Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Indiana for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Indiana only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Indiana (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Beacon Medical Group, Inc. (NPI 1821222829)

Beacon Medical Group, Inc. is a critical care medicine (internal medicine) physician provider located in Elkhart, Indiana. This profile covers 0 Medicare and 74 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Beacon Medical Group, Inc.
Address	500 Arcade Ave Ste 320
City	Elkhart
State	IN
ZIP	46514
Taxonomy	Critical Care Medicine (Internal Medicine) Physician
NPI Enumerated	May 6, 2009

Payer Source	Total Paid
Medicaid	$4.6M
Medicare	$0

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

74 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	19,480	$50	$915.3K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	9,410	$70	$611.5K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	12,720	$50	$610.4K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	15,680	$30	$470.5K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	5,530	$80	$453.2K
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	4,470	$100	$433.7K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	2,560	$140	$358.8K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	2,760	$50	$132.2K
99203	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…	1,990	$60	$123.4K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	2,180	$40	$93.9K

Showing 1–10 of 74

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Indiana providers billing the same CPT/HCPCS codes.

Claims Volume vs. Indiana Distribution

Beacon Medical Group, Inc. — 0 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Indiana

Full comparison — all codes billed, vs. Indiana median

74 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	293	2,120	870	$60	$450.6K
11042	The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.	42	140	430	$220	$413.2K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	297	2,380	920	$50	$376.8K
42820	The provider removes the tonsils and adenoids in a patient younger than 12 years old.	10	30	60	$840	$335.8K
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	22	60	150	$480	$221.3K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	50	530	740	$30	$210K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	21	140	270	$130	$195.3K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	21	360	430	$50	$177.4K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	20	330	210	$80	$126.9K
95165	In this procedure, the provider mixes and prepares the antigens for allergen immunotherapy. Use this code when the provider prepares one or more antigens.	31	40	400	$130	$116.1K

Showing 1–10 of 74

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
La Porte Clinic Company LLC	IN	Internal Medicine Physician	$0	$18.8M
Goshen Health System Inc	IN	Family Medicine Physician	$0	$12M
Beacon Medical Group, Inc.	IN	Urgent Care Clinic/Center	$0	$7.2M
Beacon Medical Group, Inc.	IN	Pediatrics Physician	$0	$4.7M
Beacon Medical Group, Inc.	IN	Family Medicine Physician	$0	$4.7M
Beacon Medical Group, Inc.	IN	Psychiatry Physician	$0	$4.4M
Beacon Medical Group, Inc.	IN	Family Medicine Physician	$0	$3.4M
Natali Balog	IN	Rheumatology Physician	$2.4M	$0
Adam Duhl	NJ	Maternal & Fetal Medicine Physician	$128.8K	$1.5M
Mary Ann Domingo	IN	Rheumatology Physician	$1.4M	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Elkhart General Hospital, Inc.	IN	General Acute Care Hospital	$0	$25.6M
Elite Emergency Physicians Inc	IN	Emergency Medicine Physician	$0	$21.5M
Orthopedic And Sports Medicine Center Of Northern Indiana, Inc	IN	Orthopaedic Surgery Physician	$0	$3.1M
Privia Medical Group Indiana, LLC	IN	Multi-Specialty Clinic/Center	$0	$2.6M
Gordon Hughes	IN	Rheumatology Physician	$2M	$0
Asc Surgical Ventures, LLC	IN	Ambulatory Surgical Clinic/Center	$1.5M	$17.2K
Ahsanul Haque	IN	Hematology & Oncology Physician	$831K	$0
Whitney Boling	IN	Ophthalmology Physician	$724K	$0
Roger Moore	IN	Dermatology Physician	$693.9K	$0
Edith Cullen	IN	Sports Medicine (Family Medicine) Physician	$676.7K	$0

Beacon Medical Group, Inc. — Billing Profile & Reimbursement Data

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Beacon Medical Group, Inc. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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