NPI: 1710329008 · ELKHART, IN 46514 · Family Medicine Physician · NPI assigned 07/27/2013
Authorized official COSTELLO, JEFFREY controls 20+ related entities in our dataset. Read more
| Authorized Official | COSTELLO, JEFFREY (CFO) |
| NPI Enumeration Date | 07/27/2013 |
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. | 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 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,204 | $141K |
| 2019 | 2,715 | $148K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2,723 | 2,531 | $150K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 2,184 | 2,038 | $124K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 117 | 108 | $7K |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 78 | 72 | $6K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 388 | 365 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 371 | 278 | $2K |
| 71046 | Radiologic examination, chest; 2 views | 29 | 28 | $105.72 |
| 81003 | 29 | 25 | $9.96 |