Physician
Beacon Medical Group, INC.
Beacon Medical Group, INC. was paid $872K by Medicaid between Jan 2018 and Nov 2024, across 28 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 60% of everything it billed.
33Billing provider infoBEACON MEDICAL GROUP, INC.
SOUTH BEND, IN 46628
SOUTH BEND, IN 46628
33aNPI1588024624assigned 03/02/2016
33bProvider typeNephrology Physician
28Total paid$872K
24GClaims25,581
24DCodes billed28
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Nephrology Physician providers in Indiana
Rank by total paid#9 of 44
Median peer was paid$96K
This provider vs. median9.1×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 2,093 | $34K | |
| 2019 | 4,830 | $153K | |
| 2020 | 3,449 | $115K | |
| 2021 | 4,912 | $190K | |
| 2022 | 4,954 | $173K | |
| 2023 | 3,585 | $139K | |
| 2024incomplete | 1,758 | $67K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 60% | 10,413 | 9,179 | $520K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 25% | 5,281 | 4,697 | $214K |
| 90961 | 5.9% | 1,942 | 1,558 | $51K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.8% | 622 | 236 | $16K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.4% | 212 | 201 | $13K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 1.4% | 254 | 92 | $12K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.3% | 1,245 | 1,136 | $11K |
| 99223 | Prolong inpt eval add15 m | 1.1% | 139 | 120 | $10K |
| 36415 | Collection of venous blood by venipuncture | <1% | 3,706 | 3,292 | $8K |
| 90962 | <1% | 270 | 225 | $5K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 26 | 24 | $2K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 28 | 26 | $2K |
16 more codes
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 155 | $2K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 450 | $2K |
| 90682 | <1% | 42 | $1K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 14 | $1K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 16 | $1K |
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | <1% | 18 | $759.60 |
| 90966 | <1% | 20 | $630.87 | |
| 90686 | <1% | 322 | $615.03 | |
| 11721 | <1% | 39 | $271.02 | |
| G0127 | Trimming of dystrophic nails, any number | <1% | 14 | $180.77 |
| 96127 | <1% | 19 | $57.24 | |
| 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% | 154 | $40.31 |
| G0008 | Administration of influenza virus vaccine | 0% | 72 | $0.00 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 60 | $0.00 |
| G0446 | Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes | 0% | 29 | $0.00 |
| 0004A | 0% | 19 | $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 (VP-CFO)
| 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. | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.