Physician
ST. Luke's Warren Physician Group, PC
ST. Luke's Warren Physician Group, PC was paid $515K by Medicaid between Jan 2018 and Feb 2024, across 45 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 52% of everything it billed.
33Billing provider infoST. LUKE'S WARREN PHYSICIAN GROUP, PC
PHILLIPSBURG, NJ 08865
PHILLIPSBURG, NJ 08865
33aNPI1134465388assigned 12/17/2012
33bProvider typeFamily Medicine Physician
28Total paid$515K
24GClaims52,547
24DCodes billed45
24AFirst – last monthJan 2018 – Feb 2024
Compared with peers
Next to other Family Medicine Physician providers in New Jersey
Rank by total paid#48 of 414
Median peer was paid$28K
This provider vs. median18×
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 DELMONICO, GERARD controls 13+ 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 | |
|---|---|---|---|
| 2018 | 8,852 | $92K | |
| 2019 | 7,803 | $86K | |
| 2020 | 8,321 | $102K | |
| 2021 | 10,950 | $87K | |
| 2022 | 9,890 | $69K | |
| 2023 | 5,964 | $68K | |
| 2024incomplete | 767 | $11K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 52% | 26,034 | 24,733 | $267K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 8.8% | 3,990 | 3,956 | $45K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 8.3% | 1,991 | 1,967 | $43K |
| 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 | 7.5% | 2,700 | 2,443 | $39K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.8% | 548 | 546 | $19K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.7% | 375 | 373 | $14K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.2% | 323 | 318 | $11K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 2.0% | 593 | 589 | $10K |
| 90682 | 1.9% | 356 | 353 | $10K | |
| 90461 | 1.8% | 541 | 536 | $9K | |
| 90686 | 1.5% | 1,118 | 1,089 | $8K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.2% | 387 | 165 | $6K |
33 more codes
| 59426 | 1.1% | 158 | $5K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.0% | 158 | $5K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 153 | $5K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 162 | $5K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 487 | $3K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 495 | $3K |
| 90715 | <1% | 47 | $2K | |
| 90651 | <1% | 40 | $1K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 23 | $722.75 |
| 99223 | Prolong inpt eval add15 m | <1% | 26 | $523.64 |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 46 | $450.64 |
| 90734 | <1% | 41 | $376.38 | |
| 81002 | <1% | 463 | $316.84 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 31 | $276.88 |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 15 | $269.18 |
| 90670 | <1% | 84 | $226.43 | |
| 99304 | <1% | 15 | $182.26 | |
| 90698 | <1% | 49 | $106.18 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 12 | $55.79 |
| 36416 | <1% | 29 | $10.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 62 | $8.43 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 37 | $6.60 |
| 3008F | 0% | 4,859 | $0.00 | |
| 1036F | 0% | 2,837 | $0.00 | |
| 3074F | 0% | 51 | $0.00 | |
| 3079F | 0% | 25 | $0.00 | |
| 90744 | 0% | 13 | $0.00 | |
| 3078F | 0% | 25 | $0.00 | |
| 3725F | 0% | 2,464 | $0.00 | |
| 0502F | 0% | 54 | $0.00 | |
| 4004F | 0% | 584 | $0.00 | |
| 99442 | 0% | 18 | $0.00 | |
| 3077F | 0% | 28 | $0.00 |
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 officialDELMONICO, GERARD (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Hillcrest Emergency Services, PC | Phillipsburg, NJ | $710K |
| ST. Luke's Warren Physician Group, PC | Phillipsburg, NJ | $149K |
| ST. Luke's Warren Physician Group, PC | Phillipsburg, NJ | $91K |
| ST. Luke's Warren Physician Group, PC | Washington, NJ | $53K |
| ST. Luke's Warren Physician Group, PC | Phillipsburg, NJ | $14K |
| ST. Luke's Warren Physician Group, PC | Phillipsburg, NJ | $11K |
| ST. Luke's Warren Physician Group, PC | Phillipsburg, NJ | $5K |
| ST. Luke's Warren Physician Group, PC | Phillipsburg, NJ | $3K |
| ST. Luke's Warren Physician Group, PC | Phillipsburg, NJ | $825.22 |
| ST. Luke's Warren Physician Group, PC | Phillipsburg, NJ | $561.00 |
| ST. Luke's Warren Physician Group, PC | Phillipsburg, NJ | $484.04 |
| ST. Luke's Warren Physician Group, PC | Phillipsburg, NJ | $330.00 |
| Warren Health Care Alliance, PC | Phillipsburg, NJ | $11.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.