Beacon Medical Group, INC.
Beacon Medical Group, INC. was paid $2.11M by Medicaid between Jan 2018 and Nov 2024, across 44 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 54% of everything it billed.
GRANGER, IN 46530
Next to other Pediatrics Physician providers in Indiana
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 12,215 | $268K | |
| 2019 | 9,768 | $406K | |
| 2020 | 5,933 | $184K | |
| 2021 | 6,658 | $305K | |
| 2022 | 6,734 | $301K | |
| 2023 | 7,335 | $357K | |
| 2024incomplete | 5,811 | $288K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 54% | 20,061 | 17,302 | $1.15M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 31% | 14,162 | 12,331 | $650K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.4% | 617 | 560 | $51K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.4% | 915 | 817 | $50K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.3% | 4,709 | 4,249 | $48K |
| 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 | 2.0% | 445 | 391 | $43K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.2% | 1,669 | 1,479 | $26K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.1% | 281 | 266 | $23K |
| 36415 | Collection of venous blood by venipuncture | <1% | 6,430 | 5,796 | $21K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 259 | 239 | $17K |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | <1% | 288 | 226 | $5K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 59 | 55 | $4K |
32 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 144 | $4K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 208 | $4K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 506 | $3K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 598 | $2K |
| 90682 | <1% | 52 | $2K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 30 | $2K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 25 | $1K |
| 99381 | <1% | 17 | $1K | |
| 99383 | <1% | 13 | $1K | |
| 90474 | <1% | 82 | $1K | |
| 90686 | <1% | 700 | $675.86 | |
| 99177 | <1% | 165 | $542.04 | |
| 83655 | <1% | 43 | $513.74 | |
| 59025 | Fetal non-stress test | <1% | 35 | $501.90 |
| 90670 | <1% | 305 | $409.24 | |
| 81003 | <1% | 590 | $216.93 | |
| 85018 | <1% | 82 | $188.73 | |
| 90688 | <1% | 86 | $148.53 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 34 | $90.83 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 21 | $75.58 |
| 84460 | <1% | 29 | $56.68 | |
| 82565 | <1% | 34 | $54.77 | |
| 80053 | Comprehensive metabolic panel | <1% | 12 | $38.86 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 123 | $17.61 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 44 | $0.00 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 14 | $0.00 |
| 90656 | 0% | 52 | $0.00 | |
| 90698 | 0% | 211 | $0.00 | |
| 90744 | 0% | 58 | $0.00 | |
| 90680 | 0% | 82 | $0.00 | |
| 90677 | 0% | 124 | $0.00 | |
| 90697 | 0% | 40 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Memorial Hospital of South Bend | South Bend, IN | $33.19M |
| Elkhart General Hospital, INC. | Elkhart, IN | $25.59M |
| Beacon Medical Group, INC. | Granger, IN | $7.19M |
| Beacon Medical Group, INC. | South Bend, IN | $4.76M |
| Beacon Medical Group, INC. | South Bend, IN | $4.65M |
| Beacon Medical Group, INC. | Elkhart, IN | $4.64M |
| Beacon Medical Group, INC. | South Bend, IN | $4.44M |
| Beacon Medical Group, INC. | La Porte, IN | $3.38M |
| Beacon Medical Group, INC. | Elkhart, IN | $2.45M |
| Beacon Medical Group, INC. | South Bend, IN | $1.53M |
| Memorial Hospital of South Bend | Granger, IN | $1.34M |
| Beacon Medical Group, INC. | South Bend, IN | $1.09M |
| Beacon Medical Group, INC. | South Bend, IN | $1.07M |
| Beacon Medical Group, INC. | Elkhart, IN | $953K |
| Beacon Medical Group, INC. | South Bend, IN | $872K |
| Beacon Medical Group, INC. | Mishawaka, IN | $836K |
| Beacon Medical Group, INC. | Elkhart, IN | $758K |
| Beacon Health, LLC | Granger, IN | $733K |
| Beacon Medical Group, INC. | Mishawaka, IN | $727K |
| Beacon Medical Group, INC. | Bristol, IN | $725K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.