NPI: 1114262078 · ELKHART, IN 46514 · Internal Medicine Physician · NPI assigned 12/04/2012
Authorized official COSTELLO, JEFFREY controls 20+ related entities in our dataset. Read more
| Authorized Official | COSTELLO, JEFFREY (CFO) |
| NPI Enumeration Date | 12/04/2012 |
Other providers sharing the same authorized official: COSTELLO, JEFFREY
| Provider | City | State | Total 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. | GRANGER | IN | $2.11M |
| 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 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,979 | $21K |
| 2019 | 2,047 | $50K |
| 2020 | 2,016 | $39K |
| 2021 | 1,707 | $46K |
| 2022 | 1,497 | $51K |
| 2023 | 1,382 | $42K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 3,248 | 2,812 | $163K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1,739 | 1,539 | $55K |
| 90682 | 376 | 347 | $14K | |
| 36415 | Collection of venous blood by venipuncture | 2,381 | 2,042 | $4K |
| 83036 | Hemoglobin; glycosylated (A1C) | 644 | 571 | $3K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 775 | 589 | $3K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 28 | 27 | $3K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 409 | 388 | $2K |
| 99307 | 653 | 540 | $1K | |
| 90686 | 68 | 63 | $682.89 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 13 | 12 | $318.12 |
| 80061 | Lipid panel | 12 | 12 | $170.08 |
| 99308 | Subsequent nursing facility care, per day, straightforward | 78 | 67 | $113.25 |
| 80053 | Comprehensive metabolic panel | 13 | 12 | $43.02 |
| 82962 | 14 | 12 | $33.31 | |
| 90662 | 16 | 14 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 161 | 145 | $0.00 |