Medicaid Provider Spending

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

ST. LUKE'S HOSPITAL MONROE CAMPUS

NPI: 1063177327 · POCONO SUMMIT, PA 18346 · Family Medicine Physician · NPI assigned 11/02/2021

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

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

$211K
Total Medicaid Paid
5,654
Total Claims
5,353
Beneficiaries
8
Codes Billed
2022-07
First Month
2024-11
Last Month

Provider Details

Authorized OfficialWOLFE, SCOTT (SVP FINANCE)
Parent OrganizationST. LUKE'S HOSPITAL MONROE CAMPUS
NPI Enumeration Date11/02/2021

Related Entities

Other providers sharing the same authorized official: WOLFE, SCOTT

ProviderCityStateTotal Paid
ST LUKES HOSPITAL BETHLEHEM PA $20.74M
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
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
2022 969 $32K
2023 2,195 $65K
2024 2,490 $114K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,155 2,031 $95K
S9088 Services provided in an urgent care center (list in addition to code for service) 2,658 2,492 $57K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 477 468 $37K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 222 222 $14K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 41 41 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 47 46 $2K
71046 Radiologic examination, chest; 2 views 23 22 $387.84
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 31 31 $195.30