Medicaid Provider Spending

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

BEACON MEDICAL GROUP, INC.

NPI: 1053361543 · GRANGER, IN 46530 · Pediatrics Physician · NPI assigned 05/12/2006

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

Authorized official COSTELLO, JEFFREY controls 20+ related entities in our dataset. Read more

$2.11M
Total Medicaid Paid
54,454
Total Claims
47,615
Beneficiaries
44
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialCOSTELLO, JEFFREY (VP-CFO)
NPI Enumeration Date05/12/2006

Related Entities

Other providers sharing the same authorized official: COSTELLO, JEFFREY

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 5,811 $288K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 20,061 17,302 $1.15M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14,162 12,331 $650K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 617 560 $51K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 915 817 $50K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 4,709 4,249 $48K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 445 391 $43K
90472 Immunization administration, each additional vaccine (list separately) 1,669 1,479 $26K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 281 266 $23K
36415 Collection of venous blood by venipuncture 6,430 5,796 $21K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 259 239 $17K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 288 226 $5K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 59 55 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 144 128 $4K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 208 193 $4K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 506 357 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 598 529 $2K
90682 52 42 $2K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 30 30 $2K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 25 13 $1K
99381 17 15 $1K
99383 13 13 $1K
90474 82 73 $1K
90686 700 631 $675.86
99177 165 147 $542.04
83655 43 42 $513.74
59025 Fetal non-stress test 35 26 $501.90
90670 305 278 $409.24
81003 590 432 $216.93
85018 82 80 $188.73
90688 86 84 $148.53
85025 Blood count; complete (CBC), automated, and automated differential WBC count 34 33 $90.83
96110 Developmental screening, with scoring and documentation, per standardized instrument 21 12 $75.58
84460 29 29 $56.68
82565 34 33 $54.77
80053 Comprehensive metabolic panel 12 12 $38.86
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 123 96 $17.61
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 44 41 $0.00
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 14 14 $0.00
90656 52 52 $0.00
90698 211 194 $0.00
90744 58 53 $0.00
90680 82 73 $0.00
90677 124 109 $0.00
90697 40 40 $0.00