ST. Luke's Physician Group, INC.
ST. Luke's Physician Group, INC. was paid $2.85M by Medicaid between Jan 2019 and Dec 2024, across 19 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 34% of everything it billed.
FOUNTAIN HILL, PA 18015
Next to other Sports Medicine (Emergency Medicine) Physician providers in Pennsylvania
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 14 | $307.47 | |
| 2020 | 2,382 | $70K | |
| 2021 | 17,774 | $631K | |
| 2022 | 18,293 | $735K | |
| 2023 | 19,162 | $825K | |
| 2024incomplete | 13,849 | $594K |
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 | 34% | 25,654 | 24,380 | $958K |
| 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 | 29% | 13,989 | 13,160 | $822K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 13% | 5,892 | 5,791 | $381K |
| 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 | 13% | 3,482 | 3,433 | $379K |
| 20610 | 6.4% | 8,596 | 6,498 | $182K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 2.2% | 409 | 405 | $64K |
| 99243 | 1.5% | 481 | 469 | $43K | |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 2,776 | 2,726 | $7K |
| 20550 | <1% | 194 | 185 | $7K | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 2,313 | 2,269 | $6K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 154 | 147 | $4K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 4,437 | 4,342 | $2K |
7 more codes
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 12 | $1K |
| 99024 | 0% | 2,550 | $0.00 | |
| 1036F | 0% | 34 | $0.00 | |
| 3008F | 0% | 166 | $0.00 | |
| J1010 | Injection, methylprednisolone acetate, 1 mg | 0% | 166 | $0.00 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 148 | $0.00 |
| J7323 | Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose | 0% | 21 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.