Beacon Medical Group, INC.
Beacon Medical Group, INC. was paid $7.19M by Medicaid between Sep 2019 and Nov 2024, across 22 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 44% of everything it billed.
GRANGER, IN 46530
Next to other Urgent Care Clinic/Center 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 | |
|---|---|---|---|
| 2019 | 5,368 | $297K | |
| 2020 | 14,827 | $779K | |
| 2021 | 22,614 | $1.37M | |
| 2022 | 21,771 | $1.37M | |
| 2023 | 31,250 | $1.81M | |
| 2024incomplete | 27,560 | $1.56M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 44% | 52,259 | 47,995 | $3.16M |
| 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 | 32% | 28,190 | 25,819 | $2.28M |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 11% | 11,082 | 10,221 | $781K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 3.5% | 2,326 | 2,113 | $252K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 3.3% | 3,799 | 3,306 | $235K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 1.6% | 3,719 | 3,411 | $116K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.4% | 3,894 | 3,560 | $101K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.4% | 8,285 | 7,661 | $98K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 1,187 | 1,082 | $67K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 4,422 | 2,002 | $55K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 899 | 839 | $29K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 643 | 612 | $8K |
10 more codes
| 81003 | <1% | 2,279 | $4K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 124 | $2K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 36 | $2K |
| 87631 | <1% | 57 | $1K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 34 | $1K |
| 87210 | <1% | 94 | $352.30 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 15 | $101.00 |
| 87807 | <1% | 14 | $85.67 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 16 | $83.52 |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 16 | $2.02 |
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. | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.