NPI: 1457378069 · NAPPANEE, IN 46550 · Family Medicine Physician · NPI assigned 07/17/2006
Authorized official COSTELLO, JEFFREY controls 20+ related entities in our dataset. Read more
| Authorized Official | COSTELLO, JEFFREY (CFO) |
| NPI Enumeration Date | 07/17/2006 |
Other providers sharing the same authorized official: COSTELLO, JEFFREY
| Provider | City | State | Total 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 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 112 | $3K |
| 2019 | 226 | $9K |
| 2020 | 202 | $8K |
| 2021 | 717 | $27K |
| 2022 | 3,123 | $125K |
| 2023 | 3,000 | $131K |
| 2024 | 1,913 | $99K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5,015 | 4,398 | $262K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 1,818 | 1,589 | $127K |
| 36415 | Collection of venous blood by venipuncture | 2,350 | 2,111 | $10K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 39 | 38 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 44 | 42 | $508.61 |
| 90686 | 14 | 13 | $64.56 | |
| 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) | 13 | 12 | $0.00 |