Beacon Medical Group, INC.
Beacon Medical Group, INC. was paid $722K by Medicaid between Jan 2018 and Nov 2022, across 19 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 32% of everything it billed.
ELKHART, IN 46514
Next to other Otolaryngology Physician providers in Indiana
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,271 | $53K | |
| 2019 | 1,966 | $128K | |
| 2020 | 2,924 | $158K | |
| 2021 | 3,443 | $186K | |
| 2022 | 3,095 | $197K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 32% | 2,404 | 2,196 | $228K |
| 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 | 25% | 2,662 | 2,322 | $180K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 17% | 2,732 | 2,459 | $124K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 8.7% | 446 | 421 | $63K |
| 30140 | 8.2% | 174 | 157 | $59K | |
| 92567 | 1.8% | 2,165 | 1,816 | $13K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.8% | 855 | 757 | $13K |
| 92579 | 1.7% | 451 | 415 | $12K | |
| 31231 | 1.1% | 71 | 63 | $8K | |
| 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% | 100 | 93 | $6K |
| 92557 | <1% | 236 | 210 | $5K | |
| 92588 | <1% | 238 | 198 | $4K |
7 more codes
| 92504 | <1% | 82 | $1K | |
| 42830 | <1% | 15 | $1K | |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | <1% | 13 | $1K |
| 92582 | <1% | 15 | $687.68 | |
| 31575 | <1% | 13 | $567.10 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 13 | $561.76 |
| 69210 | <1% | 14 | $325.50 |
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.
Who's on the registration
| 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.