Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NJ › Phillipsburg › NPI 1174975163
Physician

ST. Luke's Warren Physician Group, PC

ST. Luke's Warren Physician Group, PC was paid $105K by Medicaid between May 2020 and Nov 2024, across 5 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 75% of everything it billed.

33Billing provider infoST. LUKE'S WARREN PHYSICIAN GROUP, PC
PHILLIPSBURG, NJ 08865
33aNPI1174975163assigned 07/01/2016
28Total paid$105K
24GClaims6,061
24DCodes billed5
24AFirst – last monthMay 2020 – Nov 2024
Compared with peers

Next to other Internal Medicine Physician providers in New Jersey

Rank by total paid#342 of 1,027
Median peer was paid$30K
This provider vs. median3.5×

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.

Box 24A · Dates of service

Paid by month

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
2020243$5K
20211,101$24K
20221,329$24K
20232,011$33K
2024incomplete1,377$20K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 75% 4,780 1,875 $79K
99239 Hospital discharge day management, more than 30 minutes 18% 922 820 $19K
99223 Prolong inpt eval add15 m 4.9% 219 188 $5K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 2.1% 126 59 $2K
99222 Initial hospital care, per day, moderate complexity <1% 14 12 $320.99

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 officialKROPF, LAURA (OWNER)
Same official

Other billing entities under KROPF, LAURA

Full network →
ProviderLocationPaid
ST. Luke's Warren Physician Group, PCPhillipsburg, NJ$7K
ST. Luke's Warren Physician Group, PCPhillipsburg, NJ$942.70

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