Physician
Beacon Medical Group, INC.
Beacon Medical Group, INC. was paid $692K by Medicaid between Jan 2018 and Dec 2018, across 44 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 30% of everything it billed.
33Billing provider infoBEACON MEDICAL GROUP, INC.
SOUTH BEND, IN 46601
SOUTH BEND, IN 46601
33aNPI1275587149assigned 05/22/2006
33bProvider typeFamily Medicine Physician
28Total paid$692K
24GClaims28,755
24DCodes billed44
24AFirst – last monthJan 2018 – Dec 2018
Compared with peers
Next to other Family Medicine Physician providers in Indiana
Rank by total paid#82 of 408
Median peer was paid$81K
This provider vs. median8.5×
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 | 28,755 | $692K |
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 | 30% | 5,699 | 4,946 | $210K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 24% | 6,083 | 5,280 | $164K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 16% | 1,413 | 1,191 | $112K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 12% | 993 | 923 | $86K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.7% | 379 | 362 | $33K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 3.9% | 1,947 | 1,771 | $27K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3.7% | 3,695 | 3,371 | $25K |
| 99460 | 1.6% | 161 | 146 | $11K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 62 | 54 | $5K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 193 | 178 | $4K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 213 | 200 | $3K |
| 92551 | <1% | 702 | 658 | $2K |
32 more codes
| 90670 | <1% | 884 | $2K | |
| 90474 | <1% | 169 | $1K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 109 | $1K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 13 | $710.40 |
| 99173 | <1% | 782 | $591.38 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,239 | $557.43 |
| 90686 | <1% | 968 | $496.07 | |
| 90698 | <1% | 612 | $373.83 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 220 | $311.72 |
| 92552 | <1% | 42 | $257.84 | |
| 90688 | <1% | 205 | $241.58 | |
| 90651 | <1% | 30 | $220.75 | |
| 90734 | <1% | 27 | $216.28 | |
| 69210 | <1% | 15 | $207.72 | |
| 87807 | <1% | 17 | $196.82 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 38 | $195.28 |
| 85018 | <1% | 58 | $134.43 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 193 | $127.62 |
| 36416 | <1% | 87 | $96.42 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 110 | $92.63 |
| 90680 | <1% | 225 | $89.61 | |
| 90633 | <1% | 154 | $65.52 | |
| 96127 | <1% | 20 | $31.97 | |
| 81003 | <1% | 352 | $22.59 | |
| 81025 | <1% | 181 | $8.66 | |
| 87210 | <1% | 42 | $5.13 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 77 | $0.00 |
| 90685 | 0% | 37 | $0.00 | |
| 90744 | 0% | 216 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 29 | $0.00 |
| 99406 | 0% | 48 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 16 | $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 |
| 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.