Beacon Medical Group, INC.
Beacon Medical Group, INC. was paid $2.45M by Medicaid between Jan 2018 and Nov 2024, across 44 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 36% of everything it billed.
ELKHART, IN 46514
Next to other Pediatrics 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 | 4,245 | $182K | |
| 2019 | 5,221 | $230K | |
| 2020 | 5,970 | $178K | |
| 2021 | 10,876 | $454K | |
| 2022 | 11,404 | $482K | |
| 2023 | 9,768 | $485K | |
| 2024incomplete | 7,151 | $443K |
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 | 36% | 15,150 | 13,903 | $883K |
| 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 | 27% | 8,187 | 7,393 | $666K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 12% | 3,557 | 3,418 | $304K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.3% | 2,496 | 2,330 | $203K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 5.7% | 10,071 | 9,481 | $141K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 4.2% | 5,281 | 4,983 | $103K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.5% | 717 | 668 | $61K |
| 90670 | <1% | 1,301 | 1,269 | $17K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 142 | 137 | $13K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 792 | 743 | $12K |
| 90698 | <1% | 925 | 909 | $10K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 247 | 226 | $9K |
32 more codes
| 90686 | <1% | 1,960 | $7K | |
| 90474 | <1% | 427 | $6K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 74 | $4K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 210 | $3K |
| 99381 | <1% | 41 | $3K | |
| 90680 | <1% | 406 | $2K | |
| 36416 | <1% | 643 | $2K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 291 | $2K |
| 96127 | <1% | 366 | $1K | |
| 85018 | <1% | 409 | $909.13 | |
| 87807 | <1% | 50 | $583.73 | |
| 90685 | <1% | 27 | $564.91 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 36 | $558.21 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 29 | $357.69 |
| 96381 | <1% | 14 | $207.00 | |
| 83655 | <1% | 13 | $134.08 | |
| 96161 | <1% | 70 | $129.33 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 12 | $83.51 |
| 81003 | <1% | 42 | $78.65 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 32 | $61.26 |
| 99177 | <1% | 15 | $50.97 | |
| 90656 | <1% | 76 | $41.45 | |
| 90480 | <1% | 14 | $30.00 | |
| 92551 | <1% | 53 | $24.27 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 15 | $7.09 |
| 99173 | <1% | 20 | $3.80 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 13 | $2.09 |
| 90633 | 0% | 105 | $0.00 | |
| 90697 | 0% | 143 | $0.00 | |
| 90677 | 0% | 125 | $0.00 | |
| A7015 | Aerosol mask, used with dme nebulizer | 0% | 12 | $0.00 |
| 90744 | 0% | 26 | $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. | 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. | 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.