NPI: 1629376645 · SOUTH BEND, IN 46601 · Psychiatric/Mental Health Nurse Practitioner · NPI assigned 03/01/2011
Authorized official COSTELLO, JEFFREY controls 20+ related entities in our dataset. Read more
| Authorized Official | COSTELLO, JEFFREY (VP/CFO) |
| NPI Enumeration Date | 03/01/2011 |
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. | 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 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 14,486 | $406K |
| 2019 | 14,679 | $759K |
| 2020 | 11,465 | $593K |
| 2021 | 12,722 | $763K |
| 2022 | 11,666 | $720K |
| 2023 | 8,872 | $584K |
| 2024 | 7,670 | $613K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 15,958 | 14,066 | $977K |
| 99233 | Prolong inpt eval add15 m | 14,616 | 7,344 | $785K |
| 99223 | Prolong inpt eval add15 m | 6,619 | 5,749 | $686K |
| 99232 | Subsequent hospital care, per day, moderate complexity | 14,512 | 6,814 | $548K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 8,659 | 7,912 | $355K |
| 99239 | Hospital discharge day management, more than 30 minutes | 5,974 | 5,275 | $353K |
| 99221 | 3,831 | 3,382 | $195K | |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4,561 | 4,124 | $194K |
| 99222 | Initial hospital care, per day, moderate complexity | 2,459 | 2,271 | $173K |
| 99215 | Prolong outpt/office vis | 826 | 540 | $81K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 1,664 | 731 | $35K |
| 99238 | Hospital discharge day management, 30 minutes or less | 561 | 455 | $26K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 401 | 342 | $18K |
| Q3014 | Telehealth originating site facility fee | 814 | 532 | $7K |
| 90870 | 81 | 26 | $4K | |
| 99407 | 24 | 18 | $43.84 |