Physician
ST. Joseph Medical Group
ST. Joseph Medical Group was paid $7.20M by Medicaid between Jan 2018 and Dec 2024, across 95 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 35% of everything it billed.
33Billing provider infoST. JOSEPH MEDICAL GROUP
READING, PA 19605
READING, PA 19605
33aNPI1184754657assigned 03/06/2007
33bProvider typeInternal Medicine Physician
28Total paid$7.20M
24GClaims139,634
24DCodes billed95
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Pennsylvania
Rank by total paid#2 of 1,726
Median peer was paid$6K
This provider vs. median1,111×
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
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 | 3,960 | $36K | |
| 2019 | 2,760 | $55K | |
| 2020 | 7,627 | $325K | |
| 2021 | 38,817 | $1.97M | |
| 2022 | 37,636 | $2.01M | |
| 2023 | 30,399 | $1.81M | |
| 2024incomplete | 18,435 | $998K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 35% | 28,793 | 27,801 | $2.54M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 30% | 31,429 | 29,449 | $2.12M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.8% | 3,576 | 3,563 | $274K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3.5% | 10,368 | 9,121 | $252K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.0% | 3,261 | 3,053 | $218K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.0% | 2,856 | 2,840 | $215K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.7% | 2,341 | 2,325 | $197K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.9% | 1,707 | 1,690 | $139K |
| 95886 | 1.8% | 946 | 902 | $131K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.8% | 1,163 | 1,065 | $128K |
| 95911 | 1.8% | 713 | 686 | $127K | |
| 90461 | 1.4% | 4,984 | 4,363 | $104K |
83 more codes
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.1% | 883 | $78K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 611 | $72K |
| 90686 | <1% | 6,670 | $51K | |
| 99188 | <1% | 3,351 | $42K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 364 | $35K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 887 | $31K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 728 | $30K |
| 92551 | <1% | 3,374 | $30K | |
| 99219 | <1% | 417 | $30K | |
| 99177 | <1% | 5,616 | $27K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 290 | $26K |
| 59025 | Fetal non-stress test | <1% | 1,120 | $25K |
| 99460 | <1% | 292 | $21K | |
| 99223 | Prolong inpt eval add15 m | <1% | 171 | $18K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 243 | $14K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,036 | $13K |
| 90670 | <1% | 1,823 | $12K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,000 | $12K |
| 90651 | <1% | 1,159 | $11K | |
| 93971 | <1% | 615 | $11K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 123 | $11K |
| 90715 | <1% | 872 | $10K | |
| G0008 | Administration of influenza virus vaccine | <1% | 575 | $10K |
| 90647 | <1% | 1,482 | $9K | |
| 90723 | <1% | 1,474 | $9K | |
| 90677 | <1% | 336 | $8K | |
| 90633 | <1% | 1,203 | $7K | |
| 90474 | <1% | 673 | $7K | |
| 99205 | Prolong outpt/office vis | <1% | 39 | $7K |
| T1001 | Nursing assessment / evaluation | <1% | 26 | $6K |
| 93970 | <1% | 186 | $5K | |
| 96127 | <1% | 1,191 | $5K | |
| 90680 | <1% | 896 | $5K | |
| 90734 | <1% | 1,006 | $5K | |
| 20610 | <1% | 110 | $4K | |
| 99218 | <1% | 65 | $3K | |
| 90710 | <1% | 545 | $3K | |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | <1% | 94 | $3K |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 227 | $3K |
| 90620 | <1% | 353 | $3K | |
| 99385 | <1% | 26 | $3K | |
| 90732 | <1% | 26 | $3K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 234 | $2K |
| 90746 | <1% | 37 | $2K | |
| 90696 | <1% | 373 | $2K | |
| 90700 | <1% | 362 | $2K | |
| G0009 | Administration of pneumococcal vaccine | <1% | 112 | $2K |
| 90672 | <1% | 235 | $2K | |
| 99381 | <1% | 39 | $2K | |
| 95909 | <1% | 15 | $2K | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 51 | $2K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 106 | $2K |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 93 | $1K |
| 99384 | <1% | 12 | $1K | |
| 73610 | <1% | 55 | $1K | |
| 90707 | <1% | 231 | $1K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 15 | $914.80 |
| 46600 | <1% | 12 | $899.40 | |
| 90716 | <1% | 237 | $870.00 | |
| 90685 | <1% | 91 | $620.00 | |
| 0002A | <1% | 15 | $563.62 | |
| 73564 | <1% | 20 | $551.52 | |
| 99462 | <1% | 15 | $510.32 | |
| 96161 | <1% | 269 | $438.62 | |
| 90473 | <1% | 25 | $329.83 | |
| 90674 | <1% | 12 | $329.34 | |
| 83655 | <1% | 1,746 | $298.41 | |
| 73630 | <1% | 14 | $252.66 | |
| 90630 | <1% | 14 | $241.01 | |
| 90681 | <1% | 36 | $230.00 | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 124 | $206.41 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 171 | $124.95 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 36 | $108.66 |
| 99441 | <1% | 23 | $101.94 | |
| 86580 | <1% | 28 | $90.82 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 13 | $23.59 |
| 99024 | 0% | 330 | $0.00 | |
| 82962 | 0% | 12 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 25 | $0.00 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | 0% | 23 | $0.00 |
| J1010 | Injection, methylprednisolone acetate, 1 mg | 0% | 32 | $0.00 |
| 0502F | 0% | 13 | $0.00 | |
| 96160 | 0% | 13 | $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 officialCHABALOWSKI, EDWARD (CFO)
| Provider | Location | Paid |
|---|---|---|
| ST Joseph Regional Health Network | Reading, PA | $27.79M |
| ST Joseph Regional Health Network | Temple, PA | $1.02M |
| ST. Joseph Regional Health Network | Reading, PA | $907K |
| ST Joseph Regional Health Network | Strausstown, PA | $236K |
| ST. Joseph Regional Health Network | Blandon, PA | $96K |
| ST. Joseph Regional Health Network | Reading, PA | $91K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.