Physician
219 Health Network, INC.
219 Health Network, INC. was paid $505K by Medicaid between Jul 2021 and Aug 2024, across 29 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 35% of everything it billed.
33Billing provider info219 HEALTH NETWORK, INC.
CROWN POINT, IN 46307
CROWN POINT, IN 46307
33aNPI1659966398assigned 03/04/2021
33bProvider typePediatrics Physician
28Total paid$505K
24GClaims19,151
24DCodes billed29
24AFirst – last monthJul 2021 – Aug 2024
Compared with peers
Next to other Pediatrics Physician providers in Indiana
Rank by total paid#50 of 119
Median peer was paid$395K
This provider vs. median1.3×
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 | 3,456 | $74K | |
| 2022 | 6,040 | $160K | |
| 2023 | 5,973 | $169K | |
| 2024incomplete | 3,682 | $102K |
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 | 35% | 3,208 | 2,606 | $175K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 16% | 6,530 | 5,114 | $81K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 11% | 677 | 554 | $54K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.5% | 609 | 572 | $48K |
| 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 | 7.7% | 461 | 417 | $39K |
| 87428 | 6.0% | 1,064 | 852 | $30K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 4.0% | 1,490 | 1,349 | $20K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 2.8% | 919 | 837 | $14K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.8% | 172 | 165 | $14K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.1% | 1,142 | 938 | $11K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.3% | 168 | 102 | $6K |
| 99382 | <1% | 37 | 29 | $3K |
17 more codes
| 87807 | <1% | 412 | $2K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 29 | $2K |
| 99381 | <1% | 27 | $2K | |
| 99383 | <1% | 28 | $1K | |
| 81003 | <1% | 576 | $883.20 | |
| 90670 | <1% | 287 | $446.04 | |
| 92551 | <1% | 35 | $272.49 | |
| 90686 | <1% | 463 | $212.52 | |
| 90474 | <1% | 13 | $193.50 | |
| 85018 | <1% | 24 | $46.04 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 44 | $18.14 |
| 3074F | 0% | 303 | $0.00 | |
| 90697 | 0% | 12 | $0.00 | |
| 90698 | 0% | 14 | $0.00 | |
| 3078F | 0% | 294 | $0.00 | |
| 90633 | 0% | 51 | $0.00 | |
| 90671 | 0% | 62 | $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 | East Chicago, IN | $646K |
| 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.