Physician
219 Health Network, INC.
219 Health Network, INC. was paid $708K by Medicaid between Aug 2021 and Dec 2024, across 21 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 48% of everything it billed.
33Billing provider info219 HEALTH NETWORK, INC.
EAST CHICAGO, IN 46312
EAST CHICAGO, IN 46312
33aNPI1588239040assigned 05/26/2021
33bProvider typeInternal Medicine Physician
28Total paid$708K
24GClaims18,144
24DCodes billed21
24AFirst – last monthAug 2021 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Indiana
Rank by total paid#45 of 316
Median peer was paid$17K
This provider vs. median42×
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 | |
|---|---|---|---|
| 2021 | 2,021 | $63K | |
| 2022 | 5,335 | $202K | |
| 2023 | 5,512 | $229K | |
| 2024incomplete | 5,276 | $214K |
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 | 48% | 5,820 | 4,338 | $339K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 16% | 2,291 | 1,006 | $110K |
| 99222 | Initial hospital care, per day, moderate complexity | 9.3% | 736 | 617 | $66K |
| 99221 | 8.9% | 982 | 799 | $63K | |
| 99223 | Prolong inpt eval add15 m | 8.0% | 468 | 370 | $57K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 6.5% | 4,786 | 3,849 | $46K |
| 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 | 3.0% | 1,529 | 1,137 | $21K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 99 | 55 | $3K |
| 90686 | <1% | 181 | 147 | $2K | |
| 90656 | <1% | 53 | 51 | $600.97 | |
| 90662 | <1% | 84 | 65 | $455.94 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 47 | 45 | $327.62 |
9 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 171 | $209.96 |
| G0468 | Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv | <1% | 38 | $88.60 |
| 3078F | 0% | 264 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 12 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 125 | $0.00 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 34 | $0.00 |
| 3079F | 0% | 104 | $0.00 | |
| 3074F | 0% | 306 | $0.00 | |
| 3075F | 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 | $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.