219 HEALTH NETWORK, INC.
NPI: 1861125932
· MUNSTER, IN 46321
· Endocrinology, Diabetes & Metabolism Physician
· NPI assigned 07/06/2022
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official CORTES, WILLIAM controls 20+ related entities in our dataset. Read more
$144K
Total Medicaid Paid
Provider Details
| Authorized Official | CORTES, WILLIAM (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 07/06/2022 |
Related Entities
Other providers sharing the same authorized official: CORTES, WILLIAM
| Provider | City | State | Total 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. |
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. |
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
| Year | Claims | Total Paid |
|---|
| 2022 |
282 |
$5K |
| 2023 |
2,684 |
$86K |
| 2024 |
2,367 |
$53K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,827 |
1,390 |
$110K |
| T1015 |
Clinic visit/encounter, all-inclusive |
2,025 |
1,715 |
$18K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
122 |
112 |
$7K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
654 |
573 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
32 |
25 |
$3K |
| 95251 |
|
127 |
105 |
$2K |
| 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 |
124 |
108 |
$1K |
| 3079F |
|
26 |
25 |
$0.00 |
| 3074F |
|
230 |
221 |
$0.00 |
| 3078F |
|
166 |
164 |
$0.00 |