Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

BEACON MEDICAL GROUP, INC.

NPI: 1821222829 · ELKHART, IN 46514 · Surgery Physician · NPI assigned 05/06/2009

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official COSTELLO, JEFFREY controls 20+ related entities in our dataset. Read more

$4.64M
Total Medicaid Paid
91,857
Total Claims
60,147
Beneficiaries
74
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialCOSTELLO, JEFFREY (VP/CFO)
NPI Enumeration Date05/06/2009

Related Entities

Other providers sharing the same authorized official: COSTELLO, JEFFREY

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 16,670 $1.13M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99233 Prolong inpt eval add15 m 19,475 7,502 $912K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 9,407 7,886 $613K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12,716 10,560 $609K
99232 Subsequent hospital care, per day, moderate complexity 15,684 5,617 $467K
99223 Prolong inpt eval add15 m 5,527 4,852 $451K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 4,471 3,987 $435K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 2,563 1,145 $358K
99239 Hospital discharge day management, more than 30 minutes 2,755 2,528 $133K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,991 1,810 $123K
99238 Hospital discharge day management, 30 minutes or less 2,184 2,057 $95K
30140 206 188 $62K
99222 Initial hospital care, per day, moderate complexity 620 523 $41K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 223 211 $34K
31231 294 245 $34K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 1,411 597 $33K
31624 319 225 $28K
42820 Tonsillectomy and adenoidectomy; younger than age 12 92 90 $16K
92567 2,290 2,127 $16K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 544 471 $16K
92557 711 665 $16K
95886 340 308 $15K
99460 151 145 $10K
94060 913 748 $10K
99152 793 692 $9K
92588 385 355 $8K
94729 691 565 $8K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 149 143 $7K
94726 552 455 $7K
20611 114 96 $7K
95819 217 186 $6K
70498 126 115 $6K
99205 Prolong outpt/office vis 36 30 $6K
73100 334 243 $5K
76830 Ultrasound, transvaginal 78 52 $4K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 65 57 $4K
95115 608 314 $4K
92504 208 180 $3K
92579 92 83 $3K
99215 Prolong outpt/office vis 52 36 $3K
99462 86 72 $2K
99231 Subsequent hospital care, per day, straightforward or low complexity 174 65 $2K
70496 44 39 $2K
99459 146 136 $2K
52000 17 13 $2K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 516 454 $1K
42830 13 12 $1K
11043 23 12 $1K
99220 246 238 $1K
31575 14 14 $1K
29075 13 12 $837.62
73030 52 40 $786.09
73610 43 38 $742.18
92582 16 13 $731.13
95874 17 12 $723.34
75635 16 13 $621.10
92593 13 12 $574.24
99217 229 220 $535.74
20550 14 12 $473.99
73110 20 15 $397.95
99406 26 25 $354.41
93922 28 24 $338.37
69210 18 12 $284.43
73502 14 12 $176.11
73562 14 12 $174.44
76937 14 12 $159.36
87210 63 53 $131.80
51741 35 24 $89.19
83986 66 56 $77.10
99153 Mod sedat endo service >5yrs 29 24 $71.15
81002 35 24 $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) 44 36 $6.24
G0427 Telehealth consultation, emergency department or initial inpatient, typically 70 minutes or more communicating with the patient via telehealth 37 31 $0.00
G0408 Follow-up inpatient consultation, complex, physicians typically spend 35 minutes communicating with the patient via telehealth 24 13 $0.00
99024 311 258 $0.00