Behavioral
Northshore Health Centers, INC.
Northshore Health Centers, INC. was paid $15.00M by Medicaid between Jan 2018 and Dec 2024, across 111 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 30% of everything it billed.
33Billing provider infoNORTHSHORE HEALTH CENTERS, INC.
LAKE STATION, IN 46405
LAKE STATION, IN 46405
33aNPI1861636664assigned 04/23/2009
33bProvider typeAddiction (Substance Use Disorder) Counselor
28Total paid$15.00M
24GClaims425,953
24DCodes billed111
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Addiction (Substance Use Disorder) Counselor providers in Indiana
Rank by total paid#4 of 28
Median peer was paid$313K
This provider vs. median48×
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 HALL, DAVID 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 | |
|---|---|---|---|
| 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 | |
| 2024incomplete | 53,040 | $1.73M |
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 | 30% | 88,706 | 73,118 | $4.50M |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 15% | 112,829 | 86,480 | $2.24M |
| 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 | 11% | 24,039 | 19,302 | $1.59M |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 5.2% | 22,279 | 18,290 | $773K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 4.9% | 9,423 | 8,095 | $737K |
| 59426 | 4.3% | 8,301 | 3,879 | $648K | |
| 59425 | 4.2% | 8,946 | 6,215 | $624K | |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 2.9% | 867 | 737 | $433K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.8% | 5,768 | 4,799 | $424K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.6% | 5,005 | 4,374 | $395K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.7% | 3,345 | 2,982 | $255K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.6% | 3,160 | 2,785 | $238K |
99 more codes
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.2% | 11,317 | $184K |
| V2020 | Frames, purchases | 1.2% | 9,241 | $177K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.0% | 16,253 | $156K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,698 | $125K |
| 92015 | Determination of refractive state | <1% | 10,110 | $115K |
| G0467 | Community health center visit, returning patient | <1% | 5,162 | $114K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 1,860 | $101K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 1,272 | $89K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 5,303 | $88K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 1,124 | $86K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 4,333 | $85K |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 3,038 | $77K |
| 59430 | <1% | 498 | $69K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 437 | $58K |
| 99381 | <1% | 849 | $56K | |
| 76830 | Ultrasound, transvaginal | <1% | 781 | $55K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 782 | $54K |
| 90837 | Psychotherapy session, about an hour | <1% | 556 | $44K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 980 | $40K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 925 | $36K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 1,167 | $36K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 643 | $34K |
| 76801 | <1% | 360 | $25K | |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 2,009 | $23K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 231 | $23K |
| 81025 | <1% | 4,173 | $17K | |
| 90474 | <1% | 1,393 | $17K | |
| 99354 | <1% | 436 | $16K | |
| 98940 | <1% | 863 | $16K | |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | <1% | 531 | $13K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 3,401 | $13K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 101 | $10K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 849 | $10K |
| 90686 | <1% | 1,784 | $8K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 117 | $7K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 550 | $5K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 380 | $5K |
| 99383 | <1% | 67 | $4K | |
| G9997 | Documentation of patient pregnancy anytime during the measurement period prior to and including the current encounter | <1% | 81 | $4K |
| 90715 | <1% | 822 | $2K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 220 | $2K |
| 81003 | <1% | 3,524 | $2K | |
| 99384 | <1% | 35 | $2K | |
| 77066 | Tomosynthesis, mammo | <1% | 156 | $2K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 14 | $2K |
| 98943 | <1% | 99 | $2K | |
| 58300 | <1% | 31 | $2K | |
| 90670 | <1% | 4,418 | $2K | |
| 76642 | <1% | 176 | $2K | |
| 0064A | <1% | 188 | $1K | |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 66 | $1K |
| 99382 | <1% | 17 | $1K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 179 | $1K |
| 59025 | Fetal non-stress test | <1% | 30 | $1K |
| 99050 | <1% | 6,576 | $1K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 102 | $1K |
| V2750 | Anti-reflective coating, per lens | <1% | 566 | $960.00 |
| 90656 | <1% | 76 | $877.89 | |
| 90680 | <1% | 2,335 | $875.45 | |
| 58301 | <1% | 12 | $857.00 | |
| 76641 | <1% | 12 | $828.50 | |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 94 | $789.34 |
| 90723 | <1% | 1,796 | $703.29 | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 18 | $677.14 |
| 90734 | <1% | 1,054 | $518.95 | |
| 90756 | <1% | 30 | $500.01 | |
| 87430 | <1% | 85 | $462.64 | |
| 0071A | <1% | 57 | $446.52 | |
| 0072A | <1% | 30 | $409.31 | |
| 86580 | <1% | 114 | $402.58 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 13 | $379.17 |
| 87280 | <1% | 49 | $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 | <1% | 19 | $340.00 |
| 90633 | <1% | 3,317 | $280.08 | |
| 90651 | <1% | 662 | $227.18 | |
| 92310 | <1% | 15 | $223.79 | |
| 90716 | <1% | 615 | $184.24 | |
| V2782 | Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens | <1% | 1,710 | $130.00 |
| 90698 | <1% | 424 | $90.56 | |
| 90648 | <1% | 2,232 | $62.08 | |
| 82962 | <1% | 36 | $39.09 | |
| 72100 | <1% | 17 | $29.51 | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 1,243 | $5.08 |
| 90697 | 0% | 804 | $0.00 | |
| 90619 | 0% | 294 | $0.00 | |
| 90696 | 0% | 370 | $0.00 | |
| 91301 | 0% | 112 | $0.00 | |
| 90677 | 0% | 324 | $0.00 | |
| 91306 | 0% | 151 | $0.00 | |
| 91307 | 0% | 170 | $0.00 | |
| 90620 | 0% | 127 | $0.00 | |
| 90480 | 0% | 36 | $0.00 | |
| 99385 | 0% | 25 | $0.00 | |
| 90647 | 0% | 13 | $0.00 | |
| 90710 | 0% | 1,020 | $0.00 | |
| 90707 | 0% | 573 | $0.00 | |
| 90700 | 0% | 273 | $0.00 | |
| 90671 | 0% | 18 | $0.00 | |
| 91322 | 0% | 36 | $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 officialHALL, DAVID (CEO)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.