Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

219 HEALTH NETWORK, INC.

NPI: 1588239040 · EAST CHICAGO, IN 46312 · Internal Medicine Physician · NPI assigned 05/26/2021

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official CORTES, WILLIAM controls 20+ related entities in our dataset. Read more

$708K
Total Medicaid Paid
18,144
Total Claims
13,433
Beneficiaries
21
Codes Billed
2021-08
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCORTES, WILLIAM (EXECUTIVE DIRECTOR)
NPI Enumeration Date05/26/2021

Related Entities

Other providers sharing the same authorized official: CORTES, WILLIAM

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 2,021 $63K
2022 5,335 $202K
2023 5,512 $229K
2024 5,276 $214K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,820 4,338 $339K
99232 Subsequent hospital care, per day, moderate complexity 2,291 1,006 $110K
99222 Initial hospital care, per day, moderate complexity 736 617 $66K
99221 982 799 $63K
99223 Prolong inpt eval add15 m 468 370 $57K
T1015 Clinic visit/encounter, all-inclusive 4,786 3,849 $46K
G0467 Federally 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 1,529 1,137 $21K
99231 Subsequent hospital care, per day, straightforward or low complexity 99 55 $3K
90686 181 147 $2K
90656 53 51 $600.97
90662 84 65 $455.94
83036 Hemoglobin; glycosylated (A1C) 47 45 $327.62
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 171 154 $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 38 36 $88.60
3078F 264 239 $0.00
G0444 Annual depression screening, 5 to 15 minutes 12 12 $0.00
G0008 Administration of influenza virus vaccine 125 94 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 34 29 $0.00
3079F 104 96 $0.00
3074F 306 282 $0.00
3075F 14 12 $0.00