Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › IN › SOUTH BEND › MEMORIAL HOSPITAL OF SOUTH BEND

MEMORIAL HOSPITAL OF SOUTH BEND

NPI: 1295772093 · SOUTH BEND, IN 46601 · Emergency Medicine Physician · NPI assigned 06/01/2006

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

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

$33.19M
Total Medicaid Paid
530,662
Total Claims
416,533
Beneficiaries
123
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCOSTELLO, JEFFREY (CFO)
NPI Enumeration Date06/01/2006

Related Entities

Other providers sharing the same authorized official: COSTELLO, JEFFREY

ProviderCityStateTotal Paid
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
BEACON MEDICAL GROUP, INC. BRISTOL IN $725K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 93,188 $2.85M
2019 73,596 $3.28M
2020 63,367 $3.17M
2021 88,300 $6.01M
2022 88,769 $7.51M
2023 75,333 $6.48M
2024 48,109 $3.88M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 99,244 82,604 $13.17M
99284 Emergency department visit for the evaluation and management, high severity 48,027 38,146 $5.34M
41899 Unlisted procedure, dentoalveolar structures 1,952 1,702 $3.14M
99282 Emergency department visit for the evaluation and management, low to moderate severity 14,244 12,451 $1.72M
71045 Radiologic examination, chest; single view 10,914 9,093 $1.41M
A0425 Ground mileage, per statute mile 10,642 8,816 $963K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 9,230 8,148 $810K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 13,218 10,803 $752K
99221 1,429 569 $735K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 4,452 3,726 $679K
A0428 Ambulance service, basic life support, non-emergency transport, (bls) 7,712 6,388 $622K
71046 Radiologic examination, chest; 2 views 6,020 5,071 $419K
A0431 Ambulance service, conventional air services, transport, one way (rotary wing) 193 165 $405K
99218 700 332 $393K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 85,431 64,556 $336K
A0427 Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) 1,084 989 $286K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 2,679 830 $233K
80048 Basic metabolic panel (calcium, ionized) 59,151 46,325 $225K
A0436 Rotary wing air mileage, per statute mile 193 165 $201K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 1,522 646 $161K
97597 764 295 $85K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 2,084 1,770 $78K
A0426 Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) 358 326 $73K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 2,966 2,475 $67K
36415 Collection of venous blood by venipuncture 43,580 33,417 $67K
81001 33,599 28,280 $55K
74177 Computed tomography, abdomen and pelvis; with contrast material 130 106 $48K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 430 411 $47K
96361 Intravenous infusion, hydration; each additional hour 1,172 963 $45K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 73 27 $40K
97530 Therapeutic activities, direct patient contact, each 15 minutes 308 119 $35K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 398 319 $35K
80076 9,059 6,372 $33K
80053 Comprehensive metabolic panel 4,372 2,610 $30K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 423 403 $28K
95810 Polysomnography; sleep staging with 4 or more additional parameters 47 40 $27K
70450 Computed tomography, head or brain; without contrast material 322 254 $22K
36591 4,087 1,446 $22K
84484 2,906 2,316 $21K
74230 229 191 $21K
74018 86 81 $17K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 864 722 $16K
96375 Therapeutic injection; each additional sequential IV push 1,374 852 $16K
92611 169 130 $16K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 829 695 $16K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 809 427 $15K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 472 438 $13K
95822 40 25 $12K
81000 3,695 3,232 $12K
95819 15 15 $11K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 228 106 $11K
84703 2,742 2,374 $10K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 5,017 3,753 $10K
83690 3,309 2,767 $10K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 97 81 $9K
85045 2,551 1,933 $9K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 152 110 $9K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 116 57 $8K
97605 78 12 $8K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 352 335 $8K
73630 236 157 $8K
83735 2,632 1,118 $7K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 223 209 $7K
G0378 Hospital observation service, per hour 69 24 $6K
31231 15 15 $5K
36430 14 13 $5K
82728 406 342 $5K
97116 111 42 $4K
73130 95 39 $4K
P9016 Red blood cells, leukocytes reduced, each unit 13 12 $4K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 80 51 $3K
99281 Emergency department visit for the evaluation and management, self-limited or minor 17 16 $3K
84100 1,457 515 $3K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 150 128 $2K
83020 193 157 $2K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 93 68 $2K
85027 558 317 $2K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 29 28 $2K
81025 251 224 $1K
85660 156 101 $1K
87210 296 243 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 189 175 $1K
80069 181 132 $937.44
82077 70 52 $777.14
96367 28 12 $737.10
72040 14 13 $729.74
72100 13 12 $663.40
87086 Culture, bacterial; quantitative colony count, urine 156 128 $369.69
82948 112 90 $359.82
87081 124 114 $317.09
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 16 13 $297.06
96376 213 67 $221.13
J2405 Injection, ondansetron hydrochloride, per 1 mg 2,229 1,866 $214.73
82803 15 12 $209.96
85379 18 12 $163.87
83605 13 12 $150.41
86850 13 13 $127.01
83550 12 12 $104.88
84702 13 13 $92.20
83540 12 12 $77.64
86901 13 13 $38.87
86900 13 13 $38.87
J1885 Injection, ketorolac tromethamine, per 15 mg 3,551 2,944 $29.37
85007 13 12 $4.11
J2704 Injection, propofol, 10 mg 955 776 $0.00
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 3,228 1,157 $0.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 875 699 $0.00
Q0162 Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen 97 86 $0.00
A0434 Specialty care transport (sct) 929 797 $0.00
J3010 Injection, fentanyl citrate, 0.1 mg 402 318 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 49 42 $0.00
J2765 Injection, metoclopramide hcl, up to 10 mg 48 41 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 14 12 $0.00
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 15 12 $0.00
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 39 38 $0.00
88305 Level IV - Surgical pathology, gross and microscopic examination 52 35 $0.00
G0008 Administration of influenza virus vaccine 14 12 $0.00
90715 104 87 $0.00
J1200 Injection, diphenhydramine hcl, up to 50 mg 398 335 $0.00
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 675 572 $0.00
J1650 Injection, enoxaparin sodium, 10 mg 210 64 $0.00
J0670 Injection, mepivacaine hydrochloride, per 10 ml 63 54 $0.00
J2274 Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg 31 25 $0.00