Physician
Schuylkill Health System Medical Group, INC.
Schuylkill Health System Medical Group, INC. was paid $1.15M by Medicaid between Oct 2020 and Dec 2024, across 11 billing codes. Its largest line is S9083, Global fee urgent care centers — 58% of everything it billed.
33Billing provider infoSCHUYLKILL HEALTH SYSTEM MEDICAL GROUP, INC.
POTTSVILLE, PA 17901
POTTSVILLE, PA 17901
33aNPI1063073823assigned 06/24/2019
33bProvider typeFamily Medicine Physician
28Total paid$1.15M
24GClaims20,738
24DCodes billed11
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Pennsylvania
Rank by total paid#52 of 2,756
Median peer was paid$19K
This provider vs. median60×
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.
Entity ProliferationAuthorized official DEMOPOULOS, JAMES controls 14+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 880 | $30K | |
| 2021 | 6,171 | $212K | |
| 2022 | 5,387 | $323K | |
| 2023 | 4,610 | $312K | |
| 2024incomplete | 3,690 | $268K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S9083 | Global fee urgent care centers | 58% | 6,514 | 6,307 | $659K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 22% | 7,533 | 7,129 | $257K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 9.1% | 2,004 | 1,962 | $104K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 3.9% | 1,423 | 1,404 | $45K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 3.5% | 2,230 | 2,195 | $40K |
| 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 | 2.4% | 456 | 430 | $27K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 284 | 277 | $6K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 34 | 31 | $3K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 18 | 18 | $2K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 32 | 30 | $83.96 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 210 | 139 | $3.62 |
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.
From NPPES
Who's on the registration
Authorized officialDEMOPOULOS, JAMES (SR VP & COO LVPG)
Parent organizationSCHUYLKILL HEALTH SYSTEM MEDICAL GROUP, INC.
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.