Medicaid Provider Spending

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

BEACON MEDICAL GROUP, INC.

NPI: 1861816761 · ELKHART, IN 46514 · Pediatrics Physician · NPI assigned 02/12/2014

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

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

$2.45M
Total Medicaid Paid
54,635
Total Claims
50,927
Beneficiaries
44
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialCOSTELLO, JEFFREY (CFO)
NPI Enumeration Date02/12/2014

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. 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 7,151 $443K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 15,150 13,903 $883K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 8,187 7,393 $666K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3,557 3,418 $304K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,496 2,330 $203K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 10,071 9,481 $141K
90472 Immunization administration, each additional vaccine (list separately) 5,281 4,983 $103K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 717 668 $61K
90670 1,301 1,269 $17K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 142 137 $13K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 792 743 $12K
90698 925 909 $10K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 247 226 $9K
90686 1,960 1,903 $7K
90474 427 414 $6K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 74 70 $4K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 210 152 $3K
99381 41 40 $3K
90680 406 397 $2K
36416 643 597 $2K
96110 Developmental screening, with scoring and documentation, per standardized instrument 291 277 $2K
96127 366 344 $1K
85018 409 382 $909.13
87807 50 47 $583.73
90685 27 27 $564.91
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 36 28 $558.21
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 29 27 $357.69
96381 14 13 $207.00
83655 13 13 $134.08
96161 70 65 $129.33
85025 Blood count; complete (CBC), automated, and automated differential WBC count 12 12 $83.51
81003 42 39 $78.65
36415 Collection of venous blood by venipuncture 32 30 $61.26
99177 15 12 $50.97
90656 76 76 $41.45
90480 14 12 $30.00
92551 53 38 $24.27
J1100 Injection, dexamethasone sodium phosphate, 1 mg 15 14 $7.09
99173 20 17 $3.80
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 13 13 $2.09
90633 105 102 $0.00
90697 143 143 $0.00
90677 125 125 $0.00
A7015 Aerosol mask, used with dme nebulizer 12 12 $0.00
90744 26 26 $0.00