Medicaid Provider Spending

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

NORTHSHORE HEALTH CENTERS, INC.

NPI: 1861636664 · LAKE STATION, IN 46405 · Addiction (Substance Use Disorder) Counselor · NPI assigned 04/23/2009

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

Authorized official HALL, DAVID controls 20+ related entities in our dataset. Read more

$15.00M
Total Medicaid Paid
425,953
Total Claims
337,055
Beneficiaries
111
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHALL, DAVID (CEO)
NPI Enumeration Date04/23/2009

Related Entities

Other providers sharing the same authorized official: HALL, DAVID

ProviderCityStateTotal Paid
INDEPENDENT EMERGENCY PHYSICIANS, P.C. SOUTHFIELD MI $39.08M
NORTHSHORE HEALTH CENTERS, INC. PORTAGE IN $16.41M
NORTHSHORE HEALTH CENTERS, INC HAMMOND IN $10.93M
NORTHSHORE HEALTH CENTERS, INC. MERRILLVILLE IN $10.89M
NORTHSHORE HEALTH CENTERS, INC. CHESTERTON IN $3.43M
IEPPC URGENT CARE PLLC NOVI MI $2.31M
INDEPENDENT HOSPITALIST PHYSICIANS, PLLC SOUTHFIELD MI $1.60M
NORTHSHORE HEALTH CENTERS, INC. LAKE STATION IN $1.48M
INDEPENDENT OBSERVATION PHYSICIANS PLLC SOUTHFIELD MI $1.14M
NORTHSHORE HEALTH CENTERS, INC. PORTAGE IN $895K
NORTHSHORE HEALTH CENTERS, INC. LA PORTE IN $712K
NORTHSHORE HEALTH CENTERS, INC. DEMOTTE IN $372K
NORTHSHORE HEALTH CENTERS, INC. LA PORTE IN $195K
NORTHSHORE HEALTH CENTERS, INC. SCHERERVILLE IN $167K
NORTHSHORE HEALTH CENTERS, INC. SAINT JOHN IN $134K
NORTHSHORE HEALTH CENTERS, INC. CROWN POINT IN $105K
NORTHSHORE HEALTH CENTERS, INC. LAKE STATION IN $38K
COMFORT TRANS LLC OPELOUSAS LA $20K
NORTHSHORE HEALTH CENTERS, INC. MERRILLVILLE IN $10K
NORTHSHORE HEALTH CENTERS, INC. HOBART IN $3K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 49,461 $1.35M
2019 55,952 $2.77M
2020 40,603 $2.14M
2021 73,543 $2.49M
2022 82,932 $2.30M
2023 70,422 $2.21M
2024 53,040 $1.73M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 88,706 73,118 $4.50M
T1015 Clinic visit/encounter, all-inclusive 112,829 86,480 $2.24M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 24,039 19,302 $1.59M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 22,279 18,290 $773K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 9,423 8,095 $737K
59426 8,301 3,879 $648K
59425 8,946 6,215 $624K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 867 737 $433K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 5,768 4,799 $424K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 5,005 4,374 $395K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3,345 2,982 $255K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 3,160 2,785 $238K
90472 Immunization administration, each additional vaccine (list separately) 11,317 9,624 $184K
V2020 Frames, purchases 9,241 7,923 $177K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 16,253 13,801 $156K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,698 1,502 $125K
92015 Determination of refractive state 10,110 8,727 $115K
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 5,162 3,430 $114K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,860 1,533 $101K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 1,272 1,115 $89K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 5,303 2,538 $88K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 1,124 992 $86K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 4,333 3,308 $85K
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 3,038 1,512 $77K
59430 498 425 $69K
90792 Psychiatric diagnostic evaluation with medical services 437 355 $58K
99381 849 732 $56K
76830 Ultrasound, transvaginal 781 705 $55K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 782 650 $54K
90837 Psychotherapy, 53 minutes with patient 556 366 $44K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 980 878 $40K
77067 Screening mammography, bilateral, including computer-aided detection 925 873 $36K
90832 Psychotherapy, 30 minutes with patient 1,167 951 $36K
90834 Psychotherapy, 45 minutes with patient 643 416 $34K
76801 360 310 $25K
V2784 Lens, polycarbonate or equal, any index, per lens 2,009 982 $23K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 231 204 $23K
81025 4,173 3,339 $17K
90474 1,393 1,185 $17K
99354 436 334 $16K
98940 863 565 $16K
V2200 Sphere, bifocal, plano to plus or minus 4.00d, per lens 531 299 $13K
83036 Hemoglobin; glycosylated (A1C) 3,401 2,922 $13K
90791 Psychiatric diagnostic evaluation 101 88 $10K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 849 734 $10K
90686 1,784 1,491 $8K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 117 107 $7K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 550 506 $5K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 380 315 $5K
99383 67 41 $4K
G9997 Documentation of patient pregnancy anytime during the measurement period prior to and including the current encounter 81 68 $4K
90715 822 699 $2K
71046 Radiologic examination, chest; 2 views 220 196 $2K
81003 3,524 2,677 $2K
99384 35 13 $2K
77066 Tomosynthesis, mammo 156 148 $2K
99215 Prolong outpt/office vis 14 12 $2K
98943 99 66 $2K
58300 31 24 $2K
90670 4,418 3,784 $2K
76642 176 158 $2K
0064A 188 99 $1K
V2203 Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 66 38 $1K
99382 17 12 $1K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 179 76 $1K
59025 Fetal non-stress test 30 16 $1K
99050 6,576 5,387 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 102 97 $1K
V2750 Anti-reflective coating, per lens 566 193 $960.00
90656 76 68 $877.89
90680 2,335 2,002 $875.45
58301 12 12 $857.00
76641 12 12 $828.50
90853 Group psychotherapy (other than of a multiple-family group) 94 26 $789.34
90723 1,796 1,489 $703.29
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 18 13 $677.14
90734 1,054 901 $518.95
90756 30 15 $500.01
87430 85 74 $462.64
0071A 57 34 $446.52
0072A 30 13 $409.31
86580 114 89 $402.58
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 13 13 $379.17
87280 49 46 $344.24
V2107 Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens 19 12 $340.00
90633 3,317 2,861 $280.08
90651 662 571 $227.18
92310 15 13 $223.79
90716 615 533 $184.24
V2782 Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens 1,710 599 $130.00
90698 424 372 $90.56
90648 2,232 1,859 $62.08
82962 36 25 $39.09
72100 17 17 $29.51
J1050 Injection, medroxyprogesterone acetate, 1 mg 1,243 1,075 $5.08
90697 804 731 $0.00
90619 294 245 $0.00
90696 370 336 $0.00
91301 112 61 $0.00
90677 324 310 $0.00
91306 151 76 $0.00
91307 170 92 $0.00
90620 127 113 $0.00
90480 36 25 $0.00
99385 25 24 $0.00
90647 13 12 $0.00
90710 1,020 896 $0.00
90707 573 502 $0.00
90700 273 252 $0.00
90671 18 14 $0.00
91322 36 25 $0.00