Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › IN › ELKHART › ELKHART GENERAL HOSPITAL, INC.

ELKHART GENERAL HOSPITAL, INC.

NPI: 1477551489 · ELKHART, IN 46514 · Psychiatric Hospital Unit · NPI assigned 07/13/2005

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

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

$25.59M
Total Medicaid Paid
447,450
Total Claims
375,316
Beneficiaries
120
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialCOSTELLO, JEFFREY (CFO)
NPI Enumeration Date07/13/2005

Related Entities

Other providers sharing the same authorized official: COSTELLO, JEFFREY

ProviderCityStateTotal Paid
MEMORIAL HOSPITAL OF SOUTH BEND SOUTH BEND IN $33.19M
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 58,034 $1.67M
2019 56,808 $2.69M
2020 53,237 $2.91M
2021 67,537 $4.21M
2022 79,229 $5.34M
2023 76,979 $5.10M
2024 55,626 $3.68M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 62,382 55,771 $9.03M
99284 Emergency department visit for the evaluation and management, high severity 34,453 29,140 $4.66M
71045 Radiologic examination, chest; single view 20,984 17,659 $2.44M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 9,195 7,657 $1.37M
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 24,409 19,998 $1.36M
99282 Emergency department visit for the evaluation and management, low to moderate severity 9,225 8,475 $1.12M
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 1,695 729 $910K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 376 323 $674K
74177 Computed tomography, abdomen and pelvis; with contrast material 1,869 1,567 $555K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 8,195 6,946 $537K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 4,713 4,357 $496K
71046 Radiologic examination, chest; 2 views 3,790 3,430 $300K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 58,548 47,644 $213K
70450 Computed tomography, head or brain; without contrast material 1,892 1,570 $191K
80053 Comprehensive metabolic panel 34,726 27,999 $178K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 12,258 10,589 $176K
96361 Intravenous infusion, hydration; each additional hour 7,480 6,178 $116K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 2,364 2,222 $95K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 84 67 $92K
30140 108 100 $83K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 67 62 $82K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 2,044 1,593 $64K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 315 148 $64K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,867 1,683 $59K
96375 Therapeutic injection; each additional sequential IV push 5,708 4,813 $58K
81001 34,849 29,992 $55K
84484 5,661 4,584 $51K
80048 Basic metabolic panel (calcium, ionized) 13,494 11,222 $51K
62323 49 41 $46K
36415 Collection of venous blood by venipuncture 21,794 17,074 $36K
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 555 503 $36K
87631 638 475 $32K
81025 5,951 5,195 $26K
45380 Colonoscopy, flexible; with biopsy, single or multiple 14 12 $26K
83880 1,396 1,167 $24K
83735 7,102 5,597 $22K
83690 7,389 6,252 $21K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 106 67 $19K
88305 Level IV - Surgical pathology, gross and microscopic examination 560 471 $18K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 135 127 $16K
11043 30 12 $15K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 616 577 $15K
74018 133 128 $14K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 803 760 $13K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 987 840 $10K
82077 1,046 877 $10K
99221 29 14 $10K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 135 115 $9K
64493 19 12 $8K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 982 659 $7K
71275 Computed tomographic angiography, chest, with contrast material 17 13 $7K
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose 22 12 $7K
85730 2,736 2,174 $6K
84703 1,294 1,136 $6K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 54 40 $5K
85610 2,912 2,315 $5K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 347 232 $5K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 411 334 $4K
64494 19 12 $4K
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 229 217 $4K
11045 27 12 $3K
83605 538 424 $3K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 22 12 $2K
74176 Computed tomography, abdomen and pelvis; without contrast material 15 13 $2K
87086 Culture, bacterial; quantitative colony count, urine 641 538 $2K
93017 23 13 $1K
80076 240 196 $1K
80143 110 100 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 241 212 $1K
80179 94 87 $1K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 33 26 $913.92
85027 265 210 $858.09
87040 72 52 $621.40
82948 190 140 $607.15
73130 12 12 $595.40
87807 115 99 $565.67
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 45 36 $528.60
85379 72 61 $459.01
73630 26 24 $381.23
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 13 12 $306.77
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 13 12 $306.77
87081 120 96 $259.66
96367 22 13 $221.13
84443 Thyroid stimulating hormone (TSH) 14 13 $201.60
84702 13 12 $116.97
82950 56 53 $106.66
J2469 Injection, palonosetron hcl, 25 mcg 23 14 $104.10
80306 18 15 $52.26
82150 30 25 $51.20
81003 82 53 $41.75
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 5,271 4,446 $39.15
86850 13 12 $15.63
80069 16 13 $10.40
86900 13 12 $8.97
86901 13 12 $8.97
J2405 Injection, ondansetron hydrochloride, per 1 mg 6,764 5,691 $4.84
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 148 133 $4.66
J1200 Injection, diphenhydramine hcl, up to 50 mg 452 372 $0.00
C9113 Injection, pantoprazole sodium, per vial 45 38 $0.00
J2270 Injection, morphine sulfate, up to 10 mg 292 237 $0.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 184 152 $0.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 19 12 $0.00
J0137 Injection, acetaminophen (hikma), not therapeutically equivalent to j0131, 10 mg 108 98 $0.00
J2274 Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg 71 64 $0.00
J0670 Injection, mepivacaine hydrochloride, per 10 ml 16 14 $0.00
90715 15 13 $0.00
J1885 Injection, ketorolac tromethamine, per 15 mg 4,510 3,778 $0.00
36591 865 365 $0.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 1,152 985 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 600 478 $0.00
J3010 Injection, fentanyl citrate, 0.1 mg 821 701 $0.00
J0131 Injection, acetaminophen, not otherwise specified,10 mg 86 71 $0.00
J2704 Injection, propofol, 10 mg 484 402 $0.00
J1170 Injection, hydromorphone, up to 4 mg 67 48 $0.00
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 493 223 $0.00
J2765 Injection, metoclopramide hcl, up to 10 mg 280 228 $0.00
J2250 Injection, midazolam hydrochloride, per 1 mg 146 114 $0.00
88304 13 13 $0.00
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 25 15 $0.00
J7050 Infusion, normal saline solution, 250 cc 22 13 $0.00