Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

219 Health Network INC

219 Health Network INC was paid $14K by Medicaid between Apr 2019 and Sep 2019, across 6 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 35% of everything it billed.

33Billing provider info219 HEALTH NETWORK INC
EAST CHICAGO, IN 46312
33aNPI1770045098assigned 04/04/2019
28Total paid$14K
24GClaims514
24DCodes billed6
24AFirst – last monthApr 2019 – Sep 2019
Compared with peers

Next to other Federally Qualified Health Center (FQHC) providers in Indiana

Rank by total paid#137 of 156
Median peer was paid$568K
This provider vs. median0.0×

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

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
YearClaimsPaid
2019514$14K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T1015 A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive 35% 118 87 $5K
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 32% 142 130 $4K
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 19% 131 116 $3K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14% 86 75 $2K
82962 <1% 24 16 $53.01
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 0% 13 12 $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)
Same official

Other billing entities under CORTES, WILLIAM

Full network →
ProviderLocationPaid
219 Health Network INCEast Chicago, IN$2.70M
219 Health Network INCEast Chicago, IN$2.59M
219 Health Network, INC.East Chicago, IN$1.26M
219 Health Network INCEast Chicago, IN$932K
219 Health Network INCHighland, IN$794K
219 Health Network, INC.East Chicago, IN$708K
219 Health Network INCEast 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

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.