Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

BEACON MEDICAL GROUP, INC.

NPI: 1588024624 · SOUTH BEND, IN 46628 · Nephrology Physician · NPI assigned 03/02/2016

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

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

$872K
Total Medicaid Paid
25,581
Total Claims
22,085
Beneficiaries
28
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialCOSTELLO, JEFFREY (VP-CFO)
NPI Enumeration Date03/02/2016

Related Entities

Other providers sharing the same authorized official: COSTELLO, JEFFREY

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 1,758 $67K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 10,413 9,179 $520K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,281 4,697 $214K
90961 1,942 1,558 $51K
99232 Subsequent hospital care, per day, moderate complexity 622 236 $16K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 212 201 $13K
99233 Prolong inpt eval add15 m 254 92 $12K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,245 1,136 $11K
99223 Prolong inpt eval add15 m 139 120 $10K
36415 Collection of venous blood by venipuncture 3,706 3,292 $8K
90962 270 225 $5K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 26 24 $2K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 28 26 $2K
90472 Immunization administration, each additional vaccine (list separately) 155 134 $2K
83036 Hemoglobin; glycosylated (A1C) 450 409 $2K
90682 42 40 $1K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 14 14 $1K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 16 13 $1K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 18 16 $759.60
90966 20 18 $630.87
90686 322 302 $615.03
11721 39 37 $271.02
G0127 Trimming of dystrophic nails, any number 14 12 $180.77
96127 19 16 $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) 154 128 $40.31
G0008 Administration of influenza virus vaccine 72 65 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 60 57 $0.00
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes 29 26 $0.00
0004A 19 12 $0.00