Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Memorial Hospital of South Bend

Memorial Hospital of South Bend was paid $33.19M by Medicaid between Jan 2018 and Dec 2024, across 123 billing codes. Its largest line is 99283, emergency room visit (moderate) — 40% of everything it billed.

33Billing provider infoMEMORIAL HOSPITAL OF SOUTH BEND
SOUTH BEND, IN 46601
33aNPI1295772093assigned 06/01/2006
33bProvider typeEmergency Medicine Physician
28Total paid$33.19M
24GClaims530,662
24DCodes billed123
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Emergency Medicine Physician providers in Indiana

Rank by total paid#4 of 191
Median peer was paid$126K
This provider vs. median263×

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

$0$500K$1.0M2018201920202021202220232024
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
YearClaimsPaid
201893,188$2.85M
201973,596$3.28M
202063,367$3.17M
202188,300$6.01M
202288,769$7.51M
202375,333$6.48M
2024incomplete48,109$3.88M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 40% 99,244 82,604 $13.17M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 16% 48,027 38,146 $5.34M
41899 Unlisted procedure, dentoalveolar structures 9.5% 1,952 1,702 $3.14M
99282 Emergency department visit for the evaluation and management, low to moderate severity 5.2% 14,244 12,451 $1.72M
71045 Radiologic examination, chest; single view 4.2% 10,914 9,093 $1.41M
A0425 Ground mileage, per statute mile 2.9% 10,642 8,816 $963K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 2.4% 9,230 8,148 $810K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 2.3% 13,218 10,803 $752K
99221 2.2% 1,429 569 $735K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 2.0% 4,452 3,726 $679K
A0428 Ambulance service, basic life support, non-emergency transport, (bls) 1.9% 7,712 6,388 $622K
71046 Radiologic examination, chest; 2 views 1.3% 6,020 5,071 $419K
111 more codes
A0431 Ambulance service, conventional air services, transport, one way (rotary wing) 1.2% 193 $405K
99218 1.2% 700 $393K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1.0% 85,431 $336K
A0427 Emergency ambulance ride, advanced life support <1% 1,084 $286K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 2,679 $233K
80048 Basic metabolic panel (calcium, ionized) <1% 59,151 $225K
A0436 Rotary wing air mileage, per statute mile <1% 193 $201K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 1,522 $161K
97597 <1% 764 $85K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 2,084 $78K
A0426 Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) <1% 358 $73K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 2,966 $67K
36415 Collection of venous blood by venipuncture <1% 43,580 $67K
81001 <1% 33,599 $55K
74177 Computed tomography, abdomen and pelvis; with contrast material <1% 130 $48K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV <1% 430 $47K
96361 Intravenous infusion, hydration; each additional hour <1% 1,172 $45K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 73 $40K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 308 $35K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 398 $35K
80076 <1% 9,059 $33K
80053 Comprehensive metabolic panel <1% 4,372 $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 <1% 423 $28K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 47 $27K
70450 Computed tomography, head or brain; without contrast material <1% 322 $22K
36591 <1% 4,087 $22K
84484 <1% 2,906 $21K
74230 <1% 229 $21K
74018 <1% 86 $17K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 864 $16K
96375 Therapeutic injection; each additional sequential IV push <1% 1,374 $16K
92611 <1% 169 $16K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 829 $16K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 809 $15K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 472 $13K
95822 <1% 40 $12K
81000 <1% 3,695 $12K
95819 <1% 15 $11K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 228 $11K
84703 <1% 2,742 $10K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 5,017 $10K
83690 <1% 3,309 $10K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 97 $9K
85045 <1% 2,551 $9K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 152 $9K
99213 Doctor's office visit, returning patient (routine) <1% 116 $8K
97605 <1% 78 $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 <1% 352 $8K
73630 <1% 236 $8K
83735 <1% 2,632 $7K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 223 $7K
G0378 Hospital observation service, per hour <1% 69 $6K
31231 <1% 15 $5K
36430 <1% 14 $5K
82728 <1% 406 $5K
97116 <1% 111 $4K
73130 <1% 95 $4K
P9016 Red blood cells, leukocytes reduced, each unit <1% 13 $4K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 80 $3K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 17 $3K
84100 <1% 1,457 $3K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 150 $2K
83020 <1% 193 $2K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 93 $2K
85027 <1% 558 $2K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 29 $2K
81025 <1% 251 $1K
85660 <1% 156 $1K
87210 <1% 296 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 189 $1K
80069 <1% 181 $937.44
82077 <1% 70 $777.14
96367 <1% 28 $737.10
72040 <1% 14 $729.74
72100 <1% 13 $663.40
87086 Culture, bacterial; quantitative colony count, urine <1% 156 $369.69
82948 <1% 112 $359.82
87081 <1% 124 $317.09
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 16 $297.06
96376 <1% 213 $221.13
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 2,229 $214.73
82803 <1% 15 $209.96
85379 <1% 18 $163.87
83605 <1% 13 $150.41
86850 <1% 13 $127.01
83550 <1% 12 $104.88
84702 <1% 13 $92.20
83540 <1% 12 $77.64
86901 <1% 13 $38.87
86900 <1% 13 $38.87
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 3,551 $29.37
85007 <1% 13 $4.11
J2704 Injection, propofol, 10 mg 0% 955 $0.00
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 0% 3,228 $0.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 0% 875 $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 0% 97 $0.00
A0434 Specialty care transport (sct) 0% 929 $0.00
J3010 Injection, fentanyl citrate, 0.1 mg 0% 402 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 0% 49 $0.00
J2765 Injection, metoclopramide hcl, up to 10 mg 0% 48 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 0% 14 $0.00
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 0% 15 $0.00
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 0% 39 $0.00
88305 Level IV - Surgical pathology, gross and microscopic examination 0% 52 $0.00
G0008 Administration of influenza virus vaccine 0% 14 $0.00
90715 0% 104 $0.00
J1200 Injection, diphenhydramine hcl, up to 50 mg 0% 398 $0.00
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 0% 675 $0.00
J1650 Injection, enoxaparin sodium, 10 mg 0% 210 $0.00
J0670 Injection, mepivacaine hydrochloride, per 10 ml 0% 63 $0.00
J2274 Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg 0% 31 $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 (CFO)
Same official

Other billing entities under COSTELLO, JEFFREY

Full network →
ProviderLocationPaid
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 BendGranger, 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, LLCGranger, IN$733K
Beacon Medical Group, INC.Mishawaka, IN$727K
Beacon Medical Group, INC.Bristol, IN$725K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.