 and Dec 2024, across 28 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 59% of everything it billed.
33Billing provider info219 HEALTH NETWORK INC
EAST CHICAGO, IN 46312
EAST CHICAGO, IN 46312
33aNPI1578025896assigned 04/04/2019
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$646K
24GClaims22,305
24DCodes billed28
24AFirst – last monthJul 2019 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Indiana
Rank by total paid#74 of 156
Median peer was paid$568K
This provider vs. median1.1×
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 | |
|---|---|---|---|
| 2019 | 467 | $15K | |
| 2020 | 1,104 | $21K | |
| 2021 | 2,429 | $61K | |
| 2022 | 5,862 | $172K | |
| 2023 | 6,541 | $209K | |
| 2024incomplete | 5,902 | $168K |
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 | 59% | 6,945 | 5,236 | $384K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 15% | 8,140 | 6,877 | $94K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 10% | 1,229 | 1,036 | $67K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.6% | 462 | 435 | $36K |
| 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 | 2.8% | 1,500 | 1,203 | $18K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 2.0% | 551 | 516 | $13K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.9% | 1,097 | 1,015 | $12K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 71 | 70 | $6K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 42 | 41 | $2K |
| 90682 | <1% | 60 | 49 | $2K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 440 | 393 | $2K |
| 99460 | <1% | 29 | 27 | $2K |
16 more codes
| 90686 | <1% | 205 | $1K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 20 | $1K |
| 90670 | <1% | 224 | $773.97 | |
| 81002 | <1% | 190 | $483.05 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 14 | $454.68 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 43 | $345.41 |
| 90656 | <1% | 37 | $284.73 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 13 | $126.49 |
| 90651 | <1% | 13 | $13.58 | |
| 3074F | 0% | 377 | $0.00 | |
| 3079F | 0% | 154 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 20 | $0.00 |
| 3075F | 0% | 15 | $0.00 | |
| 3078F | 0% | 328 | $0.00 | |
| 90671 | 0% | 72 | $0.00 | |
| G0071 | Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only | 0% | 14 | $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. | 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.