Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

ST. Luke's Physician Group, INC

ST. Luke's Physician Group, INC was paid $18K by Medicaid between Dec 2020 and Oct 2024, across 4 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 75% of everything it billed.

33Billing provider infoST. LUKE'S PHYSICIAN GROUP, INC
STROUDSBURG, PA 18360
33aNPI1134581309assigned 03/25/2016
33bProvider typeNephrology Physician
28Total paid$18K
24GClaims618
24DCodes billed4
24AFirst – last monthDec 2020 – Oct 2024
Compared with peers

Next to other Nephrology Physician providers in Pennsylvania

Rank by total paid#45 of 149
Median peer was paid$5K
This provider vs. median4.0×

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 EVANS, DEAN controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$1.0K$2.0K2018201920202021202220232024
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
YearClaimsPaid
202020$278.97
2021210$4K
2022107$3K
2023209$8K
2024incomplete72$2K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 75% 391 385 $13K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 15% 91 39 $3K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 7.3% 103 44 $1K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 3.3% 33 28 $595.11

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 officialEVANS, DEAN (PRESIDENT)
Same official

Other billing entities under EVANS, DEAN

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.