Medicaid Provider Spending

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

219 HEALTH NETWORK, INC.

NPI: 1659966398 · CROWN POINT, IN 46307 · Pediatrics Physician · NPI assigned 03/04/2021

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

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

$505K
Total Medicaid Paid
19,151
Total Claims
15,869
Beneficiaries
29
Codes Billed
2021-07
First Month
2024-08
Last Month

Provider Details

Authorized OfficialCORTES, WILLIAM (EXECUTIVE DIRECTOR)
NPI Enumeration Date03/04/2021

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 $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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 3,456 $74K
2022 6,040 $160K
2023 5,973 $169K
2024 3,682 $102K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,208 2,606 $175K
T1015 Clinic visit/encounter, all-inclusive 6,530 5,114 $81K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 677 554 $54K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 609 572 $48K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 461 417 $39K
87428 1,064 852 $30K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,490 1,349 $20K
90472 Immunization administration, each additional vaccine (list separately) 919 837 $14K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 172 165 $14K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,142 938 $11K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 168 102 $6K
99382 37 29 $3K
87807 412 327 $2K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 29 28 $2K
99381 27 27 $2K
99383 28 27 $1K
81003 576 505 $883.20
90670 287 267 $446.04
92551 35 35 $272.49
90686 463 388 $212.52
90474 13 13 $193.50
85018 24 24 $46.04
90460 Immunization administration through 18 years of age via any route, first or only component 44 28 $18.14
3074F 303 275 $0.00
90697 12 12 $0.00
90698 14 12 $0.00
3078F 294 268 $0.00
90633 51 41 $0.00
90671 62 57 $0.00