Medicaid Provider Spending

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

BEACON MEDICAL GROUP, INC.

NPI: 1275587149 · SOUTH BEND, IN 46601 · Family Medicine Physician · NPI assigned 05/22/2006

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

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

$692K
Total Medicaid Paid
28,755
Total Claims
25,613
Beneficiaries
44
Codes Billed
2018-01
First Month
2018-12
Last Month

Provider Details

Authorized OfficialCOSTELLO, JEFFREY (VP-CFO)
NPI Enumeration Date05/22/2006

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. 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 28,755 $692K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,699 4,946 $210K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6,083 5,280 $164K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,413 1,191 $112K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 993 923 $86K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 379 362 $33K
90472 Immunization administration, each additional vaccine (list separately) 1,947 1,771 $27K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 3,695 3,371 $25K
99460 161 146 $11K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 62 54 $5K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 193 178 $4K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 213 200 $3K
92551 702 658 $2K
90670 884 805 $2K
90474 169 162 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 109 101 $1K
99238 Hospital discharge day management, 30 minutes or less 13 13 $710.40
99173 782 725 $591.38
36415 Collection of venous blood by venipuncture 1,239 1,096 $557.43
90686 968 925 $496.07
90698 612 561 $373.83
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 220 204 $311.72
92552 42 35 $257.84
90688 205 191 $241.58
90651 30 29 $220.75
90734 27 27 $216.28
69210 15 13 $207.72
87807 17 17 $196.82
96110 Developmental screening, with scoring and documentation, per standardized instrument 38 38 $195.28
85018 58 52 $134.43
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 193 184 $127.62
36416 87 74 $96.42
83036 Hemoglobin; glycosylated (A1C) 110 94 $92.63
90680 225 208 $89.61
90633 154 138 $65.52
96127 20 17 $31.97
81003 352 241 $22.59
81025 181 157 $8.66
87210 42 38 $5.13
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 77 75 $0.00
90685 37 29 $0.00
90744 216 193 $0.00
G0008 Administration of influenza virus vaccine 29 29 $0.00
99406 48 46 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 16 16 $0.00