NPI: 1114363835 · MIDDLEBURY, IN 46540 · Family Nurse Practitioner · NPI assigned 05/21/2013
Authorized official COSTELLO, JEFFREY controls 20+ related entities in our dataset. Read more
| Authorized Official | COSTELLO, JEFFREY (CFO) |
| NPI Enumeration Date | 05/21/2013 |
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 | 510 | $9K |
| 2019 | 627 | $29K |
| 2020 | 494 | $20K |
| 2021 | 598 | $36K |
| 2022 | 834 | $43K |
| 2023 | 518 | $28K |
| 2024 | 521 | $36K |
| Code | Description | Claims | Bene. Records | Total Paid |
|---|---|---|---|---|
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 1,729 | 1,530 | $101K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1,938 | 1,707 | $97K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 158 | 129 | $1K |
| 36415 | Collection of venous blood by venipuncture | 223 | 208 | $791.99 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 20 | 12 | $248.62 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 15 | 12 | $3.12 |
| 90686 | 19 | 14 | $0.00 |