Beacon Medical Group, INC.
Beacon Medical Group, INC. was paid $725K by Medicaid between Jan 2018 and Nov 2024, across 20 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 52% of everything it billed.
BRISTOL, IN 46507
Next to other Family Medicine 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 | 2,032 | $40K | |
| 2019 | 2,246 | $87K | |
| 2020 | 2,458 | $92K | |
| 2021 | 3,294 | $165K | |
| 2022 | 4,114 | $201K | |
| 2023 | 2,389 | $119K | |
| 2024incomplete | 791 | $22K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 52% | 8,276 | 7,289 | $374K |
| 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 | 41% | 4,833 | 4,265 | $294K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 2.0% | 206 | 191 | $14K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.7% | 154 | 137 | $12K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.6% | 1,231 | 1,121 | $12K |
| 90682 | <1% | 136 | 124 | $6K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 136 | 113 | $5K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,814 | 1,671 | $4K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 90 | 74 | $1K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 13 | 12 | $1K |
| 80050 | General health panel | <1% | 15 | 15 | $574.44 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 42 | 18 | $520.40 |
8 more codes
| 80061 | Lipid panel | <1% | 25 | $193.91 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 24 | $133.92 |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 17 | $74.95 |
| 80053 | Comprehensive metabolic panel | <1% | 16 | $47.11 |
| 90686 | <1% | 113 | $37.25 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 13 | $34.66 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 152 | $13.60 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 18 | $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.
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.