Beacon Medical Group, INC.
Beacon Medical Group, INC. was paid $4.65M by Medicaid between Jan 2018 and Nov 2024, across 51 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 44% of everything it billed.
SOUTH BEND, IN 46601
Next to other Obstetrics & Gynecology 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 | 16,620 | $336K | |
| 2019 | 17,226 | $745K | |
| 2020 | 17,950 | $748K | |
| 2021 | 14,762 | $750K | |
| 2022 | 12,862 | $714K | |
| 2023 | 13,175 | $787K | |
| 2024incomplete | 8,860 | $570K |
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 | 44% | 27,230 | 24,103 | $2.04M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 29% | 25,109 | 22,312 | $1.35M |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 5.6% | 7,577 | 2,280 | $260K |
| 59425 | 4.9% | 3,932 | 3,025 | $230K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.2% | 1,863 | 1,676 | $147K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 3.1% | 2,602 | 1,435 | $144K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.5% | 11,084 | 10,109 | $117K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.4% | 3,622 | 3,328 | $64K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.1% | 608 | 568 | $50K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 1,002 | 915 | $34K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 404 | 373 | $30K |
| 59025 | Fetal non-stress test | <1% | 1,863 | 1,485 | $29K |
39 more codes
| 36415 | Collection of venous blood by venipuncture | <1% | 7,666 | $23K |
| 59426 | <1% | 427 | $19K | |
| 90682 | <1% | 506 | $18K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 135 | $13K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 123 | $10K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 94 | $10K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | <1% | 14 | $9K |
| 97597 | <1% | 444 | $9K | |
| 59514 | <1% | 21 | $7K | |
| 99354 | <1% | 135 | $6K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 139 | $6K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 60 | $5K |
| 99219 | <1% | 118 | $4K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 194 | $4K |
| 90686 | <1% | 1,715 | $3K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 199 | $3K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 13 | $1K |
| 90670 | <1% | 588 | $1K | |
| 90715 | <1% | 79 | $549.58 | |
| 0002A | <1% | 32 | $483.73 | |
| 0001A | <1% | 60 | $446.52 | |
| 90677 | <1% | 40 | $273.85 | |
| 90474 | <1% | 39 | $266.85 | |
| 81025 | <1% | 320 | $244.68 | |
| 85018 | <1% | 58 | $95.81 | |
| 81003 | <1% | 342 | $76.13 | |
| 99173 | <1% | 19 | $32.61 | |
| 90656 | <1% | 28 | $19.93 | |
| 87210 | <1% | 128 | $10.26 | |
| 90698 | <1% | 506 | $0.01 | |
| 90633 | 0% | 24 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 28 | $0.00 |
| 3078F | 0% | 13 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 150 | $0.00 |
| 90680 | 0% | 12 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 36 | $0.00 |
| 90744 | 0% | 27 | $0.00 | |
| 59430 | 0% | 13 | $0.00 | |
| 3074F | 0% | 14 | $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. | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.