Physician
Beacon Medical Group, INC.
Beacon Medical Group, INC. was paid $1.53M by Medicaid between Jan 2018 and Nov 2024, across 34 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 53% of everything it billed.
33Billing provider infoBEACON MEDICAL GROUP, INC.
SOUTH BEND, IN 46614
SOUTH BEND, IN 46614
33aNPI1124079330assigned 05/12/2006
33bProvider typeSports Medicine (Family Medicine) Physician
28Total paid$1.53M
24GClaims39,149
24DCodes billed34
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Sports Medicine (Family Medicine) Physician providers in Indiana
Rank by total paid#2 of 6
Median peer was paid$283K
This provider vs. median5.4×
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 COSTELLO, JEFFREY 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 | 10,535 | $273K | |
| 2019 | 7,114 | $324K | |
| 2020 | 3,015 | $105K | |
| 2021 | 4,518 | $188K | |
| 2022 | 5,258 | $224K | |
| 2023 | 5,432 | $248K | |
| 2024incomplete | 3,277 | $168K |
Box 24 · Service lines
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 | 53% | 14,936 | 13,092 | $814K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 34% | 11,313 | 9,949 | $517K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.9% | 2,918 | 2,637 | $29K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.7% | 323 | 284 | $26K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.7% | 305 | 289 | $26K |
| 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 | 1.3% | 215 | 185 | $20K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 349 | 314 | $14K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 794 | 705 | $13K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 120 | 94 | $10K |
| 36415 | Collection of venous blood by venipuncture | <1% | 4,238 | 3,696 | $9K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 124 | 115 | $8K |
| 99221 | <1% | 108 | 95 | $8K |
22 more codes
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 75 | $7K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 92 | $7K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,233 | $7K |
| J0585 | Injection, onabotulinumtoxina, 1 unit | <1% | 24 | $6K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 537 | $5K |
| 90682 | <1% | 75 | $3K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 25 | $1K |
| 90474 | <1% | 46 | $623.87 | |
| 96127 | <1% | 128 | $368.65 | |
| 95874 | <1% | 40 | $316.76 | |
| 90686 | <1% | 559 | $301.64 | |
| 96381 | <1% | 16 | $246.00 | |
| 81003 | <1% | 250 | $121.41 | |
| 90685 | <1% | 17 | $61.97 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 12 | $23.18 |
| 99173 | <1% | 15 | $9.98 | |
| 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) | 0% | 43 | $0.00 |
| 90670 | 0% | 18 | $0.00 | |
| 90677 | 0% | 83 | $0.00 | |
| 90697 | 0% | 39 | $0.00 | |
| 90651 | 0% | 21 | $0.00 | |
| 90680 | 0% | 58 | $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 officialCOSTELLO, JEFFREY (VP-CFO)
| 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. | Granger, IN | $2.11M |
| 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.