Medicaid Provider Spending

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

ST LUKES HOSPITAL

NPI: 1013933175 · BETHLEHEM, PA 18015 · Children's Hospital · NPI assigned 07/14/2006

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

Authorized official WOLFE, SCOTT controls 20+ related entities in our dataset. Read more

$20.74M
Total Medicaid Paid
427,032
Total Claims
348,587
Beneficiaries
326
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWOLFE, SCOTT (SENIOR VP FINANCE)
NPI Enumeration Date07/14/2006

Related Entities

Other providers sharing the same authorized official: WOLFE, SCOTT

ProviderCityStateTotal Paid
ST. LUKE'S HOSPITAL MONROE CAMPUS STROUDSBURG PA $11.88M
ST LUKES HOSPITAL-ANDERSON CAMPUS EASTON PA $8.47M
ST LUKES EMERGENCY & TRANSPORT SERVICES, INC QUAKERTOWN PA $4.32M
ST LUKES QUAKERTOWN HOSPITAL QUAKERTOWN PA $3.56M
ST. LUKE'S HOSPITAL GRAND VIEW CAMPUS SELLERSVILLE PA $2.45M
ST. LUKE'S HOSPITAL-CARBON CAMPUS LEHIGHTON PA $1.36M
ST. LUKE'S HOSPITAL BETHLEHEM LEHIGHTON PA $707K
THE CARBON SCHUYLKILL COMMUNITY HOSPITAL, INC. HAZLE TOWNSHIP PA $307K
ST. LUKE'S HOSPITAL MONROE CAMPUS BRODHEADSVILLE PA $263K
THE CARBON SCHUYLKILL COMMUNITY HOSPITAL, INC. TAMAQUA PA $248K
CARBON - SCHUYLKILL COMMUNITY HOSPITAL INC MAHANOY CITY PA $221K
ST. LUKE'S HOSPITAL MONROE CAMPUS POCONO SUMMIT PA $211K
THE CARBON SCHUYLKILL COMMUNITY HOSPITAL, INC. LEHIGHTON PA $192K
ST. LUKE'S PHYSICIAN GROUP, INC ALLENTOWN PA $173K
ST. LUKE'S HOSPITAL HAMBURG PA $126K
ST LUKE HOSPITAL PALMERTON PA $122K
ST. LUKE'S HOSPITAL MONROE CAMPUS EAST STROUDSBURG PA $105K
ST. LUKE'S HOSPITAL WHITEHALL PA $85K
ST. LUKE'S HOSPTIAL WIND GAP PA $67K
ST. LUKE'S HOSPITAL JIM THORPE PA $64K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,581 $187K
2019 5,097 $389K
2020 56,379 $2.92M
2021 184,078 $7.64M
2022 58,962 $3.65M
2023 67,776 $3.40M
2024 53,159 $2.56M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 26,573 25,576 $3.63M
99284 Emergency department visit for the evaluation and management, high severity 16,093 15,363 $2.48M
T1015 Clinic visit/encounter, all-inclusive 63,539 16,510 $2.34M
G0378 Hospital observation service, per hour 2,422 2,190 $2.32M
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 14,470 13,669 $1.16M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 11,369 11,024 $879K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 4,959 4,675 $821K
X0621 3,466 2,384 $777K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 4,643 4,418 $492K
99050 4,155 3,955 $412K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 13,384 12,964 $315K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 13,159 12,743 $308K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2,509 2,508 $277K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 6,074 5,888 $273K
99282 Emergency department visit for the evaluation and management, low to moderate severity 3,496 3,405 $196K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 6,431 6,292 $190K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 2,898 2,755 $170K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 4,684 4,616 $169K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 3,596 3,536 $141K
74177 Computed tomography, abdomen and pelvis; with contrast material 887 854 $136K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 519 508 $122K
80053 Comprehensive metabolic panel 12,541 11,666 $122K
78815 Positron emission tomography (PET) for limited area imaging 139 138 $111K
80050 General health panel 2,426 2,348 $105K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 1,005 974 $102K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1,775 1,610 $101K
95810 Polysomnography; sleep staging with 4 or more additional parameters 369 357 $95K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 16,601 15,419 $78K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 10,394 9,862 $74K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 334 324 $74K
97162 946 933 $63K
X0616 337 333 $59K
80061 Lipid panel 4,297 4,158 $57K
87070 6,457 6,294 $56K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 618 589 $53K
97161 770 763 $51K
X0620 283 268 $51K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 703 688 $51K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 1,478 1,437 $46K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 438 430 $46K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 165 159 $42K
84443 Thyroid stimulating hormone (TSH) 2,110 2,021 $42K
77066 Tomosynthesis, mammo 483 470 $40K
76642 1,010 941 $40K
76813 720 675 $38K
77067 Screening mammography, bilateral, including computer-aided detection 442 429 $38K
70450 Computed tomography, head or brain; without contrast material 732 692 $37K
88305 Level IV - Surgical pathology, gross and microscopic examination 2,853 2,756 $37K
87086 Culture, bacterial; quantitative colony count, urine 4,638 4,415 $34K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 224 217 $32K
87631 238 235 $32K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 577 555 $30K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 465 327 $29K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 1,023 995 $28K
87150 656 637 $27K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 699 184 $25K
36415 Collection of venous blood by venipuncture 3,849 3,085 $25K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 769 409 $25K
80048 Basic metabolic panel (calcium, ionized) 3,130 2,766 $22K
300 Patient transfer system <300 456 185 $22K
95811 42 42 $21K
87480 894 871 $21K
87660 897 873 $21K
92567 1,642 1,603 $20K
80081 243 235 $20K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 460 445 $19K
86803 1,003 964 $19K
77065 Tomosynthesis, mammo 280 271 $18K
70551 Magnetic resonance imaging, brain; without contrast material 84 82 $17K
83036 Hemoglobin; glycosylated (A1C) 2,540 2,470 $17K
87536 158 156 $17K
88341 264 253 $16K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,383 2,336 $16K
76801 389 370 $15K
95886 334 309 $15K
J1756 Injection, iron sucrose, 1 mg 2,165 1,117 $15K
71275 Computed tomographic angiography, chest, with contrast material 84 81 $14K
71046 Radiologic examination, chest; 2 views 1,308 1,274 $14K
86480 203 199 $13K
74176 Computed tomography, abdomen and pelvis; without contrast material 187 179 $13K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 745 721 $13K
81001 4,917 4,655 $13K
72082 325 321 $13K
88342 418 395 $13K
86003 102 97 $13K
88344 161 144 $13K
82728 1,089 1,035 $12K
76705 Ultrasound, abdominal, real time with image documentation; limited 412 387 $12K
71250 223 213 $12K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 359 281 $12K
73610 648 575 $12K
72125 Computed tomography, cervical spine; without contrast material 231 221 $12K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 1,163 1,063 $11K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 82 79 $11K
83970 284 273 $11K
82570 1,604 1,514 $11K
S9083 Global fee urgent care centers 105 99 $11K
87510 724 703 $11K
71260 Computed tomography, thorax, diagnostic; with contrast material 173 170 $11K
87186 1,262 1,212 $10K
93017 288 275 $10K
77063 Screening digital breast tomosynthesis, bilateral 442 429 $10K
84439 1,300 1,242 $10K
92587 325 317 $9K
73110 653 563 $9K
97163 180 173 $9K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 232 209 $9K
87077 1,218 1,167 $9K
84702 558 459 $8K
19083 78 73 $8K
82607 785 761 $8K
85027 1,386 1,249 $8K
83540 951 914 $8K
82043 1,009 977 $8K
93971 149 139 $8K
76770 198 191 $8K
71045 Radiologic examination, chest; single view 1,599 1,504 $7K
76536 154 147 $7K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 625 398 $7K
84484 1,105 969 $7K
70496 43 41 $7K
83690 1,508 1,415 $6K
70498 38 36 $6K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 312 216 $6K
92557 255 244 $6K
J3490 Unclassified drugs 1,907 1,132 $6K
82784 372 360 $6K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 421 418 $6K
87340 427 416 $6K
97164 199 191 $6K
87653 147 142 $6K
73030 544 496 $6K
73562 401 308 $6K
73630 607 539 $5K
83735 861 660 $5K
86038 335 325 $5K
86255 310 300 $5K
94726 223 220 $5K
94729 203 199 $5K
84153 236 228 $5K
73560 382 334 $5K
97167 73 70 $5K
72141 24 24 $5K
72110 256 253 $5K
45380 Colonoscopy, flexible; with biopsy, single or multiple 30 30 $5K
84403 180 169 $4K
73130 473 400 $4K
73502 290 280 $4K
73564 311 276 $4K
96415 189 161 $4K
88313 85 83 $4K
90715 318 283 $4K
83550 850 817 $4K
93226 116 114 $4K
86618 171 169 $4K
84146 165 156 $4K
86850 558 536 $4K
72100 225 216 $4K
76818 54 46 $4K
81003 1,254 1,179 $4K
73590 236 204 $3K
96367 215 139 $3K
85610 1,155 994 $3K
95708 43 27 $3K
86235 106 101 $3K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 327 93 $3K
73221 12 12 $3K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 107 100 $3K
86361 102 101 $3K
86592 745 723 $3K
76819 Fetal biophysical profile; without non-stress testing 54 50 $3K
76700 Ultrasound, abdominal, real time with image documentation; complete 57 56 $3K
84703 288 280 $3K
83655 255 249 $3K
82950 404 391 $3K
83880 124 117 $3K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 13 13 $3K
82746 255 246 $3K
85379 291 280 $2K
80076 307 287 $2K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 86 86 $2K
87147 513 482 $2K
87205 520 507 $2K
76820 98 76 $2K
86140 802 765 $2K
97166 43 39 $2K
92556 131 126 $2K
OP250 1,259 826 $2K
93225 130 126 $2K
74018 163 162 $2K
84100 383 283 $2K
J2704 Injection, propofol, 10 mg 7,132 4,196 $2K
87522 Neg quan hep c or qual rna 48 43 $2K
93970 27 26 $2K
85652 688 651 $2K
86900 592 567 $2K
88142 117 112 $2K
86901 581 557 $2K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 115 69 $2K
97597 155 104 $2K
76882 221 214 $2K
95911 29 29 $2K
86706 138 137 $2K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 41 40 $2K
84156 449 402 $2K
83001 98 97 $2K
73080 156 141 $2K
82105 87 85 $2K
86800 95 90 $2K
86430 227 220 $2K
86704 104 101 $1K
84402 54 53 $1K
87255 35 33 $1K
92593 106 100 $1K
85730 287 276 $1K
J7030 Infusion, normal saline solution , 1000 cc 763 681 $1K
73140 159 149 $1K
93923 39 38 $1K
94060 134 133 $1K
J1885 Injection, ketorolac tromethamine, per 15 mg 9,839 7,841 $1K
73552 72 66 $1K
83002 62 61 $1K
G0382 Level 3 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) 13 13 $992.20
82550 181 171 $978.86
X0592 55 40 $965.70
70486 12 12 $917.76
96375 Therapeutic injection; each additional sequential IV push 172 140 $906.47
92555 121 120 $901.29
99153 Mod sedat endo service >5yrs 101 93 $897.96
95819 70 69 $868.42
82948 746 632 $865.97
85007 275 220 $860.96
81002 252 245 $823.54
G0297 Low dose ct scan (ldct) for lung cancer screening 13 13 $790.76
86705 56 53 $776.84
87081 139 139 $746.24
84550 139 136 $742.21
87430 85 85 $711.55
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 14 14 $707.20
72170 81 80 $691.10
84481 28 25 $657.50
J1100 Injection, dexamethasone sodium phosphate, 1 mg 5,356 4,511 $642.98
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 15 15 $620.46
72040 45 44 $617.35
86200 43 42 $567.97
87040 46 44 $557.20
84480 72 70 $556.23
86376 73 72 $548.06
82785 32 32 $526.12
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 155 127 $511.00
82248 81 79 $508.78
99152 99 96 $501.03
83605 92 87 $475.20
J2785 Injection, regadenoson, 0.1 mg 13 13 $474.48
81025 370 342 $460.56
80164 25 25 $436.15
J7050 Infusion, normal saline solution, 250 cc 918 338 $424.43
J1170 Injection, hydromorphone, up to 4 mg 2,071 1,493 $403.87
G0109 Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes 18 14 $371.81
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 1,199 1,106 $359.43
88304 64 63 $356.63
J2405 Injection, ondansetron hydrochloride, per 1 mg 8,139 6,722 $352.99
73090 29 25 $337.33
95816 29 29 $330.26
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 43 37 $323.80
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 16 12 $301.83
72050 14 14 $287.87
87209 13 12 $276.85
82247 37 24 $259.21
97530 Therapeutic activities, direct patient contact, each 15 minutes 32 12 $253.44
82947 82 78 $251.77
92552 29 26 $239.99
J2765 Injection, metoclopramide hcl, up to 10 mg 1,552 1,370 $236.29
84132 54 53 $212.67
86787 13 12 $206.59
J3010 Injection, fentanyl citrate, 0.1 mg 3,889 3,307 $186.57
J2270 Injection, morphine sulfate, up to 10 mg 491 405 $167.57
84425 26 25 $157.11
83615 29 26 $148.37
J3475 Injection, magnesium sulfate, per 500 mg 641 552 $142.26
J1200 Injection, diphenhydramine hcl, up to 50 mg 1,323 1,070 $141.86
84590 12 12 $137.80
82803 13 12 $137.52
86769 12 12 $136.96
94010 14 14 $128.42
87102 12 12 $128.04
85014 58 55 $121.85
J7120 Ringers lactate infusion, up to 1000 cc 157 104 $118.16
83020 12 12 $116.60
82977 12 12 $116.05
76830 Ultrasound, transvaginal 15 14 $109.60
87177 13 12 $103.35
A9585 Injection, gadobutrol, 0.1 ml 56 51 $94.72
80178 14 12 $87.25
J0690 Injection, cefazolin sodium, 500 mg 1,928 1,610 $78.65
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 111 41 $71.84
J1644 Injection, heparin sodium, per 1000 units 707 477 $70.88
J2250 Injection, midazolam hydrochloride, per 1 mg 2,840 2,498 $58.40
G0476 Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be performed in addition to pap test 43 39 $45.85
76937 12 12 $43.79
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 225 146 $42.26
J0696 Injection, ceftriaxone sodium, per 250 mg 410 390 $42.07
84295 14 13 $39.93
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 39 26 $38.35
82077 12 12 $21.06
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 33 33 $21.00
J2060 Injection, lorazepam, 2 mg 138 126 $14.32
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 32 25 $10.62
J1630 Injection, haloperidol, up to 5 mg 14 13 $8.90
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 481 426 $0.08
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 922 751 $0.00
J2004 Injection, lidocaine hcl with epinephrine, 1 mg 27 27 $0.00
81513 40 39 $0.00
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 18 15 $0.00
J1171 Injection, hydromorphone, 0.1 mg 64 52 $0.00
J1596 Injection, glycopyrrolate, 0.1 mg 154 150 $0.00
J0330 Injection, succinylcholine chloride, up to 20 mg 14 12 $0.00
J2795 Injection, ropivacaine hydrochloride, 1 mg 241 200 $0.00
G0463 Hospital outpatient clinic visit for assessment and management of a patient 73 60 $0.00
A9270 Non-covered item or service 436 338 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 139 128 $0.00
G0145 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision 67 64 $0.00
J2370 Injection, phenylephrine hcl, up to 1 ml 13 12 $0.00
J1836 Injection, metronidazole, 10 mg 13 12 $0.00
C1769 Guide wire 12 12 $0.00
94760 14 14 $0.00