NPI: 1174927131 · SOUTH BEND, IN 46601 · Surgery Physician · NPI assigned 10/20/2014
Authorized official COSTELLO, JEFFREY controls 20+ related entities in our dataset. Read more
| Authorized Official | COSTELLO, JEFFREY (CFO) |
| NPI Enumeration Date | 10/20/2014 |
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 |
|---|---|---|
| 2020 | 622 | $30K |
| 2021 | 262 | $14K |
| 2023 | 79 | $4K |
| 2024 | 51 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99232 | Subsequent hospital care, per day, moderate complexity | 847 | 310 | $41K |
| 99233 | Prolong inpt eval add15 m | 66 | 27 | $4K |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 28 | 24 | $2K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 39 | 26 | $1K |
| 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 16 | 15 | $867.59 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 18 | 14 | $618.30 |