Medicaid Provider Spending

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

SCHUYLKILL HEALTH SYSTEM MEDICAL GROUP, INC.

NPI: 1063073823 · POTTSVILLE, PA 17901 · Family Medicine Physician · NPI assigned 06/24/2019

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

Authorized official DEMOPOULOS, JAMES controls 14+ related entities in our dataset. Read more

$1.15M
Total Medicaid Paid
20,738
Total Claims
19,922
Beneficiaries
11
Codes Billed
2020-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDEMOPOULOS, JAMES (SR VP & COO LVPG)
Parent OrganizationSCHUYLKILL HEALTH SYSTEM MEDICAL GROUP, INC.
NPI Enumeration Date06/24/2019

Related Entities

Other providers sharing the same authorized official: DEMOPOULOS, JAMES

ProviderCityStateTotal Paid
FAMILY CARE CENTERS INC. E STROUDSBURG PA $11.08M
HAZLETON PROFESSIONAL SERVICES HAZLETON PA $8.26M
FAMILY CARE CENTERS INC EAST STROUDSBURG PA $6.09M
SCHUYLKILL HEALTH SYSTEM MEDICAL GROUP, INC. POTTSVILLE PA $2.41M
LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA $225K
LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA $190K
LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA $157K
LEHIGH VALLEY PHYSICIAN GROUP WHITEHALL PA $107K
LEHIGH VALLEY PHYSICIAN GROUP DICKSON CITY PA $17K
LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA $15K
LEHIGH VALLEY PHYSICIAN GROUP BETHLEHEM PA $7K
LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA $6K
LEHIGH VALLEY PHYSICIAN GROUP SCRANTON PA $4K
LEHIGH VALLEY PHYSICIAN GROUP BETHLEHEM PA $479.15

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 880 $30K
2021 6,171 $212K
2022 5,387 $323K
2023 4,610 $312K
2024 3,690 $268K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S9083 Global fee urgent care centers 6,514 6,307 $659K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,533 7,129 $257K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2,004 1,962 $104K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1,423 1,404 $45K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 2,230 2,195 $40K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 456 430 $27K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 284 277 $6K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 34 31 $3K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 18 18 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 32 30 $83.96
J1885 Injection, ketorolac tromethamine, per 15 mg 210 139 $3.62