Beacon Medical Group, INC.
Beacon Medical Group, INC. was paid $4.64M by Medicaid between Jan 2018 and Nov 2024, across 74 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 20% of everything it billed.
ELKHART, IN 46514
Next to other Surgery 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 | 7,222 | $55K | |
| 2019 | 5,417 | $195K | |
| 2020 | 6,055 | $261K | |
| 2021 | 10,319 | $525K | |
| 2022 | 17,026 | $840K | |
| 2023 | 29,148 | $1.64M | |
| 2024incomplete | 16,670 | $1.13M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 20% | 19,475 | 7,502 | $912K |
| 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 | 13% | 9,407 | 7,886 | $613K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 12,716 | 10,560 | $609K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 10% | 15,684 | 5,617 | $467K |
| 99223 | Prolong inpt eval add15 m | 9.7% | 5,527 | 4,852 | $451K |
| 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 | 9.4% | 4,471 | 3,987 | $435K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 7.7% | 2,563 | 1,145 | $358K |
| 99239 | Hospital discharge day management, more than 30 minutes | 2.9% | 2,755 | 2,528 | $133K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.7% | 1,991 | 1,810 | $123K |
| 99238 | Hospital discharge day management, 30 minutes or less | 2.0% | 2,184 | 2,057 | $95K |
| 30140 | 1.3% | 206 | 188 | $62K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 620 | 523 | $41K |
62 more codes
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | <1% | 223 | $34K |
| 31231 | <1% | 294 | $34K | |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 1,411 | $33K |
| 31624 | <1% | 319 | $28K | |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | <1% | 92 | $16K |
| 92567 | <1% | 2,290 | $16K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 544 | $16K |
| 92557 | <1% | 711 | $16K | |
| 95886 | <1% | 340 | $15K | |
| 99460 | <1% | 151 | $10K | |
| 94060 | <1% | 913 | $10K | |
| 99152 | <1% | 793 | $9K | |
| 92588 | <1% | 385 | $8K | |
| 94729 | <1% | 691 | $8K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 149 | $7K |
| 94726 | <1% | 552 | $7K | |
| 20611 | <1% | 114 | $7K | |
| 95819 | <1% | 217 | $6K | |
| 70498 | <1% | 126 | $6K | |
| 99205 | Prolong outpt/office vis | <1% | 36 | $6K |
| 73100 | <1% | 334 | $5K | |
| 76830 | Ultrasound, transvaginal | <1% | 78 | $4K |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | <1% | 65 | $4K |
| 95115 | <1% | 608 | $4K | |
| 92504 | <1% | 208 | $3K | |
| 92579 | <1% | 92 | $3K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 52 | $3K |
| 99462 | <1% | 86 | $2K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 174 | $2K |
| 70496 | <1% | 44 | $2K | |
| 99459 | <1% | 146 | $2K | |
| 52000 | <1% | 17 | $2K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 516 | $1K |
| 42830 | <1% | 13 | $1K | |
| 11043 | <1% | 23 | $1K | |
| 99220 | <1% | 246 | $1K | |
| 31575 | <1% | 14 | $1K | |
| 29075 | <1% | 13 | $837.62 | |
| 73030 | <1% | 52 | $786.09 | |
| 73610 | <1% | 43 | $742.18 | |
| 92582 | <1% | 16 | $731.13 | |
| 95874 | <1% | 17 | $723.34 | |
| 75635 | <1% | 16 | $621.10 | |
| 92593 | <1% | 13 | $574.24 | |
| 99217 | <1% | 229 | $535.74 | |
| 20550 | <1% | 14 | $473.99 | |
| 73110 | <1% | 20 | $397.95 | |
| 99406 | <1% | 26 | $354.41 | |
| 93922 | <1% | 28 | $338.37 | |
| 69210 | <1% | 18 | $284.43 | |
| 73502 | <1% | 14 | $176.11 | |
| 73562 | <1% | 14 | $174.44 | |
| 76937 | <1% | 14 | $159.36 | |
| 87210 | <1% | 63 | $131.80 | |
| 51741 | <1% | 35 | $89.19 | |
| 83986 | <1% | 66 | $77.10 | |
| 99153 | Mod sedat endo service >5yrs | <1% | 29 | $71.15 |
| 81002 | <1% | 35 | $70.67 | |
| 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) | <1% | 44 | $6.24 |
| G0427 | Telehealth consultation, emergency department or initial inpatient, typically 70 minutes or more communicating with the patient via telehealth | 0% | 37 | $0.00 |
| G0408 | Follow-up inpatient consultation, complex, physicians typically spend 35 minutes communicating with the patient via telehealth | 0% | 24 | $0.00 |
| 99024 | 0% | 311 | $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. | South Bend, IN | $4.65M |
| 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.